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Management of Breast Cancer in Visceral Surgery of CNHU-HKM of Cotonou in Benin

Surgical Science 2016年第3期7卷 170-176页

作者： dansou gaspard gbessi Ismail Lawani Chrystelle Tawo-Nounagnon Francis Moïse Dossou Yacoubou Imorou Souaïbou Delphin Kuassi Mehinto Jean-Léon Olory-Togbe Kémoko Osséni Bagnan Nazaire Padonou Visceral Surgery A CNHU-HKM Cotonou Benin General Surgery CHDU-OP of Porto-Novo Porto-Novo Benin Visceral Surgery B CNHU-HKM of Cotonou Cotonou Benin

Breast cancer affects more females than males. It occurs earlier with the black females and is often diagnosed at a stage of complication. This study aims to describe its epidemiological characteristics, the changing stages, and to analyze the treatment and means of interdisciplinary and international cooperation in its care and treatment. Our study was retrospective, descriptive and analytic on breast cancer patients received at CNHU-HKM of Cotonou between January 1, 2001 and December 31, 2013. Breast cancer accounts for 24.24% of mammary pathologies and most affects the left breast. Females aged from 40 to 59 years old are the most affected. For males, the average age was 47.5 years old. Patients mostly consult at a later stage where the tumor is already palpable with nodal metastasis. Breast echography and mammography had been done only for 23.85% of the cases. In an anatomical pathology perspective, the invasive ductal carcinoma was the most common type with 87.2%. For the therapeutical aspect, a radical mastectomy according to Patey was realized in 81.65% of the cases;48.65% underwent a chemotherapy and 14.7% were able to do a radiotherapy. The chance at life for patients was decreasing while the life time is increasing. Also, the average life span of patients was increased by the combination of diverse types of treatments notably when radiotherapy is done. The incidence of breast cancers in Visceral Surgery A and B department of CNHU-HKM-Cotonou is increasing over years.

关键词： Cancer Breast Epidemiology Stage Diagnosis Chemotherapy Radiotherapy

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Gastric Cancer Revealed by a Perforated Ulcer: A Case Report and Review

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Surgical Science 2020年第12期11卷 399-404页

作者： Sètondji G. R. Attolou Christel M. Laleye Djifid M. Seto Ismaïl Lawani dansou G. gbessi Delphin K. Mehinto University Clinic for Visceral Surgery Hubert-Koutoukou-Maga National University Medical Center Cotonou Benin Regional Medical Center of Allada Allada Benin University Hospital Center of Oueme-Plateau Porto-Novo Benin

Introduction: Gastric cancer is not typically a surgical emergency. However, it can evolve into urgent complications such as a perforation. We report a case of a perforated gastric ulcer that turned out to be a cancer. Observation: A 52-year-old man was admitted to the emergency department of Hubert-Koutoukou-Maga National University Medical Center in Cotonou for generalized abdominal pain. He was diagnosed with acute generalized peritonitis with perforated gastric ulcer, establishing a surgical indication. An antral perforation was found and a simple closure was performed. Anatomopathological examination of the surgical piece revealed a gastric adenocarcinoma within the granulation tissue. Following the impact assessment, he underwent a second surgery where a distal gastrectomy was performed with D2 lymphadenectomy followed by gastrojejunostomy. He developed an anastomotic gastrointestinal fistula during the postoperative period but was successfully medically treated. The patient received adjuvant chemotherapy with Epirubicin, Cisplatin and 5-Fluorouracil. The patient is still alive, 3 years after the gastrectomy. Conclusion: When faced with a perforated gastric ulcer, one must also consider a neoplastic cause. The emergency surgical treatment depends on the general condition of the patient and the pre-existing co-morbidities, the choice being made between a one-stage versus two-stage gastrectomy.

关键词： Gastric Ulcer Perforation Cancer Simple Closure Gastrectomy

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Primary Duodenal Adenocarcinoma Revealed by Chronic Iron Deficiency Anemia:Diagnostic Difficulties in a Case Report in Internal Medicine CNHU HKM-COTONOU

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Open Journal of Internal Medicine 2015年第4期5卷 92-95页

作者： Angèle Azon-Kouanou Djimon Marcel Zannou Aboudou Raimi Kpossou Kouessi Anthelme Agbodande Roberto Dossou Torès Kouassi Prudencio Jean Sehonou gaspard gbessi Freddy Gnangnon Gabriel Ade Fabien Houngbe Internal Medicine and Medical Oncology Department National Teaching Hospital(NTH)Hubert Koudougou Maga(HKM)CotonouBenin Hepato-Gastroenterology Department National Teaching Hospital(NTH)Hubert Koudougou Maga(HKM)CotonouBenin Visceral surgery Department National Teaching Hospital(NTH)Hubert Koudougou Maga(HKM)CotonouBenin

The location of a primary duodenal adenocarcinoma is exceptional. Only few cases have been reported in the literature. We hereby report a case of primary adenocarcinoma of the duodenum with a 60 years old patient admitted because of chronic iron deficiency anemia. Endoscopic examination revealed a budding and ulcerated process in the second duodenum. The biopsy analysis showed primary adenocarcinoma. No other primary tumor was found. The staging directed showed cephalic pancreatic invasion. The patient died in the aftermath of a surgical management.

关键词： Chronic Iron Deficit Adenocarcinoma Duodenum Benin

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Voluntary Ingestion of a Cola Nut Stuck into the Esophagus: An Unusual Foreign Body (FB)

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Surgical Science 2016年第5期7卷 239-243页

作者： Ismaïl Lawani dansou gaspard Gbéssi Aboudou Raimi Kpossou Yacoubou Imorou Souaïbou Freddy H. R. Gnangnon Francis Moïse Dossou Delphin Kuassi Mehinto Jean-Léon Olory-Togbé General Surgery Unit CHUD/OP Porto-Novo Cotonou Bénin Visceral Surgery Unit “A” CNHU-HKM Cotonou Bénin Hepato-Gastroenterology Unit CNHU-HKM Cotonou Bénin Visceral Surgery Unit “B” CNHU-HKM Cotonou Bénin

The cola nut (Cola nitida), is a rare foreign body. Its voluntary ingestion, for ritual practices, is a situation of exceptional occurrence, and jamming it in the esophagus is a therapeutic emergency. Here, we report the case of an adult patient, with a cola nut measuring 3 cm in diameter swallowed for a ritual purpose, jammed at the bottom of his esophagus. A surgical extraction was performed by gastrostomy after a failed attempt of endoscopic extraction. There ensued a complication of a left-esophageal fistula. The various aspects of this case are analyzed in the light of the literature review.

关键词： Foreign Body Esophagus Cola Nut Gastrostomy

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