ABSTRACT
ience in the management of differentiated thyroid carcinomas in a low- income country. Materials and Methods: We performed a retrospective study in our department where 21 cases of differentiated thyroid carcinomas were recorded from February 2001 to December 2010. Results: We performed 334 thyroidectomies for 326 patients. Of this group, 21 differentiated thyroid carcinomas were diagnosed. Differentiated thyroid carcinomas represented 6.4% of all thyroid neoplasm managed during the same period (n=326). Median age was 44 years (range 13 - 75 years). Male to female ratio was 1:20. Six (6) patients underwent primary hemithyroidectomy in other institutions while the fifteen left were entirely managed in our clinic. Of them, one patient was referred with positive fine needle aspiration cytology for papillary thyroid carcinoma (incidental detection by fine needle aspiration biopsy) and another had history of sinus pyriform fistula. Pathology of surgical specimens showed 13 cases of papillary thyroid carcinomas and 8 cases of follicular thyroid carcinomas with association to Hashimoto thyroiditis and Grave's disease in respectively in 1 case. Twenty cases were incidentally discovered by thyroid surgery and undergone completion thyroidectomy with prophylactic central neck dissection, completion thyroidectomy alone, modified lateral neck dissection alone and surveillance respectively in 13, 1, 1 and 6 cases. Complications of thyroid surgery were bilateral recurrent laryngeal nerve paralysis and hematoma respectively in 1 case. Median hospital stay was 5 days ranged from 3 to 15 days. During the follow-up period, most of our patients were lost of follow-up. Conclusion: Management guidelines of differentiated thyroid carcinomas are well established but not applicable to low- income country for several reasons. National guidelines, based on further researches, must then be implemented to improve our practice
Subject(s)
Humans , Poverty/economics , Thyroidectomy , Thyroid Neoplasms/complications , Retrospective Studies , Thyroid Cancer, Papillary/complicationsABSTRACT
Les cancers de vessie sont d'observation courante en pratique quotidienne urologique a Dakar. Entre janvier 1970 et decembre 1993; 82 cas de cancer vesical ont ete colliges au Laboratoire d'Anatomie et de Cytologie Pathologiques du CHU de Dakar. La prevalence de cette pathologie est situee a 2;3 pour cent de l'ensemble des cancers au Senegal. L'age moyen de survenue est de 46 ans avec atteinte plus precoce de la femme. Le carcinome malpighien est le type histologique le plus frequent (62;2 pour cent) et n'est pas toujours associe a des lesions bilharziennes
Subject(s)
Urinary Bladder Neoplasms/pathologyABSTRACT
Cette observation; qui est le premier cas de thymome malin diagnostique chez l'enfant senegalais; tire son interet de la rarete de l'affection; du jeune age du patient; du mode de revelation inhabituelle sous forme de tamponnade cardiaque; qui fait evoquer une etiologie beaucoup plus frequente dans nos regions: la pericardie tuberculeuse. Ce cas confirme la grande valeur pronostique du comportement loco-regional au detriment de l'histologie
Subject(s)
Infant , Thymoma , Thymoma/etiologyABSTRACT
Dentre os tumores derivados do mesanquima, o lipoma e o que mais comumente grandes tamanhos, com localizacoes variadas. Apresentamos um caso de lipoma gigante, do ligamento redondo do figado, que, pelo seu tamanho e localizacao, nao tivemos oportunidade de identificar casos semelhante na literatura por nos revista