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Clinical Characteristics and Difficulties in the Management of Cancer of the Penis

Open Journal of Urology 2021年第11期11卷 436-442页

作者： Kimassoum Rimtebaye Mahamat Ali Mahamat Freddy Rimtebaye Kimassoum frederic meurde nemia Antoinette Djekoundade Valentin Andjeffa Valentin Vadandi Koldjimadje Mingue Urology Department University Hospital of National Reference N’Djamena Chad Anatomopathology Department University Hospital of National Reference N’Djamena Chad Dermatology Department University Hospital of National Reference N’Djamena Chad Traumatology-Orthopedics Department University Hospital of National Reference N’Djamena Chad University Hospital Center Abéché Chad

Introduction: Penile cancer is a rare primary malignancy that occurs in patients in their 60s and 70s. The aim of the study was to describe the anatomical aspects of penile cancer and to report the difficulties of its management. Materials and Methods: This was a retrospective descriptive study of patients with penile tumors from January 2007 to December 2019. Patients of sexual age with an ulcerated lesion of the penis, who came to our department and whose clinical and paraclinical workup led to the diagnosis of penile cancer, were included. The variables studied were clinical, paraclinical and therapeutic. Results: In 12 years, we diagnosed and managed 8 patients with penile cancer, an incidence of 0.7 per year. The reason for consultation was the chronic ulcerating wound of the penis with a “cauliflower” aspect. The first medical consultation was late (n = 8) after a long latency period lost to traditional healers. The lesion was located in the glans penis (n = 6) and/or in the corpus cavernosum (n = 2). Histological analysis of the cores concluded to a squamous cell carcinoma. Patients were classified as T2N+M+ (n = 3) and T2N0M0 (n = 5). One patient had accepted partial amputation of the penis. Conclusion: Penile cancer is a rare tumor. Partial amputation of the penis is the only alternative in our practice context, an alternative often refuted.

关键词： Glans Penis Ulcerating Penis Squamous Cell Carcinoma Metastasis Brachytherapy

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Clinical Anatomopathological and Therapeutic Aspects of Buschke-Lowenstein Tumor

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Open Journal of Urology 2021年第11期11卷 420-426页

作者： Kimassoum Rimtebaye Mahamat Ali Mahamat Freddy Rimtebaye Kimassoum frederic meurde nemia Antoinette Djekoundade Valentin Andjeffa Valentin Vadandi Koldjimadje Mingue Teguil Noar Urology Department University Hospital of National Reference N’Djamena Chad Anatomopathology Department University Hospital of National Reference N’Djamena Chad Dermatology Department University Hospital of National Reference N’Djamena Chad Traumatology-Orthopedics Department University Hospital of National Reference N’Djamena Chad University Hospital Center Abéché Chad

Introduction: Buschke Lowenstein Tumor (BLT) is a tumor, belonging to the group of verrucous carcinomas. It is endowed with an unpredictable potential of recurrence and degeneration. The aim of the work is to present the anatomical and therapeutic characteristics of BLT at the University Hospital of National Reference of N’Djamena in Chad. Patients and Method: Prospective descriptive study of 13 patients with BLT, from May 2009 to April 2019 in the department of urology was included. The patients more than 15, carriers of TBL located at: external genitalia, perineum and anal margin whose clinical, paraclinical assessment allowed the diagnosis of BLT, management and follow-up at the said service. Respect for the patient’s identity and consent, the patient’s consent is obtained and the anonymity of the photographs is observed. Result: A total of 13 patients had BLT, 11 males and 2 females. The average age of the patients was 32.5 years. The lesions were cauliflower-like and located on the vulva (n = 2), the penis, the perineum, the anorectal region in men (n = 11). Serology was positive for: HIV (n = 3), chlamydia (n = 4). The management was surgical by cauterization and excision. Cystoscopy and rectoscope were normal. The cure was obtained in all patients. Two patients had a recurrence at 5 months requiring a second successful cure. Conclusion: BLT is a frequent pathology in the urology department of the University Hospital of National Reference of N’Djamena in Chad. The surgical treatment by “cauterization exeresis” gives a better treatment.

关键词： Condyloma Degeneration Cauliflower Cauterization-Exeresis N’Djamena Chad

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