Kathcy K C, Datubo-Brown D D, Gogo-Abite M, Iweha U U
Department of Pathology, University of Port Harcourt Teaching Hospital, Nigeria.
East Afr Med J. 1990 Mar;67(3):201-4.
A review of histologically confirmed benign breast lesions in 155 Nigerian women seen over a 4 year period (1984-1987) at the University of Port Harcourt Teaching Hospital showed that 79 (51%) had fibroadenoma, 43 (27.7%) fibrocystic disease, 23 (14.8%)--inflammatory disorders and 10 (6.5%)--a miscellaneous group of lesions. Thirteen patients had multiple fibroadenomas, while four had successive or recurrent tumours. Out of 33 patients, 21 had fibroadenoma for at least 1 year. The positive correlation between the average tumour size and duration of symptoms suggests that delay in seeking medical attention contributes to the large size of fibroadenomas often seen in sub-Saharan Africa. The possibility that high reproductive rate may be contributory to the relatively low frequency of fibrocystic disease in this series is discussed.
对1984年至1987年期间在哈科特港大学教学医院就诊的155名尼日利亚女性经组织学确诊的良性乳腺病变进行回顾，结果显示，79例（51%）患有纤维腺瘤，43例（27.7%）患有纤维囊性疾病，23例（14.8%）患有炎症性疾病，10例（6.5%）患有其他各类病变。13例患者患有多发性纤维腺瘤，4例有连续或复发性肿瘤。在33例患者中，21例患有纤维腺瘤至少1年。平均肿瘤大小与症状持续时间之间的正相关表明，在撒哈拉以南非洲地区，就医延迟导致了常见的纤维腺瘤体积较大。本文还讨论了高生育率可能是该系列中纤维囊性疾病发病率相对较低的原因之一。
