[Diagnostic suspicion. Clinical, epidemiological, radiological, and endoscopic aspects of bronchopulmonary cancer in Senegal. Apropos of 700 endoscopies performed at the Hôpital Principal de Dakar from 1987 to 1990]

Dakar Med. 1990;35(2):232-41.
[Article in French]

Abstract

700 bronchial fiber endoscopies were performed at Dakar Main Hospital over a period of 3 consecutive years. 40 broncho-pulmonary cancers were identified (34 epidermoids, 4 adeno-cancers, 2 small cell cancers) among the 80 suspect cases. Comparison of clinical, radiological and endoscopic data revealed the following information: 1. most frequently radiology showed retractile, pulmonary condensation syndrome (40 cases); 2. a large predominance of close, bulging tumours (45 times) in relation to endoscopic bronchial stenosis (22 times); 3. almost exclusive identification of bronchial epidermoid cancer in this series (34 times); 4. the masculine sex and use of tobacco remain 2 unavoidable elements in this pathology. Bronchial endoscopy, a simple, indispensible examination, allows the lesion to be visualized, and a biopsy, on its own or associated with endoscopic cysto-brushing and alveolus washing, can then furnish conclusive histological proof.

MeSH terms

  • Adult
  • Aged
  • Bronchial Neoplasms / diagnosis*
  • Bronchial Neoplasms / diagnostic imaging
  • Bronchial Neoplasms / epidemiology
  • Bronchial Neoplasms / pathology
  • Bronchoalveolar Lavage Fluid / pathology
  • Bronchoscopy
  • Female
  • Fiber Optic Technology
  • Humans
  • Incidence
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / epidemiology
  • Lung Neoplasms / pathology
  • Male
  • Middle Aged
  • Prevalence
  • Radiography
  • Retrospective Studies
  • Risk Factors
  • Senegal / epidemiology
  • Socioeconomic Factors