Pub Date : 2023-07-03eCollection Date: 2023-09-30DOI: 10.48327/mtsi.v3i3.2023.396
Rodrigue Romuald Elien Gagnan Yan Zaou Tou, Jean Michel Mbaïkoua, Jess Elio Kosh Komba Palet, Nouhoum Guirou
Introduction: Oculo-orbital tumors are common. Their clinical and histological features are multiple. The management of oculo-orbital tumors is a real challenge in sub-Saharan Africa, especially in our context. The aim of this study was to contribute to the improvement of the management of oculo-orbital tumors at the Bangui Teaching Hospital (CNHUB).
Methodology: This was a prospective, observational study of oculo-orbital tumors over 12 months from January 1 to December 31, 2022 in the ophthalmology department of the CNHUB. All consenting patients with histologically proven tumors of the eyeball and/or its adnexa were included in this study, regardless of age and sex.The parameters studied were:epidemiological: age, sex, occupation, origin;clinical: time of consultation, functional signs and associated signs, physical examination signs, risk factors;paraclinical: report of the anatomopathological examination of the operating room;therapeutic: treatment modalities (chemotherapy, surgery, palliative treatment, radiotherapy).These data were collected on a pre-established survey form for direct administration. The processing and the production of the results were carried out with Excel and Epi Info 7.0 software.
Results: We included 97 patients with a mean age of 37.5 years, ranging from 2 to 70 years. There was a male predominance (sex-ratio = 1.8). Almost all patients lived in Bangui (96%). Patients under 40 years of age were most commonly affected (55%). The majority of tumors were benign (55%). Ocular pain (24%), lacrimation (22%) and orbital swelling (16%) were the main symptoms. Risk factors were mainly age (23%), diabetes (22%), HIV infection (16%) and alcohol and tobacco use (37%). The most common treatments were surgical removal (68%) and enucleation (16%). Chemotherapy was combined with surgery in 37% of cases.
Conclusion: Oculo-orbital tumors are frequent in our context. Their morpho-histological presentations are varied. A multidisciplinary approach is important for a good management.
导言眼眶肿瘤很常见。其临床和组织学特征多种多样。在撒哈拉以南非洲地区，眼眶肿瘤的治疗是一项真正的挑战，尤其是在我国。本研究旨在帮助班吉教学医院（CNHUB）改善眼眶肿瘤的管理：这是一项前瞻性的眼眶肿瘤观察研究，研究时间为2022年1月1日至12月31日，为期12个月。研究参数包括：流行病学：年龄、性别、职业、籍贯；临床：就诊时间、功能体征和相关体征、体格检查体征、危险因素；临床旁：手术室解剖病理学检查报告；治疗：治疗方式（化疗、手术、姑息治疗、放疗）。这些数据都是通过预先制定的调查表直接收集的，并使用 Excel 和 Epi Info 7.0 软件进行处理和得出结果：97名患者的平均年龄为37.5岁，从2岁到70岁不等。男性居多（性别比=1.8）。几乎所有患者都住在班吉（96%）。40岁以下的患者最常见（55%）。大多数肿瘤为良性（55%）。眼痛（24%）、流泪（22%）和眼眶肿胀（16%）是主要症状。风险因素主要是年龄（23%）、糖尿病（22%）、艾滋病病毒感染（16%）以及酗酒和吸烟（37%）。最常见的治疗方法是手术切除（68%）和去核（16%）。37%的病例在手术的同时还接受了化疗：结论：眼眶肿瘤在我国很常见。结论：眼眶肿瘤在我国很常见，其形态和组织学表现多种多样。多学科方法对于良好的治疗非常重要。
{"title":"[OCULO-ORBITAL TUMOURS AT THE NATIONAL UNIVERSITY HOSPITAL CENTRE OF BANGUI (CNHUB), CENTRAL AFRICAN REPUBLIC, IN 2022].","authors":"Rodrigue Romuald Elien Gagnan Yan Zaou Tou, Jean Michel Mbaïkoua, Jess Elio Kosh Komba Palet, Nouhoum Guirou","doi":"10.48327/mtsi.v3i3.2023.396","DOIUrl":"10.48327/mtsi.v3i3.2023.396","url":null,"abstract":"<p><strong>Introduction: </strong>Oculo-orbital tumors are common. Their clinical and histological features are multiple. The management of oculo-orbital tumors is a real challenge in sub-Saharan Africa, especially in our context. The aim of this study was to contribute to the improvement of the management of oculo-orbital tumors at the Bangui Teaching Hospital (CNHUB).</p><p><strong>Methodology: </strong>This was a prospective, observational study of oculo-orbital tumors over 12 months from January 1 to December 31, 2022 in the ophthalmology department of the CNHUB. All consenting patients with histologically proven tumors of the eyeball and/or its adnexa were included in this study, regardless of age and sex.The parameters studied were:epidemiological: age, sex, occupation, origin;clinical: time of consultation, functional signs and associated signs, physical examination signs, risk factors;paraclinical: report of the anatomopathological examination of the operating room;therapeutic: treatment modalities (chemotherapy, surgery, palliative treatment, radiotherapy).These data were collected on a pre-established survey form for direct administration. The processing and the production of the results were carried out with Excel and Epi Info 7.0 software.</p><p><strong>Results: </strong>We included 97 patients with a mean age of 37.5 years, ranging from 2 to 70 years. There was a male predominance (sex-ratio = 1.8). Almost all patients lived in Bangui (96%). Patients under 40 years of age were most commonly affected (55%). The majority of tumors were benign (55%). Ocular pain (24%), lacrimation (22%) and orbital swelling (16%) were the main symptoms. Risk factors were mainly age (23%), diabetes (22%), HIV infection (16%) and alcohol and tobacco use (37%). The most common treatments were surgical removal (68%) and enucleation (16%). Chemotherapy was combined with surgery in 37% of cases.</p><p><strong>Conclusion: </strong>Oculo-orbital tumors are frequent in our context. Their morpho-histological presentations are varied. A multidisciplinary approach is important for a good management.</p>","PeriodicalId":101416,"journal":{"name":"Medecine tropicale et sante internationale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10714605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138816204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-18eCollection Date: 2021-03-31DOI: 10.48327/JNZG-J383
B Seytre, B M Yoro, M A Djedou, O C Madiarra, K Mamey, A Diabagate, K B Kouamé, F Simaga
We conducted a socio-anthropological study in Ivory Coast to determine recommendations for a communication strategy aimed at increasing HIV testing, especially among young men. The study results showed that the existence of HIV testing is widely known as are the reasons for getting tested. Fear of death and of stigmatization is the main obstacle to testing. Men are more likely than women to be reluctant to undergo HIV testing, and the fear of dying of AIDS is especially strong among young people. Perceptions of HIV treatments are contradictory: while most of those interviewed know about HIV treatments and say that treatment makes it possible to maintain good health, HIV infection is still frequently associated with death. We recommend reinitiating the mass communication campaign around HIV that was abandoned in order to focus on targeted programs, in order to change perceptions of HIV infection and encourage people who are sexually active to get tested, especially those practicing risky behaviors. We also recommend developing communication messages targeting young men.
{"title":"[HIV communication paradigms must be changed in Africa].","authors":"B Seytre, B M Yoro, M A Djedou, O C Madiarra, K Mamey, A Diabagate, K B Kouamé, F Simaga","doi":"10.48327/JNZG-J383","DOIUrl":"https://doi.org/10.48327/JNZG-J383","url":null,"abstract":"<p><p>We conducted a socio-anthropological study in Ivory Coast to determine recommendations for a communication strategy aimed at increasing HIV testing, especially among young men. The study results showed that the existence of HIV testing is widely known as are the reasons for getting tested. Fear of death and of stigmatization is the main obstacle to testing. Men are more likely than women to be reluctant to undergo HIV testing, and the fear of dying of AIDS is especially strong among young people. Perceptions of HIV treatments are contradictory: while most of those interviewed know about HIV treatments and say that treatment makes it possible to maintain good health, HIV infection is still frequently associated with death. We recommend reinitiating the mass communication campaign around HIV that was abandoned in order to focus on targeted programs, in order to change perceptions of HIV infection and encourage people who are sexually active to get tested, especially those practicing risky behaviors. We also recommend developing communication messages targeting young men.</p>","PeriodicalId":101416,"journal":{"name":"Medecine tropicale et sante internationale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号