Le cancer du rein de l’adulte au Sénégal : aspects épidémiologiques et cliniques actuels et évolution du profil sur les deux dernières décennies

Fall, B.; Diao, B.; Sow, Yaya; Sarr, Alioune; Thiam, Amath; Fall, Papa Ahmed; Ndoye, Alain Khassim; Sylla, C; Bâ, M.; Mendes, V.; Diagne, B.A.

doi:10.1016/j.purol.2011.02.013

Cited by 15 publications

(24 citation statements)

References 15 publications

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“…The sex ratio (M/F) was 0.71 for women in our study, compared with 0.88 for TENGUE K et al [4] in Togo and 1.21 for B Fall et al [3] in Senegal.…”

Section: Discussioncontrasting

confidence: 60%

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Management of Kidney Cancers in Urology Department of the Gabriel Toure University Hospital/Bamako

Coulibaly¹,

Sissoko²,

Berthé³

et al. 2018

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Objective: to report our experience in the management of adult kidney cancer. Patients and Methods: This was a prospective and descriptive study, carried out in the for a period of six years, interesting all the medical records of 24 adult patients diagnosed with kidney cancer. Results: During the study period, 24 patients met our inclusion criteria; the mean age was 48.23 ± 8.02 years with extreme ranging from 17 to 82 years. Most of our patients were female (58.3%), and were referred or consulted for lumbar mass in 66.7% of cases. The average tumor size was 13.6 ± 5.8 cm with extremes of 7.8 to 21.1 cm. Management included total nephrectomy in 50% and total nephrectomy expanded in 50% of cases. The histological type found was renal cell carcinoma in 23 patients and papillary carcinoma in one patient. Conclusion: Kidney cancer is rare in our context, its clinical and histological characteristics remain the same for two decades. Its management is largely based on enlarged total nephrectomy.

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“…The sex ratio (M/F) was 0.71 for women in our study, compared with 0.88 for TENGUE K et al [4] in Togo and 1.21 for B Fall et al [3] in Senegal.…”

Section: Discussioncontrasting

confidence: 60%

“…The lumbar mass was the most represented reason for consultation, but no case of hematuria was found in our series [1] [2] [3] [4].…”

Section: Discussionmentioning

confidence: 99%

Management of Kidney Cancers in Urology Department of the Gabriel Toure University Hospital/Bamako

Coulibaly¹,

Sissoko²,

Berthé³

et al. 2018

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“…In our series, sixty-seven patients were collected over a 5-year period, an annual incidence of 13. An increase in this incidence was noted compared to the incidence of 8.5 found in the series of Fall B et al [6] in the 2000-2009 decade carried out in the same department as ours. Smaller incidences were found in other African series [7,8].…”

Section: Discussionsupporting

confidence: 48%

Kidney Tumors in Adult: Epidemiological, Clinical, Histopathological, Therapeutic and Progressive Aspects

Ndiaye¹,

Ndiath²,

Sine³

et al. 2020

IJCU

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Objective: To study the epidemiological, diagnostic and therapeutic profile of kidney tumors in adults over the past five years. Patients and methods: This was a retrospective, descriptive and analytical Study from the 1 st of January 2014 to 31 st of December 2018. All patients aged 18 years or older hospitalized, followed or operated in the service for a kidney tumor were included in the serie. The parameters studied were: epidemiological, clinical and paraclinical aspects, TNM stage (2017), treatment, histological type, evolution and survival. The calculation of survival rate was done with SPSS IBM statistics 24. Results: sixty-seven patients were included. The average annual incidence was 13. The average age of the patients was 49.6±15.6 years. The sex-ratio was 1.2. Hypertension, smoking and obesity were the main risk factors found. The average size of the tumor was 7.7±4.40 cm. The left kidney location was more frequent. Thirteen patients (20%) had a localized tumor in the kidney, twenty patients (31%) had locally advanced cancer and thirty two patients (49%) had metastasized cancer. Forty-seven patients (70%) had surgical treatment, including five patients with an anti-angiogenic adjuvant therapy. Twelve (17.9%) patients had an antiangiogenic therapy only. Clear cell carcinoma was the most common histology type. The overall survival (OS) rate for cancer patients at 2 years was 22% for surgical treatment, 8% for medical treatment. Conclusion: this work reveals that adult kidney cancer affects young adult and is discovered at advanced stages without any significant change in the epidemiological and clinical profile of these cancers during the two decades.

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“…Histological reports from sub-Saharan nations revealed that RCC was the commonest histological type of cancer with clear cell carcinoma being the most dominant variant at an average of 61.6% (Table 3). The average tumor size from four publications (10, 11, 14, 17) was 15.1 cm with a range of 2.4–30 cm. An average of 74.4% of patients presenting with renal masses were managed with radical nephrectomy.…”

Section: Results From the Retrieved Literaturementioning

confidence: 99%

“…The evidence has shown that most patients in sub-Saharan Africa present with locally advanced to metastatic disease (11–19). Open radical nephrectomy has been well adopted for locally advanced disease in Africa.…”

Section: Management Of Locally Advanced Renal Cell Carcinoma (T1-t2 mentioning

confidence: 99%

Management of Renal Cell Carcinoma—Current Practice in Sub-Saharan Africa

Cassell

Jalloh

Yunusa

et al. 2019

jkcvhl

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There is a global variation in the incidence of renal masses with the developed nations having a greater incidence. About 80–90% of renal malignancies are renal cell carcinomas (RCC) which account for 2–4% of all cancers. In Africa and the Middle East, the age-standardized incidence for RCC is 1.8–4.8/100,000 for males and 1.2–2.2/100,000 for females. The management of renal cell cancer is challenging. A multidisciplinary approach is effective for diagnosis, staging, and treatment. Guidelines recommend active surveillance, thermal ablation, partial nephrectomy, radical nephrectomy, cytoreductive nephrectomy and immunotherapy as various modalities for various stages of RCC. However, open radical nephrectomy is most widely adopted as an option for treatment at various stages of the disease in sub-Saharan Africa due to its cost-effectiveness, applicability at various stages, and the reduced cost of follow-up. Nevertheless, most patients in the region present with the disease in the advanced stage and despite surgery the prognosis is poor.

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Le cancer du rein de l’adulte au Sénégal : aspects épidémiologiques et cliniques actuels et évolution du profil sur les deux dernières décennies

Cited by 15 publications

References 15 publications

Management of Kidney Cancers in Urology Department of the Gabriel Toure University Hospital/Bamako

Management of Kidney Cancers in Urology Department of the Gabriel Toure University Hospital/Bamako

Kidney Tumors in Adult: Epidemiological, Clinical, Histopathological, Therapeutic and Progressive Aspects

Management of Renal Cell Carcinoma—Current Practice in Sub-Saharan Africa

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