title: [Prognosis of local recurrence of breast cancer in Tunisia].
abstract: OBJECTIVE
  To evaluate locoregional recurrence rate of breast cancer, determine its anatomoclinical characteristies and discuss the available therapeutic alternatives.
  
  
  METHODS
  A retrospective study including 41 patients with LRR following modified radical mastectomy or conservative surgery of invasive breast carcinoma without metastasis, between January 1993 and December 2002.
  
  
  RESULTS
  38 cases of LRR occurred after mastectomy and 3 cases after conservative surgery. LRR rate was 4.84%, mean follow-up 44.7 months. Mean age of patients was 45 years and LRR mean occurrence time-interval 22.4 months. Recurrence was parietal in 25 cases, mammary in 2 cases, and nodal in 14 cases. 18 patients had to be operated on.
  
  
  CONCLUSIONS
  Prognosis of breast cancer depends on distant metastasis. LRR constitutes the second major risk liable to influence the overall prognosis.
authors.affiliation: Service de Gynécologie-Obstétrique, CHU, Farhat Hached Sousse.
authors.forename: Wassila
authors.initials: W
authors.lastname: Sahraoui
authors.forename: Adel
authors.initials: A
authors.lastname: Essafi
authors.forename: Hayet
authors.initials: H
authors.lastname: Laajili
authors.forename: Noureddine
authors.initials: N
authors.lastname: Haouas
authors.forename: Sihem
authors.initials: S
authors.lastname: Hmissa
authors.forename: Leïla
authors.initials: L
authors.lastname: Sebri
authors.forename: Sarhane
authors.initials: S
authors.lastname: Hraiech
authors.forename: Mohamed
authors.initials: M
authors.lastname: Bibi
authors.forename: Noureddine
authors.initials: N
authors.lastname: Bouaouina
authors.forename: Slim
authors.initials: S
authors.lastname: Ben Ahmed
authors.forename: Hédi
authors.initials: H
authors.lastname: Khairi
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology*; D011379:Prognosis; D012189:Retrospective Studies; D014416:Tunisia / Q000453:epidemiology