Epidemiological and biologic profile of breast cancer in Fez-Boulemane, Morocco

In a retrospective study of 265 patients with breast cancer over 3 years [January 2007-September 2009] we examined the epidemiological profile of breast cancer to determine the impact of biological and prognostic factors on survival over 3 years and on the epidemiology of this cancer. Estrogen [RE], progesterone [RP] and human epidermal growth factor receptors [HER2] were evaluated and RE/RP/HER2 status determined. The patients were young [median age 45 years]. Invasive tumours were found in 95.5% of the women. The average tumour size was big [3.6 [SD 2.6] cm] and only 14% were histological grade I. Large tumour size and high histological grade were independent of patient's age. Overall survival at 3 years was only 49% for the RE-/RP-/HER2- subtype and 75% for the RE-/RP-/HER2+ subtype, while it was 96% for the RE+/RP+/HER2- subtype. The young age, large tumour size and high histological grade in our population suggest a lack of awareness of women about breast cancer

[Role of cervical smear in the diagnosis of cervical cancer in Fes-Boulemane region of Morocco]

A retrospective study was conducted between 2000 and 2003 on 1620 women [mean age 39.6 years] in northern Morocco to determine the incidence of cervical cancer and assess the value of cervical smear in the diagnosis. Patients were interviewed using a questionnaire before carrying out a gynaecological examination and taking a cervical smear sample. Of the total sample, 23.1% had an abnormal cervical smear, of whom 5.6% showed intraepithelial lesions, both low and high grade. The women presenting with cervicitis represented the highest percentage with suspect smears [30.8%]; 90.9% of the smears showing high grade lesions were histologically confirmed as cervical cancer. A screening programme is a matter of urgency in northern Morocco