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2023年在洛美参加早期检测活动的女性中乳腺癌推定临床体征的患病率。

Prevalence of presumptive clinical signs of breast cancer among women attending an early detection campaign in Lomé in 2023.

作者信息

Sodokin Adjovi Evenunye, Gbadoe Kokoe Melinda, Houngnigbe Adanvo Isaac, Ali Ben, Agbewornu Kodjo Déla, Darre Tchin

机构信息

Medstudents Leaders Association, Lome, Togo.

Euclide University Pole, Montpellier, France.

出版信息

Pan Afr Med J. 2025 Apr 9;50:98. doi: 10.11604/pamj.2025.50.98.43237. eCollection 2025.

Abstract

INTRODUCTION

breast cancer is the most common cancer in women in Togo. Screening and early diagnosis campaigns are organised to limit the late use of health services. The aim of this study was to determine the prevalence of presumptive clinical signs of breast cancer and to identify associated factors in Lomé.

METHODS

a multicentre cross-sectional study was conducted in October 2023 in the commune of Lomé, Togo. Sampling was non-probability and voluntary. Data were collected using a digital questionnaire during the clinical examination of patients. Data were processed and analysed using R 4.3.2 software. Univariate and multivariate regression analysis were used to identify associated factors.

RESULTS

a total of 151 participants took part in the study. The largest group was aged between 18 and 24. The median age of the participants was 29 years, with an interquartile range IIQ: 23 years - 41 years. The prevalence of clinical signs of breast cancer was 35.5%. A nodule in the breast was the main symptom (24.8%), followed by breast discharge (8.3%). The number of children (ORa = 1.84; p = 0.030) was significantly associated with the presence of clinical signs of breast cancer.

CONCLUSION

the prevalence of presumptive clinical signs of breast cancer among women during a mass early detection campaign is high. It highlights the crucial importance of early detection through mass population campaigns.

摘要

引言

乳腺癌是多哥女性中最常见的癌症。该国组织了筛查和早期诊断活动,以减少医疗服务的晚期使用情况。本研究的目的是确定洛美地区乳腺癌推定临床体征的患病率,并识别相关因素。

方法

2023年10月在多哥洛美市进行了一项多中心横断面研究。抽样采用非概率抽样且为自愿参与。在对患者进行临床检查期间,使用数字问卷收集数据。使用R 4.3.2软件对数据进行处理和分析。采用单因素和多因素回归分析来识别相关因素。

结果

共有151名参与者参加了该研究。最大的年龄组为18至24岁。参与者的中位年龄为29岁,四分位间距为23岁至41岁。乳腺癌临床体征的患病率为35.5%。乳房结节是主要症状(24.8%),其次是乳头溢液(8.3%)。子女数量(比值比=1.84;p=0.030)与乳腺癌临床体征的存在显著相关。

结论

在大规模早期检测活动中,女性乳腺癌推定临床体征的患病率很高。这凸显了通过大规模人群活动进行早期检测的至关重要性。

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