Survie des pleurésies malignes et paramalignes à Ouagadougou

Bambara, Augustin Tozoula; Ouédraogo, Sayouba; Maïga, S.; Sondo, Kongnimissom Apoline; Boncoungou, K.; Nikièma,; Ouédraogo, Georges Anicet; Koumbem, B.; Ouédraogo, A.S.; Djibril, MA; Badoum, G.; Ouédraogo, A.; Ouédraogo, M.

doi:10.1016/j.pneumo.2016.08.001

Cited by 1 publication

(6 citation statements)

References 18 publications

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“…The primary tumor was indeterminate in 39.3%. This result was close to that of Bambara et al 2 which reported a rate of 38.7%. The absence of immunohisto chemistry does not facilitate the histopathological analysis of pleural biopsy specimens for etiological orientation.…”

Section: Discussionsupporting

confidence: 91%

“…The median survival in our study was 2.8 months. It is close to that found by Bambara et al 11 (3 months), but inferior to data from Western literature where progress has been made in the therapeutic management of cancers. 24,25 Factors that negatively affected mortality were sex (p=0.00937) and presence of anorexic state (p=0.0163).…”

Section: Discussionsupporting

confidence: 80%

“…Tobacco is recognized as the main risk factor for cancers, particularly broncho-pulmonary, the main etiology of pleurisy according to some authors. 9,10 The average consultation time in our series was long (64 days) and did not differ from that of Bambara et al 11 who found a delay of 76 days. This delay would be related to the progressive installation mode of pleurisy.…”

Section: Discussionsupporting

confidence: 49%

“…In other surveys, the pleural fluid of neoplastic origin is mostly sero-hematic 13,14 or frankly hematic. 2 In all cases, regardless of the macroscopic appearance of the fluid, the diagnostic procedure must be rigorous in order to confirm or refute a neoplastic etiology. Histological confirmation was provided by pleural biopsy in 71.5% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Several African series have shown a high frequency of NPs of the order of 14 to 18%. [2][3][4] The limitation of resources, both human and material, makes it difficult to manage neoplastic pleurisy in developing countries. Our work aimed to describe the epidemiological, clinical, etiological and evolutionary aspects of NP in the pulmonology department of the University Hospital Center (UHC) Sylvanus Olympio in Lom.…”

Section: Introductionmentioning

confidence: 99%

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Epidemioclinical, etiological and evolutionary aspects of neoplastic pleurisy in the pneumo-phtisiology department of the University Hospital Sylvanus Olympio of Lomé (Togo)

Marcel¹

2018

JLPRR

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Introduction:Cancers are increasingly incriminated in the occurrence of pleurisy in sub-Saharan Africa. Our work aimed to describe the epidemioclinical, etiological and evolutionary aspects of neoplastic pleurisy (NP). Methodology:A documentary review of NP cases supported from January 1st, 2007 to December 31st, 2016, in the pneumo-phtisiology department of Sylvanus Olympio University Hospital in Lomé, was made. Cases of histologically confirmed NP or occurring in a known cancer context with no other identified etiology were retained. Results:We identified 117 cases. The predominance was female with a sex ratio (M/F) of 0.38. The average age of cases was 56±14 years. The symptoms were dyspnea (78.6%) and chest pain (58.1%). Weight loss was found in 41.9% of cases. The pleurisy was predominantly unilateral (94.9%) and of medium abundance (52.1%). Pleural fluid was sero-hematic or even hematic in 58% of cases. Adenocarcinoma was the most diagnosed histological type (62.8%). The primary tumor was found in 60.7% of cases. It was neo-bronchopulmonary in men (15.6%) or breast cancer in women (56.5%). The treatment consisted of iterative pleural punctures (70.9%) and medical pleurodesis (25.6%). The hospital death rate was 33.3% with a median survival of 84 days. Conclusion:The PN are the prerogative of the subject in his fifties. Mostly secondary to breast cancer, PN are grafted with heavy mortality.

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Section: Discussionsupporting

confidence: 91%