A 15-year pathologic review of testicular and para-testicular tumours in Kano, Northern Nigeria

Alhaji, Sule Alfa; Abubakar, Aisha; Haruna, Muhammad Sanusi

doi:10.4103/0331-8540.187360

Cited by 3 publications

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“…Over an average of 15.8 years, 256 patients were management for TC from 8 publications in the Sub-Saharan region. [10][11][12][13][14][15][16][17] These were all retrospective studies with some limitations in diagnostic imaging, staging and treatment protocols. However, based on the AUA, EAU, CUA, NCCN guidelines, 1,3,8 major recommendations were summarized against the available publications in the region.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…Most other studies in the review from the Sub-Saharan region were limited by either the study design, the absence of CT-scan 12,15 or serum tumor marker testing. 13,14,16,17 As a result, the Royal Marsden Staging system was used by two studies 12,15 with the aid of abdomino-scrotal ultrasound while other studies did not report a staging method. 10,13,14,16,17 Abdominal scrotal ultrasound is nevertheless limited in assessing retroperitoneal lymph node except for relatively larger lymph nodes.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…13,14,16,17 As a result, the Royal Marsden Staging system was used by two studies 12,15 with the aid of abdomino-scrotal ultrasound while other studies did not report a staging method. 10,13,14,16,17 Abdominal scrotal ultrasound is nevertheless limited in assessing retroperitoneal lymph node except for relatively larger lymph nodes. This could induce a subsequent under staging of most testicular tumor in these settings.…”

Section: Evidence Synthesismentioning

confidence: 99%

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<p>Review of Testicular Tumor: Diagnostic Approach and Management Outcome in Africa</p>

Cassell¹,

Jalloh²,

Yunusa³

et al. 2020

RRU

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Testicular cancer is a common malignancy in young males with higher incidence in developed nations but with the lowest incidence in Africa (0.3-0.6/100 000). Ironically, the global testicular cancer mortality rate has shown a reverse trend to its incidence with higher rates in low-and middle-income countries (0.5 per 100 000) than in high-income countries. Data from GLOBOCAN 2008 have shown relatively high mortality rates in sub-Saharan countries like Mali, Ethiopia, Niger and Malawi. The prognosis of testicular tumor is good with remarkable chemosensitivity to cisplatin-based regimen. Early diagnosis, careful staging and a multidisciplinary management approach is crucial to achieve this optimal result. These results are achievable in the sub-Saharan region if the relevant resources are appropriated for cancer care and clinical guidelines are formulated in a regional context.

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Section: Evidence Synthesismentioning

confidence: 99%

Section: Evidence Synthesismentioning

confidence: 99%

Section: Evidence Synthesismentioning

confidence: 99%

See 1 more Smart Citation

<p>Review of Testicular Tumor: Diagnostic Approach and Management Outcome in Africa</p>

Cassell¹,

Jalloh²,

Yunusa³

et al. 2020

RRU

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The awareness and practice of testicular self-examination among male undergraduates in Nigeria: a descriptive cross-sectional study

2022

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Background Testicular cancer is a relatively rare form of cancer but curable. In Nigeria, late presentation hinders treatment due to limited resources for diagnosis and treatment. Testicular self-examination enables men to identify the presence of lumps and any abnormality in their testes. This can facilitate early detection and presentation at hospitals. The purpose of this study was to examine the awareness and practice of testicular self-examination by students at a College of Health Sciences in a Nigerian university. Methods A cross-sectional study was conducted. The target population were second-sixth year students in the College of Health Sciences. The respondents were conveniently selected to complete a 38-item, self-administered questionnaire. The paper-based questionnaire was distributed to 280 respondents in classrooms and dormitories. Descriptive statistics (such as percentages and frequencies) were used to summarize the frequency of categorical data. Results Of the 277 respondents, only 53.4% (n = 148) have heard about testicular self-examination. The mean age was 20.6 (± 4.51) years. Out of the 148 respondents, only 11.6% practiced it regularly. For majority of the respondents, the barriers mitigating the practice of testicular self-examination are the fear of discovering a lump and lack of knowledge. Conclusion It is necessary for the importance of testicular self-examination to be emphasized in the training of nurses, medical doctors, and other healthcare professionals and its practice should be encouraged among health science students. This will equip these students with the knowledge and skills for their health and to educate their patients and the society on the relevance of testicular self-examination.

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Testicular cancer at the University of Port Harcourt Teaching Hospital: A 10-year retrospective review

Raphael¹,

Abhulimen²

2019

J West Afr Coll Surg

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Background: Testicular cancers are rare malignancies. They are however very common in males aged 15–40 years. Reports of increasing incidence of testicular cancer in western countries have been noted. Despite the increasing incidence, mortality has remained low in these countries. There are few publications on the management of testicular tumors in Nigeria. Aim: The aim of this study was to determine the hospital prevalence and highlight our experience in the management of patients with testicular cancer. Materials and Methods: This was a 10-year retrospective study on patients diagnosed with histologically confirmed testicular cancer from January 2009 to December 2018. The case records were retrieved. Data obtained included biodata, clinical presentation, investigations, treatment received and outcomes. Data analysis was carried out using SPSS version 20.0. Results: Eleven patients with testicular cancer were managed during the study period, constituting 0.01% of new cases seen in the hospital. Peak age was 20–29 years (54.55%), with a mean age of 29.27 ± 9.51yrs. The most common presentation was painless scrotal swelling, observed in nine (81.8%) patients. Nine (81.8%) patients presented six months or more after onset of symptoms with advanced disease. Distant metastasis was seen in two (18.2%) patients. Right sided disease was found in seven (63.6%) and left sided disease in four (36.4%). All had radical inguinal orchidectomy. The most common histological diagnosis was seminoma in 8 (72.7%) patients. All the subjects were offered four courses of chemotherapy with bleomycin, etoposide and cisplatin. However, only four (36.4%) completed the chemotherapy. A statistically significant association was observed between the duration of symptoms and the disease stage ( P = 0.003), and between number of chemotherapy sessions and survival ( P = 0.02). Conclusion: Testicular cancer was an uncommon condition in the catchment area of the University of Port Harcourt Teaching Hospital, affecting relatively young men. The commonest presenting complaint was painless scrotal swelling. Most patients presented with Stage II disease, with seminoma being the commonest histopathology. All had surgical treatment; adjuvant chemotherapy improved 5-year survival. Public education is necessary to surmount sociocultural barriers to effective management of testicular tumors in our environment.

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A 15-year pathologic review of testicular and para-testicular tumours in Kano, Northern Nigeria

Cited by 3 publications

References 0 publications

<p>Review of Testicular Tumor: Diagnostic Approach and Management Outcome in Africa</p>

<p>Review of Testicular Tumor: Diagnostic Approach and Management Outcome in Africa</p>

The awareness and practice of testicular self-examination among male undergraduates in Nigeria: a descriptive cross-sectional study

Testicular cancer at the University of Port Harcourt Teaching Hospital: A 10-year retrospective review

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