Ponction biopsie échoguidée dans le diagnostic des masses abdominales: à propos de 523 cas

Hassan, Ghmkin; Afifi, R.; Bousseaden, A.; Essamri, W.; Benelbarhdadi, I; Ajana, FZ; Benazzouz, M.; Essaïd, A.

doi:10.1007/s12157-010-0206-6

Cited by 3 publications

(4 citation statements)

References 10 publications

(12 reference statements)

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“…This female predominance is consistent with findings by Akkoca M. et al [5]. in Turkey in 2017 (60%) and Mahamoud G. et al [6] in Morocco in 2010 (54.1%). The average age of our patients was 41.8 years ± 14.2, with a range from 10 to 69 years.…”

Section: Discussionsupporting

confidence: 92%

“…Abdominal pain was the main symptom in most of our patients (84.9%). Lower rates were found by Akkoca M. et al and Mahamoud G. et al, at 61% and 57.5% respectively [5,6]. In younger patients, abdominal masses are often incidentally discovered by a parent [7].…”

Section: Discussionmentioning

confidence: 96%

“…Thus, as reported by most authors, uterine fibroids and ovarian cysts represent the main etiologies of abdominopelvic masses in black women during their reproductive and pre-menopausal periods [13,16]. The choice of therapeutic approach depends on the histological type, the extent of the mass, and the patient's age [17]. For our patients, two treatment methods were used: chemotherapy and surgery, as radiotherapy was not yet available in Niger.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic and therapeutic approach to abdominal masses in a country with limited resources

Adama,

Balaraba,

Aliou

et al. 2024

BMC Surg

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Objective To report the diagnostic and therapeutic approach for the management of abdominal masses in the General Surgery department of the Niamey General Reference Hospital (HGR). Materials and methods This were a retrospective and preliminary study of 2 years and 3 months on patients operated for abdominal masses in the General Surgery department of the HGR. A palpable mass and/or its size on imaging (40 mm) were the inclusion criteria. Results Abdominal masses accounted for 6.7% (n = 53) of other pathologies. The average age of the patients was 41.26 years, with a standard deviation of 14.2 and a female predominance of 75.5% (n = 40) with a sex ratio of 0.32. The abdominal mass was clinically palpable in 75.5% (n = 40). Abdominal pelvic ultrasound was performed as a first step in all patients and in 75.5% (n = 40) it specified the origin of the mass. Contrast-enhanced abdomino-pelvic CT scan, performed in 52.8% of patients (n = 28) and in 89.3% (n = 25) specified the preoperative diagnosis. The most frequent etiologies were uterine fibroids, 35.8% (n = 19). In 5.6% (n = 3) the diagnosis was not precise preoperatively despite the two imaging studies, and these patients had underwent exploratory laparotomy. Surgery was the initial therapeutic approach for all patients, and laparoscopy accounted for 22.6% (n = 12). Postoperative complications occurred in 7.5% (n = 11). The death rate was 5.6% of cases (n = 3). Conclusion Imaging remains important in the etiological research for abdominal masses. Definitive treatment remains surgical; mortality would be linked to the malignant nature and the significant volume of the mass.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Diagnostic and therapeutic approach to abdominal masses in a country with limited resources

Adama,

Balaraba,

Aliou

et al. 2024

BMC Surg

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“…En Afrique, à notre connaissance une série a été rapportée sur les BRG des masses abdominales mais, chez l'enfant [8]. Des études ont été réalisées au Maroc et au Sénégal sur les biopsies échoguidées de masses hépatiques, pancréatiques et rénales [9,10]. Toutes ces séries européennes et africaines ont établi l'impact de la biopsie dans la démarche diagnostique des lésions tumorales.…”

Section: Introductionunclassified

Apport de la biopsie radioguidée dans le diagnostic étiologique des masses thoraciques et abdominales de l’adulte à Lomé (Togo).

Administrateur- JAIM,

NTANKEU TANKOUA Prince Parfait,

DAGBE Massaga

et al. 2022

J Afr Imag Méd

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Objective: to evaluate the performance of computed tomography (CT)-guided and ultrasound-guided percutaneous biopsy of abdominal and thoracic lesions. Method: it was about a cross-sectional, descriptive and analytical study with prospective data collection over a period of 11 months, from december 1, 2020 to October 31, 2021; at the Clinique Autel d’Elie (CAE). The study population consisted of all patients in whom an ultrasound or CT-guided biopsy had been performed. Results: twenty-five (25) patients were included. The mean age of the patients was 53,16± 12,30 years. The female sex was the most represented (56%). The CT scan was performed before the biopsy in 23 patients (92%) and the ultrasound in 06 patients (17.1%). A primary lesion was suspected on imaging in 76% of cases and a secondary lesion in 24% of cases. Seventy-two (72) % of suspected tumor lesions were malignant and dominated by hepatocellular carcinoma (HCC), lymphoma and pancreatic adenocarcinoma. Eighty (80) % of the biopsied masses were located in the abdominal region and 20% in the thoracic region. Biopsy guidance was performed by CT scan in 19 patients (76%), and ultrasound in 06 patients (24%). The main complication recorded after the biopsy was hemoperitoneum in 06 cases (24%). Histology found malignant lesions in 62.5% of cases, secondary lesions (29.2%) and benign lesions (8.3%). The accuracy of the biopsy was 96%. Histology confirmed the suspected diagnosis in the pre-procedural imaging in 20 patients (83.3%) and invalidated it in 04 patients (16.7%). Conclusion: this study had shown a clear efficacy of radioguided biopsy in the diagnosis of abdominal or thoracic masses in adults. RESUME Objectif : évaluer l’apport de la biopsie radioguidée dans le diagnostic des masses thoraciques et abdominales. Cadre et méthode : il s’est agi d’une étude transversale, descriptive et analytique avec collecte prospective des données sur une période de 11 mois, allant du 1er décembre 2020 au 31 octobre 2021 ; à la Clinique Autel d’Elie (CAE). La population d’étude était constituée de tous les patients adultes chez qui avait été réalisée une biopsie écho ou scanoguidée. Résultats : vingt-cinq (25) patients avaient été inclus. L’âge moyen des patients était de 53,16± 12,30 ans. Le sexe féminin était le plus représenté (56%). Le scanner avait été réalisé avant la biopsie chez 23 patients (92%) et l’échographie chez 06 patients (17,1%). Une lésion primitive avait été suspectée à l’imagerie dans 76% des cas et une lésion secondaire dans 24% des cas. Soixante-douze (72) % des lésions tumorales suspectées étaient malignes et dominées par le carcinome hépatocellulaire (CHC), le lymphome et l’adénocarcinome pancréatique. Quatre-vingt (80) % des masses biopsiées siégeaient à l’étage abdominal et 20% à l’étage thoracique. Le guidage de la biopsie a été fait au scanner chez 19 patients (76%), et à l’échographie chez 06 patients (24%). La principale complication enregistrée après la biopsie était l’hémopéritoine dans 06 cas (24%). L’histologie avait retrouvé des lésions malignes dans 62,5% des cas, les lésions secondaires (29,2%) et bénignes (8,3%). L’efficacité diagnostique (accuracy) de la biopsie était de 96%. L’histologie avait confirmé le diagnostic suspecté à l’image pré-procédurale chez 20 patients (83,3%) et l’avait infirmé chez 04 patients (16,7%). Conclusion : cette étude avait montré une nette efficacité de la biopsie radioguidée dans le diagnostic de masses thoraciques ou abdominales de l’adulte.

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Ponction échoguidée de kyste biliaire et pancréatique à Pointe-Noire en 2015

Bossali¹,

Gassaye²,

Atipo-Ibara³

et al. 2015

J Afr Hepato Gastroenterol

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Ponction biopsie échoguidée dans le diagnostic des masses abdominales: à propos de 523 cas

Cited by 3 publications

References 10 publications

Diagnostic and therapeutic approach to abdominal masses in a country with limited resources

Diagnostic and therapeutic approach to abdominal masses in a country with limited resources

Apport de la biopsie radioguidée dans le diagnostic étiologique des masses thoraciques et abdominales de l’adulte à Lomé (Togo).

Ponction échoguidée de kyste biliaire et pancréatique à Pointe-Noire en 2015

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