[Prognosis of local recurrence of breast cancer in Tunisia].
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.
Sahraoui
Wassila
W
Service de Gynécologie-Obstétrique, CHU, Farhat Hached Sousse.
Essafi
Adel
A
Laajili
Hayet
H
Haouas
Noureddine
N
Hmissa
Sihem
S
Sebri
Leïla
L
Hraiech
Sarhane
S
Bibi
Mohamed
M
Bouaouina
Noureddine
N
Ben Ahmed
Slim
S
Khairi
Hédi
H
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