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Management of a malignant tumor of the endometrium in a subject over 80 years old: About a case at the Regional Hospital of Fatick 80岁以上患者子宫内膜恶性肿瘤的处理:关于Fatick地区医院的一个病例
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.83
A. Touré, A. Mihimit, O. Oumar, H. Baldé, B. Camara, B. Traoré, S. Ka, A. Dem
INTRODUCTION: The gynecological tumors of the patient aged over 70 constitute heterogeneous entities by their oncological and geriatric clinical presentations, which frequently expose to the proposal of “non-standard”, “adapted” or “exceptional” therapies. In Sub-Saharan Africa, cancer is a scourge whose characteristics remain to be clarified, marked by very limited means, and especially by the context of practice in rural areas. We describe in this clinical case the particularity of the management in a rural context of a case of endometrial tumor in an 83-year-old patient at stage IB. OBSERVATION: This is Mrs. M.G., aged 83 4G 4P 4 children, postmenopausal for 30 years who consults for postmenopausal metrorrhagia evolving for 3 months. A diagnostic hysteroscopy was performed showing an ulcerated mass of the uterine cavity bleeding on contact, a biopsy was performed, the result of which was a low-grade endometrial stromal sarcoma. The abdominopelvic CT scan, which demonstrates thickening of the endometrium without damage to surrounding structures, classified as stage IB endometrial tumor. The patient underwent a total hysterectomy with bilateral pelvic dissection. The postoperative course was simple. The patient was discharged on the 7th postoperative day. The result of the histological report: well-differentiated and infiltrating endometroid carcinoma invading the isthmus and the cervix. Parameters and the 4 right and left lymph nodes are unharmed. The histo-prognostic stage was pT2N0Mx. CONCLUSION: The management of endometrial cancer is possible in the rural context in elderly patients. The prognosis is good if the diagnosis is made at an early stage. Surgery could still be offered even for subjects over 80 with less comorbidity. KEYWORDS: Endometrial tumors; Elderly patient; Senegal.
导读:70岁以上患者的妇科肿瘤因其肿瘤学和老年临床表现构成异质性实体,经常暴露于“非标准”、“适应”或“特殊”治疗的建议。在撒哈拉以南非洲,癌症是一种特征尚待澄清的祸害,其特点是手段非常有限,特别是农村地区的做法。在这个临床病例中,我们描述了一例83岁的IB期子宫内膜肿瘤患者在农村环境下处理的特殊性。观察:这是M.G女士,年龄83 4G 4p4儿童,绝经后30年,绝经后子宫出血3个月。诊断性宫腔镜检查显示子宫腔溃疡肿块,接触后出血,活检结果为低级别子宫内膜间质肉瘤。腹部盆腔CT扫描显示子宫内膜增厚,未见周围结构损伤,诊断为IB期子宫内膜肿瘤。患者行全子宫切除术并双侧盆腔清扫术。术后过程简单。患者于术后第7天出院。组织学报告结果:高分化浸润性子宫内膜样癌侵袭峡部及子宫颈。参数及左右4个淋巴结未见损伤。历史预后分期为pT2N0Mx。结论:农村老年子宫内膜癌患者的治疗是可行的。如果早期诊断,预后良好。即使是80岁以上的患者,合并症较少,也可以进行手术。关键词:子宫内膜肿瘤;老年患者;塞内加尔。
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引用次数: 0
Inflammatory breast cancer: Epidemiological, diagnostic, therapeutic and evolutionary aspects. About 43 cases at the Joliot-Curie Institute in Dakar 炎性乳腺癌:流行病学、诊断、治疗和进化方面。达喀尔约里奥-居里研究所约有43例病例
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.58
M. Guira, O. M. S. Apithy, Mohammed Ezzet Charfi, H. Sawadogo, N. Zongo, Sidy Ka, A. Dem
OBJECTIVE: To clarify the epidemiological, diagnostic and therapeutic features and to improve the prognosis of inflammatory breast cancer. MATERIALS AND METHODS: This is a retrospective study from January 1, 2018 to December 31, 2020 including patients with a diagnosis of inflammatory breast cancer. RESULTS: During the study, 1.730 cases of breast cancer were collected, of which 43 cases of inflammatory cancer (2.5%). The average age of the patients was 44.8 years. The average consultation time was 6.4 months. All patients had lymph node involvement. Non-specific infiltrating carcinoma was the histological type found in all cases. All patients received at least a first line of chemotherapy with a better clinical response to taxanes than to anthracyclines. Surgery was performed in 69.76% of cases. Forty percent of patients were alive at the end of the study. CONCLUSION: Inflammatory breast cancer is quite rare at the Joliot-Curie Institute. The diagnosis is late. Early diagnostic and therapeutic management would improve the therapeutic outcome of inflammatory breast cancer. KEYWORDS: Inflammatory breast cancer; Epidemiology; Prognosis.
目的:了解炎性乳腺癌的流行病学、诊断和治疗特点,改善预后。材料和方法:这是一项回顾性研究,从2018年1月1日至2020年12月31日,包括诊断为炎症性乳腺癌的患者。结果:本研究共收集乳腺癌患者1.730例,其中炎性癌43例(2.5%)。患者平均年龄44.8岁。平均咨询时间为6.4个月。所有患者均有淋巴结受累。所有病例组织学类型均为非特异性浸润性癌。所有患者至少接受了一线化疗,紫杉烷类药物的临床疗效优于蒽环类药物。69.76%的病例接受手术治疗。40%的患者在研究结束时还活着。结论:炎性乳腺癌在约里奥-居里研究所相当罕见。诊断太晚了。早期诊断和治疗管理将提高炎性乳腺癌的治疗效果。关键词:炎性乳腺癌;流行病学;预后。
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引用次数: 0
Supracricoid partial laryngectomy with reconstruction: Technique, indications and outcomes at Hôpital Principal de Dakar 肩胛上部分喉切除术重建:技术,适应症和结果Hôpital达喀尔校长
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.69
C. Lame, B. Loum, T. B. Diallo, C. Ndiaye, A. Ndiaye, A. Diouf, M. Ndiaye, B. Diallo
OBJECTIVE: To report technique, indications and outcomes of supracricoid partial laryngectomy (SPL) with crico-hyoido-epiglottopexy (CHEP) or crico-hyoidopexy (CHP) for laryngeal cancers at Hôpital Principal de Dakar. MATERIALS AND METHODS: Retrospective study carried out from January 2009 to December 2016 in the ENT department of Hôpital Principal de Dakar including all patients who underwent SPL with reconstruction for laryngeal cancer. RESULTS: Six patients underwent SPL with CHEP or CHP for laryngeal squamous cell carcinoma. The lesions were classified as T1, T2 or T3. Functional outcomes were simple with normal swallowing and satisfactory voice quality. One patient presented with a local recurrence that motivated total salvage laryngectomy. CONCLUSION: SPL with reconstruction is a good alternative in the management of limited laryngeal cancers. It gives good oncological outcomes while preserving laryngeal functions. However, candidates must be selected and the technique rigorous. KEYWORDS: Cancer; Larynx; Partial laryngectomy; crico-hyoïdo-epiglottopexy; crico-hyoïdopexy.
目的:报道在Hôpital达喀尔校长医院(Principal de Dakar)接受环舌骨-会厌闭合术(CHEP)或环舌骨闭合术(CHP)治疗喉癌的方法、适应症和结果。材料与方法:回顾性研究于2009年1月至2016年12月在Hôpital达喀尔校长耳鼻喉科进行,包括所有接受喉癌SPL重建的患者。结果:6例喉鳞癌患者行SPL合并CHEP或CHP。病变分为T1、T2和T3。功能结果简单,吞咽正常,语音质量满意。一名患者出现局部复发,促使全挽救性喉切除术。结论:声瓣重建是治疗局限性喉癌的一种较好的选择。它在保留喉部功能的同时提供了良好的肿瘤预后。然而,候选人必须经过筛选,技术也必须严格。关键词:癌症;喉;部分喉切除术;crico-hyoido-epiglottopexy;crico-hyoidopexy。
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引用次数: 0
Kidney cancer in adults at the University Hospital of Tengandogo: epidemiological, clinical, histopathology and therapeutic aspects 腾甘多戈大学医院的成人肾癌:流行病学、临床、组织病理学和治疗方面
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.50
B. Ouedraogo, H. Karama, T. Hafing, O. Traoré, A. Korgo, S. Pamba, A. Ndormadjita, F. A. Kaboré, B. Ouedraogo, A. Sanou
OBJECTIVE: To study the epidemiological, clinical and histopathological aspects of renal cancers at the University Hospital of Tengandogo. MATERIALS AND METHODS: There were a cross-sectional, descriptive and analytical study with retrospective collection over a period of 5 years and 6 months, from January 1st, 2016 to June 30, 2021. RESULTS: We treated 39 patients, 33 patients were included, with an exhaustiveness of 84.6%. The mean age of the patients was 52.6 years ± 11.7. The sex-ratio was 1.06. Eight patients had risk factors. Lumbar pain and hematuria were the most frequent circumstances of discovery. The average consultation time was 8.6 months ± 1.1. The physical examination had objectified a lumbar mass in 17 patients, 9 patients had lumbar contact and the examination was normal in 13 patients. The right kidney was the most affected side with 17 patients. The mean size of the tumor was 12.2 cm ± 2.4. All patients underwent radical nephrectomy. We recorded one death intraoperatively. The histological type was clear cell renal carcinoma in 32 patients. One patient had chromophobe cell renal cell carcinoma. CONCLUSION: Kidney cancer is a rare pathology, it occurs in adults around the age of fifty. Patients consult late and locally advanced and metastasized forms are the most frequent. The histological type is dominated by clear cell renal carcinoma. KEYWORDS: Cancer; Kidney; Nephrectomy.
目的:了解腾甘多戈大学附属医院肾癌的流行病学、临床和组织病理学特点。材料和方法:从2016年1月1日至2021年6月30日,回顾性收集了5年零6个月的横断面、描述性和分析性研究。结果:我们治疗了39例患者,纳入33例患者,全查率为84.6%。患者平均年龄52.6岁±11.7岁。性别比为1.06。8名患者有危险因素。腰痛和血尿是最常见的发现情况。平均就诊时间8.6个月±1.1个月。体格检查发现腰椎肿块17例,腰椎接触9例,检查正常13例。17例患者以右肾为主要受累部位。肿瘤平均大小12.2 cm±2.4。所有患者均行根治性肾切除术。我们记录了一例术中死亡。32例组织学类型为肾透明细胞癌。1例患者患嫌色细胞肾细胞癌。结论:肾癌是一种罕见的病理,多见于50岁左右的成年人。患者咨询晚期和局部晚期和转移形式是最常见的。组织学类型以透明细胞肾癌为主。关键词:癌症;肾脏;肾切除术。
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引用次数: 0
Radiotherapy of stage IVA cervical cancer in the Radiotherapy Department of the Aristide le Dantec Hospital in Dakar 达喀尔Aristide le Dantec医院放疗部对IVA期宫颈癌进行放疗
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.72
O. Siby, D. Traoré, I. Thiam, M. Mane, O. Sarr, N. Ben Amor, D. Dieng, M. Gaye, A. Dem, M. Dieng
INTRODUCTION: The management of stage IVA cervical cancer is based on radio-chemotherapy followed by utero-vaginal brachytherapy. In this study, we evaluate the results of external radiotherapy on stage IVA cervical cancer. MATERIALS AND METHODS: This was a retrospective, descriptive study. It covered all patients with stage IVA carcinoma of the cervix who received external radiotherapy at the Joliot Curie Institute of the Aristide Le Dantec Hospital from January 2018 to December 2019. RESULTS: We found 164 clinical records of patients, of which 24 patients had stage IVA, (14.3% of all cases). The average age of our patients was 51 years ± 12.13. Seventeen patients (70.9%) had an altered general condition on admission. The predominant histological type was squamous cell carcinoma found in 22 cases (91.6%). Anemia was found in 14 patients, (58.4%). Neo-adjuvant chemotherapy was performed in 21 of our patients (87.5%). Radiotherapy was exclusive in 20 patients (83.3%) and concomitant radio-chemotherapy was performed in 4 patients (16.7%). Normo-fractionated radiotherapy with curative intent was performed in 13 patients (54.2%), and hypo-fractionated radiotherapy with palliative intent was performed in the other 11 patients (45.8%). An objective response was found in 17 cases (70.8%) including 8 in patients who received hypo-fractionated radiotherapy and 9 in patients treated with normo-fractionated radiotherapy at a curative dose. Five patients (20.8%) had acute toxicity and 7 (29.2%) late toxicity. After 3 years of follow-up, 5 patients (29.2%) had loco-regional progression, 9 patients (37.5%) presented loco-regional recurrence and 4 patients (16.7%) presented distant metastases. Overall survival was 26.8% at 3 years. CONCLUSION: Normo-fractionated radiotherapy does not seem superior to palliative hypo-fractionated radiotherapy in terms of clinical response in stage IVA cervical cancer. KEYWORDS: Carcinoma; Uterine cervix; External radiotherapy.
简介:IVA期宫颈癌的治疗是基于放化疗和子宫阴道近距离放疗。在本研究中,我们评估体外放疗治疗IVA期宫颈癌的结果。材料和方法:这是一项回顾性、描述性研究。该研究涵盖了2018年1月至2019年12月期间在阿里斯蒂德·勒丹特克医院约里奥·居里研究所接受外部放疗的所有IVA期宫颈癌患者。结果:我们共收集到164例患者的临床记录,其中IVA期24例,占全部病例的14.3%。患者平均年龄51岁±12.13岁。17例(70.9%)患者入院时一般情况发生改变。鳞状细胞癌22例(91.6%)。贫血14例(58.4%)。21例患者(87.5%)接受了新辅助化疗。单纯放疗20例(83.3%),放化疗4例(16.7%)。13例(54.2%)患者行正常分次放疗,其余11例(45.8%)患者行次分次放疗。17例(70.8%)患者客观缓解,其中8例接受次分割放疗,9例接受治疗剂量的正常分割放疗。急性毒性5例(20.8%),晚期毒性7例(29.2%)。随访3年后,局部进展5例(29.2%),局部复发9例(37.5%),远处转移4例(16.7%)。3年总生存率为26.8%。结论:在IVA期宫颈癌的临床疗效方面,正常分次放疗并不优于姑息性次分次放疗。关键词:癌;子宫颈癌;外部放射治疗。
{"title":"Radiotherapy of stage IVA cervical cancer in the Radiotherapy Department of the Aristide le Dantec Hospital in Dakar","authors":"O. Siby, D. Traoré, I. Thiam, M. Mane, O. Sarr, N. Ben Amor, D. Dieng, M. Gaye, A. Dem, M. Dieng","doi":"10.54266/ajo.2.2.72","DOIUrl":"https://doi.org/10.54266/ajo.2.2.72","url":null,"abstract":"INTRODUCTION: The management of stage IVA cervical cancer is based on radio-chemotherapy followed by utero-vaginal brachytherapy. In this study, we evaluate the results of external radiotherapy on stage IVA cervical cancer. MATERIALS AND METHODS: This was a retrospective, descriptive study. It covered all patients with stage IVA carcinoma of the cervix who received external radiotherapy at the Joliot Curie Institute of the Aristide Le Dantec Hospital from January 2018 to December 2019. RESULTS: We found 164 clinical records of patients, of which 24 patients had stage IVA, (14.3% of all cases). The average age of our patients was 51 years ± 12.13. Seventeen patients (70.9%) had an altered general condition on admission. The predominant histological type was squamous cell carcinoma found in 22 cases (91.6%). Anemia was found in 14 patients, (58.4%). Neo-adjuvant chemotherapy was performed in 21 of our patients (87.5%). Radiotherapy was exclusive in 20 patients (83.3%) and concomitant radio-chemotherapy was performed in 4 patients (16.7%). Normo-fractionated radiotherapy with curative intent was performed in 13 patients (54.2%), and hypo-fractionated radiotherapy with palliative intent was performed in the other 11 patients (45.8%). An objective response was found in 17 cases (70.8%) including 8 in patients who received hypo-fractionated radiotherapy and 9 in patients treated with normo-fractionated radiotherapy at a curative dose. Five patients (20.8%) had acute toxicity and 7 (29.2%) late toxicity. After 3 years of follow-up, 5 patients (29.2%) had loco-regional progression, 9 patients (37.5%) presented loco-regional recurrence and 4 patients (16.7%) presented distant metastases. Overall survival was 26.8% at 3 years. CONCLUSION: Normo-fractionated radiotherapy does not seem superior to palliative hypo-fractionated radiotherapy in terms of clinical response in stage IVA cervical cancer. KEYWORDS: Carcinoma; Uterine cervix; External radiotherapy.","PeriodicalId":52950,"journal":{"name":"South African Journal of Oncology","volume":"1043 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86469473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The fight against cancer in Africa at the end of the Covid-19 pandemic and in the era of the Ukrainian crisis 在2019冠状病毒病大流行结束和乌克兰危机时代,非洲与癌症的斗争
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.45
Sidy Ka, M. Dieng, A. Dem
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引用次数: 0
Late diagnosis of breast cancer at the Yalgado Ouédraogo University Hospital (CHU/YO): Causes, therapeutic and prognostic impacts. About 70 cases 在亚尔加多乌姆达乌戈大学医院(CHU/YO)对乳腺癌的晚期诊断:病因、治疗和预后影响。约70例
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.63
M. Ilboudo, R. A. Djigemdé, P. B. Yameogo, I. Ouédraogo, N. Zongo
INTRODUCTION: Breast cancer is the first cancer of women in Burkina Faso. There remains a relatively late diagnosis and a reserved prognosis. The main aim of this study is to study the causes, therapeutic and prognostic impacts of late diagnosis of breast cancer at Yalgado Ouédraogo University Hospital. MATERIALS AND METHODS: This was a descriptive and prospective study from May 1st to October 31, 2013. The departments of surgery, gynecology and anatomy-pathology served as a framework for our study. All consenting breast cancer patients with a height greater than at least 5 cm (>T2), suspicious or metastatic satellite lymphadenopathy was included. The data analysis was done using Epi-info© software version 7.2.2.6, with the use of the Khi2, Fisher-exact and Student tests. RESULTS: We collected 70 patients with an average age of 46.1 years. In 95.7% of cases, our patients had consulted a traditional therapist or at least one medical center before being referred to the Yalgado Ouédraogo University Hospital. The consultation was less than 6 months in 52.9% of cases. Diagnostic time was statistically associated with source and monthly income with a p-value of 0.03 and 0.05 respectively. Stage III accounted for 62.8% of cases. Surgery was performed in 48.6% of cases, including 23.5% palliative surgery. Chemotherapy was neo-adjuvant in 22%, adjuvant in 48.8% and palliative in 14.6%. The average duration of follow-up was 2.7 months. We had found 20.6% of recidivism and 22% of deaths. CONCLUSION: Poverty, ignorance, socio-cultural constraints and lack of staff reduce patients' access to early diagnosis, which is responsible for expensive complex treatment and a poor prognosis. Equitable financial and geographic access will reduce diagnostic delays and mortality from breast cancer. KEYWORDS: Breast cancer; Late diagnosis; Causes; Treatment; Prognosis.
简介:乳腺癌是布基纳法索妇女的第一大癌症。仍然有一个相对较晚的诊断和保留预后。本研究的主要目的是研究亚尔加多乌萨德拉戈大学医院晚期诊断乳腺癌的原因、治疗和预后影响。材料与方法:2013年5月1日至10月31日为一项描述性前瞻性研究。我们的研究以外科、妇科和解剖病理为框架。所有身高大于5cm (>T2),可疑或转移性卫星淋巴结病的同意乳腺癌患者均被纳入研究。数据分析采用Epi-info©7.2.2.6版本软件,采用Khi2检验、Fisher-exact检验和Student检验。结果:我们收集了70例患者,平均年龄46.1岁。在95.7%的病例中,我们的病人在转诊到亚尔加多乌姆达乌戈大学医院之前曾咨询过传统治疗师或至少一个医疗中心。52.9%的病例就诊时间少于6个月。诊断时间与来源和月收入有统计学相关性,p值分别为0.03和0.05。III期占62.8%。手术占48.6%,其中姑息性手术占23.5%。新辅助化疗占22%,辅助化疗占48.8%,姑息化疗占14.6%。平均随访时间2.7个月。我们发现20.6%的再犯和22%的死亡。结论:贫困、无知、社会文化约束和缺乏医护人员减少了患者获得早期诊断的机会,这是造成昂贵复杂治疗和预后不良的原因。公平的财政和地理获取将减少乳腺癌的诊断延误和死亡率。关键词:乳腺癌;后期诊断;原因;治疗;预后。
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引用次数: 0
Childhood cervical cancer: a case report 儿童子宫颈癌1例
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.79
F. Cheumaga, L. Cissé, K. Ka, H. Chami, P. A. Mbaye, C. T. Mbaye, P. M. Gaye, M. Dieng
INTRODUCTION: Cervical cancer is the 2nd most common gynecological cancer in the world. It is rare in children. The most incriminating risk factor is Human Papillomavirus infection. OBSERVATION: This case report describes an 8-year 10-month old child who presented with cervical cancer. The initial symptomatology was urinary burning, pollakiuria, asthenia and suprapubic pain without fever. The paraclinical workup revealed a cervical tumor and iliac and lumbo-aortic nodes and peritoneal carcinosis. Biopsies revealed an undifferentiated carcinoma. Treatment consisted of induction chemotherapy (cyclophosphamide followed by cisplatin and paclitaxel) followed by concomitant radio-chemotherapy and utero-vaginal brachytherapy. KEYWORDS: Cancer; Cervix; Child.
宫颈癌是世界上第二大常见的妇科癌症。这在儿童中很少见。最危险的因素是人乳头瘤病毒感染。观察:这个病例报告描述了一个8岁10个月大的孩子谁提出宫颈癌。首发症状为尿灼烧、尿漏、乏力、耻骨上疼痛,无发热。临床检查发现宫颈肿瘤、髂、腰主动脉淋巴结和腹膜癌。活检显示为未分化癌。治疗包括诱导化疗(环磷酰胺+顺铂+紫杉醇),再辅以放化疗和子宫阴道近距离放疗。关键词:癌症;子宫颈;的孩子。
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引用次数: 0
Breast metastasis of a dorsal melanoma: About one case and literature review 背侧黑色素瘤乳腺转移1例并文献复习
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.86
A. Soumaila, Adam Issa Douramane, I. Dillé, Ousmane Saadou Galadima, M. Zaki, Seydou Hamadou Abdoulay, Harouna Bonkoukou, Younsa Hama, Y. Harouna
INTRODUCTION: Rarely a breast mass could suggest a metastasis of another primitive site. Intramammary metastasis of extramammary cancers are infrequent and it’s also a sign of advanced disease with a poor prognosis. OBSERVATION: The case we are reporting is a patient followed in our ward for dorsal malignant melanoma who presents a breast metastasis diagnosed 13 months after the removal of the primary lesion. CONCLUSION: Through this case, we did a review of the literature that allowed us to update knowledge on this unusual secondary localisation of malignant melanoma. KEYWORDS: Melanoma; Breast metastasis; Poor prognosis.
简介:乳腺肿块很少提示其他原始部位的转移。乳腺外癌的乳腺内转移并不常见,这也是疾病晚期预后不良的标志。观察:我们报告的病例是一位在我们病房随访的背部恶性黑色素瘤患者,在原发病灶切除13个月后出现乳腺转移。结论:通过这个病例,我们对文献进行了回顾,使我们能够更新对这种不寻常的恶性黑色素瘤继发定位的认识。关键词:黑色素瘤;乳腺癌转移;预后不良。
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引用次数: 0
Descriptive epidemiology of colorectal cancer in Burkina Faso 布基纳法索结直肠癌描述性流行病学研究
Pub Date : 2022-07-01 DOI: 10.54266/ajo.2.2.54
P. B. Yameogo, R. A. Djigemdé, M. Ilboudo, A. Ouédraogo, N. Zongo
OBJECTIVE: To describe the epidemiological profile of colorectal cancers in Burkina Faso. MATERIALS AND METHODS: This was a cross-sectional and descriptive study of colorectal cancers diagnosed in all anatomy and pathology laboratories in Burkina Faso from 1988 to 2018. Age, sex, nature of the specimens, histo-genetic and histological types were studied. Comparisons were possible using Student's t test and Fisher's Khi2 test. RESULTS: In 31 years, 802 colorectal cancers were diagnosed, representing a mean annual incidence of 25.9 cases ± 7.6. These cancers represented 30.9% of all digestive cancers and were therefore the 2nd most common digestive cancer. The mean age of the patients was 50 years ± 18.1. The sex-ratio was 1.2. In men, the mean age was 50 years ± 11.6 and in women 50 years ± 13. Endoscopic biopsy specimens were studied in 60.7% of cases. The cancers were located in the left colon in 44% of cases, in the right colon in 30.4% of cases and in the rectum in 25.6% of cases. Carcinomas constituted 93.5% of the histo-genetic types. Adenocarcinoma was the histological type in 77.9% of cases. CONCLUSION: The second most common digestive cancer in Burkina Faso, colorectal cancer occurs at a relatively young age. It is predominantly male. However, the average age of occurrence is identical in both sexes. Adenocarcinoma is the most frequent histological type. Access to mass screening would allow a better understanding of the frequencies. KEYWORDS: Epidemiology; Colorectal cancers; Burkina Faso.
目的:描述布基纳法索结直肠癌的流行病学概况。材料和方法:这是一项横断面和描述性研究,对1988年至2018年在布基纳法索所有解剖和病理实验室诊断的结直肠癌进行了研究。研究了标本的年龄、性别、性质、组织遗传学和组织学类型。可以使用Student’st检验和Fisher’s Khi2检验进行比较。结果:31年中,确诊结直肠癌802例,平均年发病率为25.9±7.6例。这些癌症占所有消化系统癌症的30.9%,因此是第二常见的消化系统癌症。患者平均年龄50岁±18.1岁。性别比为1.2。男性平均年龄50岁±11.6岁,女性平均年龄50岁±13岁。60.7%的病例检查了内镜活检标本。44%的病例发生在左结肠,30.4%的病例发生在右结肠,25.6%的病例发生在直肠。癌占组织遗传类型的93.5%。77.9%的病例组织学类型为腺癌。结论:结直肠癌是布基纳法索第二常见的消化道肿瘤,发病年龄相对较小。它以男性为主。然而,男女的平均发病年龄是相同的。腺癌是最常见的组织学类型。大规模筛查将有助于更好地了解频率。关键词:流行病学;直肠癌;布基纳法索。
{"title":"Descriptive epidemiology of colorectal cancer in Burkina Faso","authors":"P. B. Yameogo, R. A. Djigemdé, M. Ilboudo, A. Ouédraogo, N. Zongo","doi":"10.54266/ajo.2.2.54","DOIUrl":"https://doi.org/10.54266/ajo.2.2.54","url":null,"abstract":"OBJECTIVE: To describe the epidemiological profile of colorectal cancers in Burkina Faso. MATERIALS AND METHODS: This was a cross-sectional and descriptive study of colorectal cancers diagnosed in all anatomy and pathology laboratories in Burkina Faso from 1988 to 2018. Age, sex, nature of the specimens, histo-genetic and histological types were studied. Comparisons were possible using Student's t test and Fisher's Khi2 test. RESULTS: In 31 years, 802 colorectal cancers were diagnosed, representing a mean annual incidence of 25.9 cases ± 7.6. These cancers represented 30.9% of all digestive cancers and were therefore the 2nd most common digestive cancer. The mean age of the patients was 50 years ± 18.1. The sex-ratio was 1.2. In men, the mean age was 50 years ± 11.6 and in women 50 years ± 13. Endoscopic biopsy specimens were studied in 60.7% of cases. The cancers were located in the left colon in 44% of cases, in the right colon in 30.4% of cases and in the rectum in 25.6% of cases. Carcinomas constituted 93.5% of the histo-genetic types. Adenocarcinoma was the histological type in 77.9% of cases. CONCLUSION: The second most common digestive cancer in Burkina Faso, colorectal cancer occurs at a relatively young age. It is predominantly male. However, the average age of occurrence is identical in both sexes. Adenocarcinoma is the most frequent histological type. Access to mass screening would allow a better understanding of the frequencies. KEYWORDS: Epidemiology; Colorectal cancers; Burkina Faso.","PeriodicalId":52950,"journal":{"name":"South African Journal of Oncology","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80655822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
South African Journal of Oncology
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