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Sociodemographic and Scanographic Aspects of Primary Bronchopulmonary Cancer in a Hospital in Mali

Open Journal of Medical Imaging 2021年第4期11卷 104-114页

作者： Mody Abdoulaye Camara Moussa Abdoulaye Ouattara Hawa Diarra Mohamed Maba Traore Boubacar Mama Toure Nouhoum Simpara Néné Koumare Mamadou Ndiaye Salia Coulibaly Abdoulaye Kone Moussa konate Ilias Guindo konate zakaria Mamadou Bakary Coulibaly Seydou Coulibaly Siaka Sidibe Department of Medical Imaging of the Mali Hospital Bamako Mali Department of Thoracic Surgery of the Mlai Hospital Bamako Mali Pediatric Unit at the Common Reference Health Center VI Bamako Mali Department of Medical Imaging of the CHU of Kati Bamako Mali Bamako Infirmary Hospital Bamako Mali Medical Imaging Department of CHME Luxembourg Bamako Mali Department of Gynecology of the Mali Hospital Bamako Mali

Summary: A malignant tumour that develops from the bronchial epithelium and then invades the lungs. It ranks third after colorectal and breast cancer. In Mali, computed tomography (CT) is the main imaging tool used at all stages of treatment. We had initiated this study with the objective of specifying the place of CT in the diagnosis of primary bronchopulmonary cancer at the hospital of Mali. Method: This is a prospective and descriptive study conducted by the Medical Imaging and Thoracic Surgery departments at Mali Hospital from March 2014 to February 2015. All the patients who have benefited from a CT scan and presenting at least one histologically confirmed bronchopulmonary tumor were included. Results: We were recruiting 60 patients with bronchopulmonary cancers out of 500 referred for a thoracic CT scan performed, a frequency of 12%. There was one male patient with a sex ratio of 4H/1F. The average age was 60 years. The history of smoking was 85%. The symptoms were dominated by general condition (63.33%), cough (25%) and haemoptysis (58.33%). CT scans were performed in all patients. The lesions were located more in the lower lobes (71%). The tumours were: heterogeneous tissue density (70%), spiculated contours (80%), and the histology was more non-small cell carcinoma. Conclusion: The incidence of bronchopulmonary cancer is very high and its prognosis is poor at an advanced stage. The evaluative role of CT and biopsy guidance has given it a place of choice in its management. The diagnosis of certainty remains histology.

关键词： Sociodemographic and Scanographic Aspects of Primary Bronchopulmonary Cancer in a Hospital in Mali

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Uro-Scanner Aspects of Bladder Tumours at the Mali Hospital about 17 Cases

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Open Journal of Medical Imaging 2021年第4期11卷 93-103页

作者： Mody Abdoulaye Camara Mohamed Maba Traore Hawa Diarra Adama Dao Boubacar Mama Toure Mamadou Ndiaye Salia Coulibaly Kone Abdoulayye Mariko Mahamane Cisse Issa konate Moussa Ilias Guindo konate zakaria Nouhoum Simpara Seydou Coulibaly Néné Koumaré Siaka Sidibe Medical Imaging Department of the Mali Hospital Bamako Mali Medical Imaging Department at the CHU Gabriel Touré Bamako Mali Bamako Infirmary Hospital Bamako Mali Medical Imaging Department of the CHU Point G Bamako Mali Medical Imaging Department of CHME Luxembourg Bamako Mali Medical Imaging Department of the CHU of Kati Bamako Mali Pediatric Unit of Reference Health Center of Commune VI Bamako Mali

Introduction: Bladder tumours are frequent, have a poor prognosis and are the second most common genitourinary tumour in men. In Mali, recent statistical data on the prevalence of bladder tumours show a progression with 6.71% in 2006. The euro scanner is used in the diagnostic workup. The work was initiated in order to specify the role of the scanner in the diagnosis of these tumors. Patients and Methods: Prospective descriptive study was carried out in the medical imaging department of Mali Hospital from February to November 2018. Were included any patient with a bladder tumour on euro scanner. The patients had benefited from a preliminary preparation and a renal biological assessment in order to eliminate renal insufficiency. Our examinations were performed with a Siemens 16-slice scanner. These were axial slices performed without, with iodine injection from the pulmonary base to the pubic bones. Results: We had collected 17 patients out of 541 scans i.e. a frequency of 3.76%. The age range of 21 to 40 years was 58.8% with an average age of 25 years. The antecedents (ATCD) found were urinary bilharzia (47%) and smoking (17%). The clinic was dominated by haematuria. It was associated with a bladder mass (52%) and dysuria (23.52%). The CT scan showed a budding appearance, a size greater than 3 cm (82%), infiltration of peri-vesical fat (47.05%), and adenopathy (94%). Associated lesions were: utero-hydronephrosis (58.82%) and metastases (bone and liver in 11.76% of cases each). Conclusion: They are frequent and the history of urinary bilharziasis remains the main risk factor in endemic countries. CT scans are essential in the management of this disease. The diagnosis of certainty remains histology.

关键词： Bladder Tumour Uro-CT Mali Hospital

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