RESUMO
A retrospective study of male breast cancer was undertaken at Ouagadougou University Teaching Hospital over a 3 year period (1993-1996). Authors report 5 cases representing 4.16% of all breast cancers. The patients' mean age was 61 years. The average duration of signs and symptoms before the diagnosis was 13 months. Clinically all the 5 cases presented advanced cancers (4 T4N2M0, 1 T4N2M1 according to UICC TNM System) with size ranging from 5.5, to 11.5 cm. Histology found: 2 medullary infiltrating carcinoma, 1 canalar infiltrating carcinoma, 1 colloid mucous carcinoma and 1 lobular infiltrating carcinoma. All patients had mastectomy associated with axillary clearance in 4 cases. Radiotherapy, chemotherapy and hormonotherapy were not associated because unavailable in Burkina Faso. Three patients died: the first, 10 days after surgical treatment and the 2 others respectively after 14 and 17 months. We have lost sight 1 patients. The last one is still alive. Authors find that to get better prognosis, it is important to improve medical and technical means, to increase information and to promote early detection.
Assuntos
Neoplasias da Mama Masculina/epidemiologia , Mastectomia/métodos , Idoso , Neoplasias da Mama Masculina/patologia , Neoplasias da Mama Masculina/cirurgia , Burkina Faso/epidemiologia , Equipamentos e Provisões Hospitalares , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Prognóstico , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Les auteurs rapportent dans une etude retrospective; 29 cas d'ictere par obstruction de la voie biliaire principale colliges en 6 ans. Ils notent l'importance de l'affection chez le sujet age de sexe masculin : 72 pour cent des patients ont plus de 50 ans avec un sex-ratio de 3 hommes pour 1 femme. Les obstructions de la voie biliaire principale par tumeurs sont les plus observees (83 pour cent) contre 17 pour cent pour la lithiase de la voie biliaire principale (LVBP). Une derivation bilio digestive chirurgicale palliative type anastomose choledocojejunale termino-laterale sur une anse en Y est pratiquee dans 24 cas (83 pour cent). La lithiase de la voie biliaire principale est traitee par une anastomose choledo-duodenale latero-laterale (17 pour cent). La mortalite globale hospitaliere est de 6 cas sur 29 (21 pour cent). Le carcinome excretobiliaire panparietal reste l'affection dont le taux de mortalite est le plus eleve. (3 deces sur 3)
Assuntos
Icterícia/epidemiologia , Icterícia/cirurgiaRESUMO
97 cancers du tube digestif sur 1010 TM ont ete recenses au CHNYO de janvier 1986 a decembre 1993 soit 9;6 per cent des tumeurs malignes. La classique predominance masculine a ete notee et l'age moyen des patients a ete de 52 ans. l'augmentation progressive des CTD au fil des annees semble liee a l'existence de lesions precancereuses et au regime alimentaire. L'etude analytique sommaire a releve la predominance du cancer de l'estomac. Il s'avere necessaire d'insister sur les methodes de prevention. Le diagnostic etant toujours tardif
Assuntos
Neoplasias do Sistema Digestório/epidemiologiaRESUMO
The authors relate 44 cases of cholelithiasis, operated on between 1986 and 1990 at the General and digestive Surgery Unit of the National Hospital Center YALGADO OUEDRAOGO of Ouagadougou. They established a progressive increase in the frequency of this affection thanks to the echographic diagnosis. The patients average age is 35 years old and paradoxically, the sex-ratio is for men. It is about lithiasis with some predominant pigment constituent, located in the vesicule area in 98% of the cases, associated in 18% with a localization in the common bile duct. The clinical symptomology is atypic. But the complicated forms with acute cholelithiasis, or with a big cholostasis liver and dilatation of the common bile duct, are not rare. The preoperative cholangiography is not used. All this resulting in frequent surgical procedures on the common bile duct. Anyway, the therapeutic results are satisfactory: the surgery death rate is 2.27% and there are few complications.
