PATTERN OF METASTATIC BREAST CANCER IN NIGERIA: A RETROSPECTIVE REVIEW OF CASES FROM NATIONAL HOSPITAL, ABUJA
2 Radiotherapy and Oncology Department, National Hospital Abuja, Nigeria.
* Corresponding author: agbamufatima@yahoo.com
Abstract
Background: Metastatic Breast Cancer is a common presentation among breast cancer patients in Nigeria. There has been a slight decline in breast cancer mortality, which can be attributed both to the success of early detection programs and advances in treatment.
Objective: To determine the pattern, sites, and outcomes of metastatic breast cancer among patients treated at the National Hospital, Abuja.
Methods: This was a retrospective study that involved all patients with a histopathology-confirmed diagnosis of breast cancer from January 2017 to December 2022 at the radiotherapy department of the National Hospital, Abuja. Data were analysed by SPSS version 2.0.
Results: The mean age of the studies was 47.2 (SD=11.5) years. More than half of the patients had metastasis, 153(54.8%). (37.7%) had metastases to the bone, 22.9% had metastasis to the lungs, 22.0% had metastasis to the spine, 18.1% had metastasis to the liver, and 10.7% had metastasis to the brain. Patients with multiple metastases died within one year, while solitary metastasis had 25% mortality within 1 year and 53% mortality in 5-year follow-up (Log-rank test 0.0001).
Conclusion: Despite improving breast cancer outcome, distant metastasis is common, incurable and hence a major challenge. Early recognition through diagnosis of metastatic disease will allow rapid institution of effective palliative treatment. This will improve the quality of life of patients.
Keywords
References
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424.
- Foerster M, Anderson BO, McKenzie F, Galukande M, Anele A, Adisa C, et al. Inequities in breast cancer treatment in sub-Saharan Africa: findings from a prospective multi-country observational study. Breast Cancer Res. 2019;21(1):93.
- Ntekim AI, Folasire AM, Ali-Gombe M. Survival pattern of rare histological types of breast cancer in a Nigerian institution. Pan Afr Med J. 2019;34:114.
- Sunday O, Olarenwaju MPA, Emmanuel O, Oyekunle A, Bamiro AO. Effects of socio-demographic variables on patients and diagnosis delay of breast cancer at foremost healthcare institution in Nigeria. Glob Oncol. 2019;5(5):1-8.
- American Cancer Society. American Cancer Society Recommendations for the Early Detection of Breast Cancer [Internet]. Revised 2022 Jan 15. Available from: https://amp.cancer.org/healthy/find-cancer-early/american-cancer-society-guidelines-for-the-early-detection-of-cancer.html
- Ahmed A, Ukwenya Y, Abdullahi A, Muhammad I. Management and outcomes of male breast cancer in Zaria, Nigeria. Int J Breast Cancer. 2012;2012:845143.
- Ibrahim NA, Oludara MA. Socio-demographic factors and reasons associated with delay in breast cancer presentation: a study in Nigerian women. Breast. 2012;21(3):416–8.
- Nggada HA, Yawe KDT, Abdulazeez J, Khalil MA. Breast cancer burden in Maiduguri, North Eastern Nigeria. Breast J. 2008;14(3):284–6.
- Adesunkanmi ARK, Lawal VO, Adelusola KA, Durosinmi MA. The severity, outcome and challenges of breast cancer in Nigeria. Breast. 2006;15(3):399–409.
- Dauda AM, Misauno MA, Ojo EO. Histopathological types of breast cancer in Gombe, North Eastern Nigeria: a seven-year review. Afr J Reprod Health. 2011;15(1):109–11.
- Ezeome E, Emegoakor C, Chianakwana G, Anyanwu SN. The pattern of male breast cancer in Eastern Nigeria: a 12-year review. Niger Med J. 2010;51(1):26–9.
- Adejumo AA, Ajamu OJ, Akanbi OO, Onwukwe JC, Adeosun OA, Omoregie PO, et al. Epidemiology and challenges of managing breast cancer in Keffi, North-Central Nigeria: A preliminary report. Niger Med J. 2019;60(4):180–4.
- Umoke I, Garba E. Breast cancer in North-Central Nigeria: challenges to good management outcome. Int Surg J. 2019;6(4):1210–5.
- Abdurulharam GO Jr, Rahman GA. Epidemiology of breast cancer in Europe and Africa. J Cancer Epidemiol. 2012;2012:915610.
- Ntekim A, Nufu F, Campbell O. Breast cancer in young women in Ibadan, Nigeria. Afr Health Sci. 2009;4(9):242–6.
- Wu SG, Li H, Tang LY, Sun JY, Zhang WW, Li FY, et al. The effect of distant metastasis sites on survival in de novo stage IV breast cancer: a SEER database analysis. Tumour Biol. 2017;39(3):1010428317705082.
- Mokone-Fatunla DH, Koto MZ, Becker JHR, Bondo M, Mundawarara S. Laterality of breast cancer at Dr George Mukhari Academic Hospital. S Afr J Surg. 2019;57(3):55–61.
- Hoe AL, Royle GT, Taylor I. Breast liver metastases—incidence, diagnosis, and outcome. J R Soc Med. 1991;84(12):714–6.
- Blanks RG, Moss SM, McGahan CE, Quinn MJ, Babb PJ. Effect of NHS breast screening programme on mortality from breast cancer in England and Wales, 1990–8, comparison of observed with predicted mortality. BMJ. 2000;321(7262):665–9.
- Azubuike SO, Muirhead C, Hayes L, McNally R. Rising global burden of breast cancer: the case of sub-Saharan Africa (with emphasis on Nigeria) and implications for regional development: a review. World J Surg Oncol. 2018;16(1):63.
Uba, F. I., Aruah, S. C., Igbinoba, F., & Oyesegun, R. A. (2025). PATTERN OF METASTATIC BREAST CANCER IN NIGERIA: A RETROSPECTIVE REVIEW OF CASES FROM NATIONAL HOSPITAL, ABUJA. Nigerian Journal of Oncology, 1(2), 280-288. https://doi.org/10.67579/njo.2025.c5fsm2w9
F. I. Uba, S. C. Aruah, F. Igbinoba, and R. A. Oyesegun, "PATTERN OF METASTATIC BREAST CANCER IN NIGERIA: A RETROSPECTIVE REVIEW OF CASES FROM NATIONAL HOSPITAL, ABUJA," Nigerian Journal of Oncology, vol. 1, no. 2, pp. 280-288, July 2025. doi: 10.67579/njo.2025.c5fsm2w9