Cancer de l’œsophage: aspects épidémiologiques, cliniques et pronostiques

Maïga, M. Y.; Diallo, G.; Dembélé, M.; Ndiaye, M.; Ongoïba, Nouhoum; Sanogo, ZZ; Yena, Sadio; Traoré, H. A.

doi:10.1007/bf03020579

Cited by 4 publications

(11 citation statements)

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“…Speaking of the situation prevailing in the Sub-Saharan Africa, esophageal cancer affects mostly males in Senegal (Dakar) with an average age of 49years [11]. In Mali, the authors found a average age of 59 years [4]. Similarly with our study, a number of African authors found an annual frequency of esophageal cancer inferior to 5cases per year [6] [12] [13].…”

Section: Discussionsupporting

confidence: 84%

“…Consequently, the prognosis was poor. The same situation is prevailing in a number of the Sub-Saharan African studies [4]- [6] [11]. Mass education about early detection and prevention of cancer seems to be crucial in our country.…”

Section: Discussionmentioning

confidence: 67%

“…The esophageal cancer problem has also been investigated at the cellular and immunological levels and mass cytological surveys allow many cases of early cancer to be detected and treated [3]. Particularly in Sub-Saharan Africa, the esophageal cancer constitutes a great problem of public health for it is almost diagnosed at the tardy stage [4]- [6].…”

Section: Introductionmentioning

confidence: 99%

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Esophageal Cancer: Epidemiological, Clinical and Histopathological Aspects over a 24-Years Period at Kamenge University Hospital, Bujumbura, Burundi

Ntagirabiri¹,

Karayuba²,

Ndayisaba³

et al. 2016

OJGas

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Aim: There were no data about esophageal cancer in Burundi. The aim of the study was to highlight the epidemiological, clinical and histopathological aspects of the esophageal cancer. Method: A retrospective study over a 24-years period (from January 1988 to December 2011) was carried out at Kamenge university hospital, including patients with esophageal cancer. The cases were selected on basis of the histological evidence of the cancer. Results: A total of 34 cases were retrieved and included for analysis. Among them, 24 patients (70.5%) were males. The esophageal cancer constituted 8.6% of digestive cancers over the period of the study. The average age was 50.9 years. It was revealed by dysphagia in 32 patients (94.1%) and was concomitantly metastatic in 12 patients. The squamous cell carcinoma was 30 cases (88.2%). 27 patients underwent a curative resection, but the outcome and prognosis were poor. In-hospital mortality and morbidity rates were respectively 8.8% and 17.7%. Conclusion: The present study showed evidence that the esophageal cancer in our country had the same characteristics and distribution as well as in developing countries. It had a poor prognosis and efforts had to be done in the early cancer detection.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

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Esophageal Cancer: Epidemiological, Clinical and Histopathological Aspects over a 24-Years Period at Kamenge University Hospital, Bujumbura, Burundi

Ntagirabiri¹,

Karayuba²,

Ndayisaba³

et al. 2016

OJGas

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“…The data on esophageal cancer in our study were not different from those of Peghini et al (8) who had noted 16 cases of esophageal cancer including 6 cases in patients aged 60 and over with a predominance in the age group of 60 and 70 and that it affected men much more. This is in agreement with literature data that states that esophageal cancer in Africa is common from the fifth decade (8)(9)(10) . Zeng et al (11) in a comparative study of esophageal cancer in the elderly and the young subject had found a sex ratio 5 times the normal in favor of men in subjects over 70 years; the authors noted that, female gender was an independent favorable prognostic factor for esophageal cancer, which was similar to previously reported findings in United States (12) .…”

Section: The Digestive Pathologies Of the Elderlysupporting

confidence: 94%

Digestive Diseases in Elderly and Factors Associated With Length of Stay in the Hepatology and Gastroenterology Unit of the Campus Teaching Hospital of Lome (Togo)

Lawson-Ananissoh¹,

Bouglouga²,

Bagny³

et al. 2018

Arq. Gastroenterol.

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BACKGROUND: The digestive pathologies are frequent in the elderly and often have a latent and atypical symptomatology. OBJECTIVE: To assess the epidemiological and evolutionary current data on digestive diseases in the elderly, and look for factors associated with length of hospital stay. METHODS: Retrospective study of 10 years, including patients aged 60 and over hospitalized for digestive diseases in the Gastroenterology Department of the Campus Teaching Hospital of Lome, Togo. RESULTS: Of 5933 hospitalized patients, there were 1054 patients (17.8%) aged 60 years and over with a digestive pathology (526 men and 528 women). The average age was 69.5 years ±7.9 ranging from 60 to 105 years. The average length of hospital stay was 7.45 days ±6.2 ranging from 1 to 44 days. HIV prevalence was 2.4%. In order of decreasing frequency, there were hepatobiliary pathologies (54.3%) with a predominance of cirrhosis and liver cancer, eso-gastroduodenal pathologies (23.1%) with predominance of ulcers, gastric cancer and esophageal cancer, intestinal pathologies (8.7%) with a predominance of food poisoning, pancreatic pathologies (4.2%) with a predominance of pancreatic cancer and peritoneal pathologies (1.4%). Gastric cancer was the second digestive cancer found after liver cancer. Pancreatic head cancer was the second disease after gastric cancer which need a transfer in a surgical ward (P=0.031). There were 204 deaths (19.4%). The longest duration of hospitalization was due to gastric cancer (9.16 days). CONCLUSION: Hepatobiliary diseases were the most frequent and associated with a high death rate and a long hospital stay.

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“…Sa fréquence et ses facteurs de risque sont bien connus dans les pays développés [ 1 , 3 ]. En Afrique plusieurs études ont rapporté des fréquences variables permettant ainsi de classer le CO au 4e rang des cancers chez l'homme après le sarcome de kaposi, le carcinome hépatocellulaire et le cancer de la prostate [ 3 – 5 ]. Au Togo, les fréquences du CO sont disparates laissant ainsi une sous-estimation de la fréquence réelle de cette tumeur maligne primitive.…”

Section: Introductionunclassified

Etude descriptive et analytique du cancer de l’œsophage au Togo

Bouglouga¹,

Mawuli²,

Bagny³

et al. 2014

Pan Afr Med J

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IntroductionDécrire les aspects épidémiologiques, cliniques, endoscopiques et histologiques du cancer de l’œsophage (CO) au Togo.MéthodesIl s'agit d'une étude rétrospective descriptive et analytique menée sur 8 ans (Janvier 2005-Décembre 2012) dans le service d'hépato-gastroentérologie (HGE) du CHU Campus de Lomé. Etaient inclus les dossiers des patients hospitalisés pour CO confirmé histologiquement.RésultatsSur 8 ans, 24 patients remplissant nos critères d'inclusion ont été retenus soit 3cas de CO par an et 0,55% des hospitalisations. L’âge moyen des patients était de 57,08 ans (extrêmes: 32 et 82 ans). La dysphagie et l’épigastralgie étaient les motifs d'hospitalisation les plus rencontrés. L'alcool (n=15), le tabac (n=13) étaient les facteurs de risque les plus présents. A la fibroscopie, les lésions étaient ulcéro-bourgeonnantes et hémorragiques (n=12), ulcéro-bourgeonnantes (n=5); ces lésions siégeaient au niveau du 1/3 inférieur (n= 11), à l'union 1/3 supérieur 1/3moyen de l’œsophage (n= 13) et aucun au niveau du 1/3 supérieur. Seize lésions étaient des carcinomes épidermoïdes et 3 des adénocarcinomes. L’évolution dans le service a été fatale dans 2cas; 16 patients avaient été transférés en chirurgie pour des soins palliatifs et 5 patients (20,8%) étaient perdus de vue.ConclusionLe CO semble en augmentation au Togo. L'alcool et le tabac sont les facteurs de risque et le pronostic sévère dans notre série est lié au retard diagnostic. Son dépistage précoce passe par une consultation rapide devant toute dysphagie chez un sujet de 50 ans et plus.

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Cancer de l’œsophage: aspects épidémiologiques, cliniques et pronostiques

Cited by 4 publications

References 1 publication

Esophageal Cancer: Epidemiological, Clinical and Histopathological Aspects over a 24-Years Period at Kamenge University Hospital, Bujumbura, Burundi

Esophageal Cancer: Epidemiological, Clinical and Histopathological Aspects over a 24-Years Period at Kamenge University Hospital, Bujumbura, Burundi

Digestive Diseases in Elderly and Factors Associated With Length of Stay in the Hepatology and Gastroenterology Unit of the Campus Teaching Hospital of Lome (Togo)

Etude descriptive et analytique du cancer de l’œsophage au Togo

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