title: [Epidemiology of the gynecological and mammary cancer to the HOMEL and in the CUGO Cotonou, Bénin].
abstract: BACKGROUND
  The gynecological and mammary cancers constitute a major preoccupation for the international community because they represent an important cause of mortality and morbidity among women. However, their systematic tracking is not always current in our countries of the south. This survey aims to evaluate the epidemiological features of these cancers in hospital-academic environment in Cotonou.
  
  
  METHODS
  It is a retrospective survey with a structural descriptive and analytic aim during a period of 9 years, from January 1st, 2000 to December 31, 2008.
  
  
  RESULTS
  On 210 cases of recorded gynecological and mammary cancers during this period, the cancer of the breast comes at the first rank with 44,3% of the cases. The cancer of the cervix represents 26,7% of the cases followed by the cancer of the ovaries (18,6%) and the cancer of the endometrium (9,5%). The cancers of the vulva and the vagina are weakly represented. The delay of consultation after the apparition of the first signs in our series is most often included between 1 and 6 months (32,2%) but goes also beyond 3 years (26,1%). The cancer of the cervix and the endometrium are found in most aged women, whereas the cancer of the breast covers all ages. Most cancers (65%) are diagnosed at an advanced stage (III stage or IV). The different anatomopathological types that are found more frequently are the ductal invasive carcinoma (33%) for the breast, the squamous cell carcinoma for cervix (62%) and the endometrioid adenocarcinoma for the endometrium (30%). The costly management of the cancers reduces the therapeutic possibilities, leading to 42% of survival at 5 years.
  
  
  CONCLUSIONS
  In our survey, it comes out again that the screening of gynecological cancers is not well organized in our country as well as the health education of the woman and reproduction. It appears appropriate to set in motion a management program of the cancers in our country what would allow an early screening and appropriate management.
authors: Faculté des Sciences de la Santé, Hôpital de la Mère et de l'Enfant-Lagune, 07 BP 366 Cotonou, Bénin. angelinetba@yahoo.fr
authors: Josiane Angéline
authors: JA
authors: Tonato Bagnan
authors: Justin Lewis
authors: JL
authors: Denakpo
authors: Benjamin
authors: B
authors: Aguida
authors: Laure
authors: L
authors: Hounkpatin
authors: Antoine
authors: A
authors: Lokossou
authors: José
authors: J
authors: De Souza
authors: René Xavier
authors: RX
authors: Perrin
mesh_terms: D000328:Adult; D001541:Benin / Q000453:epidemiology; D001943:Breast Neoplasms / Q000453:epidemiology*; D057210:Delayed Diagnosis / Q000706:statistics & numerical data; D016889:Endometrial Neoplasms / Q000453:epidemiology; D005260:Female; D005833:Genital Neoplasms, Female / Q000453:epidemiology*; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000453:epidemiology; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology; D014625:Vaginal Neoplasms / Q000453:epidemiology; D014846:Vulvar Neoplasms / Q000453:epidemiology; D055815:Young Adult
keywords: epidemiology; gynecological and mammary cancers