[Primary urological cancers in a context of limited resources: Epidemiology and treatment]

Bull Cancer. 2019 Oct;106(10):868-874. doi: 10.1016/j.bulcan.2019.06.003. Epub 2019 Jul 23.
[Article in French]

Abstract

Objectives: To describe the epidemiological, clinical and therapeutic aspects of primary urological cancers in semi-urban areas in Burkina Faso.

Patients and method: A descriptive study was conducted over the period from 1 January 2008 to 31 December 2017 in the General Surgery Department of the Tenkodogo Regional Hospital, located in the east of Burkina Faso. All patients over 15 years of age who were diagnosed with primary urological cancer were included.

Results: A total of 160 patients were included. One hundred and thirty-one patients were male (81.9%). The sex ratio was 4.5. The average age of the patients was 58.9 years (standard deviation: 18 years). We found 73 cases of prostate cancers (45.6%), 53 bladder cancers (33.1%), 17 kidney cancers (10.6%), 11 testicular cancers (6.9%) and 6 cancers of the male external genitalia (3.7%). The histological types of prostate cancer were adenocarcinoma (88%) and neuroendocrine carcinoma (12%). Thirty-seven prostate cancers (50.7%) were diagnosed at the T3 stage and 12 others (16.4%) at the T4 stage. Prostate cancer treatment was only medical in 23 patients; surgical treatment was indicated in 50 other patients. The 5-year survival was 85%. Sixteen patients (30.2%) had metastatic bladder cancer at the time of diagnosis. The treatment of vesical cancers has been palliative in 50 cases.

Keywords: Adenocarcinoma; Adénocarcinome; Burkina Faso; Cancers urologiques; Traitement; Treatment; Urological cancers.

MeSH terms

  • Adenocarcinoma / epidemiology
  • Adenocarcinoma / pathology
  • Adenocarcinoma / therapy
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Burkina Faso / epidemiology
  • Developing Countries
  • Endocrine Gland Neoplasms / epidemiology
  • Endocrine Gland Neoplasms / pathology
  • Endocrine Gland Neoplasms / therapy
  • Female
  • Health Resources*
  • Humans
  • Kidney Neoplasms / epidemiology
  • Kidney Neoplasms / pathology
  • Kidney Neoplasms / therapy
  • Male
  • Middle Aged
  • Prostatic Neoplasms / epidemiology
  • Prostatic Neoplasms / pathology
  • Prostatic Neoplasms / therapy
  • Sex Distribution
  • Survival Rate
  • Testicular Neoplasms / epidemiology
  • Testicular Neoplasms / pathology
  • Testicular Neoplasms / therapy
  • Urinary Bladder Neoplasms / epidemiology
  • Urinary Bladder Neoplasms / pathology
  • Urinary Bladder Neoplasms / therapy
  • Urologic Neoplasms / epidemiology*
  • Urologic Neoplasms / pathology
  • Urologic Neoplasms / therapy*
  • Young Adult