Incidence and Management of Cancer Breast in Eastern Libyan Females

Original article


A. H. Mousa 1, D.K. Mangal 2, A.S. Khamage 1

1-Department of Surgery, Al -Arab Medical University, Benghazi, G.S.P.L.A.J. 2-Department of Oncology, Al- Arab Medical University, Benghazi. G.S.P.L.A.J.

Garyounis Medical Journal Vol. 17, No. 1-2. January/July l994:.70 -76


A review of 104 patients with cancer breast diagnosed at the Oncology Clinic, 7th April Hospital, Ben ghazi, Libya over a 3 year period (January 1989 to December1991) is presented. The annual incidence of cancer breast in the Libyan female population at risk (30 —64 years) was found to be 33.33 per 100,000. This pattern is similar with Eastern Epurope but higher than other African countries. Cancer breast accounted for 20.25% of all solid tumors diagnosed over the same period, which is lower than Western countries but similar to that of Eastern Europe. The peak age was 41 —50 years (41.34%) and in premenopausal (50.96%), in sharp contrast with Western countries. Stage II (52.88%) and stage III (30.76%) were the common presentations, as seen in developing countries, like Asia and Africa. The commonest histological finding was infiltration Duct cell Ca. (69.23%). Distant metastasis was found in 50.96%, while local recurrence was recorded in 25.97%, and cases. The most common treatment was surgery (96.15%), with 58.65% cases receiving radiotherapy to locoregional area. CMF/FAC Chemotherapy was given in 66.34% of cases, while antiestrogen was the most common type of hormone therapyion 75.96% of cases. In our series 43.26% cases are under N.E.D. Of the total, 25% of cases died. The prognosis can be improved by providing early and better diagnosis and treatment facilities.

Keywords: Incidence and Management of Cancer Breast in Eastern Libyan Females