Cancer du testicule: particularités cliniques et limites thérapeutiques en milieu hospitalier urologique au Sénégal

Conclusion Le cancer du testicule reste rare au Sénégal et concerne des sujets jeunes. Le diagnostic est encore posé à des stades très évolués avec une lourde mortalité. Objective To investigate the clinical features and limitations of therapeutic management of testicular cancer in Senegal. Patients and methods This is a retrospective study over 15 years period between January 1997 and January 2012. Twenty-two cases were collected but only 17 had complete data for analysis. Results The average annual incidence was 1.13 cases per year, with a mean age of 27±9.5 years. The most affected age group was between 21 and 40 years. Clinical diagnosis was suspected by the presence of a scrotal swelling in10 cases and by empty scrotum associated with abdominal or pelvic mass in the remaining 7 cases. Orchiectomy was the main treatment option, done either by high inguinal approach in 8 patients or by trans- peritoneal route in other 7 patients. Histologically, a predominance of embryonic non seminomatous germ cell carcinoma was noted in 10 cases including infantile type in one case. Seven cases developed disease progression:3 cases of peritoneal carcinmatosis, 3 other cases of locoregional invasion with retroperitoneal lymphadenopathy and one case of pulmonary metastasis. At a mean follow up of six months, nine patients died, four were lost to follow up while the remaining four cases were still alive. Conclusion Testicular cancer is a rare tumor in Senegal and usually in...
Source: African Journal of Urology - Category: Global & Universal Source Type: research