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

B. Ouedraogo, H. Karama, T. Hafing, O. Traoré, A. Korgo, S. Pamba, A. Ndormadjita, F. A. Kaboré, B. Ouedraogo, A. Sanou
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引用次数: 0

摘要

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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Kidney cancer in adults at the University Hospital of Tengandogo: epidemiological, clinical, histopathology and therapeutic aspects
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.
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