TITLE:
Management of Kidney Cancers in Urology Department of the Gabriel Toure University Hospital/Bamako
AUTHORS:
MT Coulibaly, I. Sissoko, A. Berthé, Issa Amadou, B. Traore, M. Ly, Z. Ouattara
KEYWORDS:
Kidney Cancer, Adult, Nephrectomy, Mali
JOURNAL NAME:
Surgical Science,
Vol.9 No.6,
June
15,
2018
ABSTRACT: Objective: to report our experience in the management of adult kidney cancer. Patients
and Methods: This was a prospective and descriptive study, carried out in
the Urology Department of Gabriel Touré University Hospital, during the period
from January 1, 2001 to December 31, 2017 for a period of six years,
interesting all the medical records of 24 adult patients diagnosed with kidney
cancer. Results: During the study period, 24 patients met our inclusion criteria;
the mean age was 48.23 ± 8.02 years with extreme ranging
from 17 to 82 years. Most of our patients were female (58.3%), and were
referred or consulted for lumbar mass in 66.7% of cases. The average tumor size
was 13.6 ± 5.8 cm with extremes of 7.8 to 21.1 cm. Management included total
nephrectomy in 50% and total nephrectomy expanded in 50% of cases. The
histological type found was renal cell carcinoma in 23 patients and papillary
carcinoma in one patient. Conclusion: Kidney cancer is rare in our
context, its clinical and histological characteristics remain the
same for two decades. Its management is largely based on enlarged total
nephrectomy.