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Prostate Cancer Screening by General Practitioners in Lomé, Togo

Open Journal of Urology 2022年第1期12卷 27-36页

作者： Tchilabalo Matchonna Kpatcha tchin darré Edoe Viyome Sewa Komi Hola Sikpa Gnimdou Botcho Essodina Padja Essomendedou Adolphe Leloua Kodjo Tengue Department of Urology University Teaching Hospital of Kara Kara Togo Department of Pathology University Teaching Hospital of Lomé Lomé Togo Department of Urology University Teaching Hospital of Lomé Lomé Togo

Background: Prostate cancer is a common disease in men over 50 years. Only early detection by screening can guarantee a favourable outcome. Objective: The objective of the study is to report on the practice of prostate cancer screening by general practitioners in Lomé. Material and Method: This was a practice survey. A questionnaire administered to general practitioners allowed to examine the following parameters: the practitioner’s years of practice, the screening criteria, the screening tools and the factors motivating the request for urological advice. The data were analysed using the software Epi info 7.1.5. The P value was considered significant below 0.05. Results: One hundred and eighty (180) physicians average-aged 29 were administered among whom one hundred and fifty-seven (157) males and twenty-three (23) females. The average duration of the medical practice was 35.2 months (6 months - 204 months). The screening criteria were age (47.2%), family history of cancer (17.8%), and age over 50 years associated with symptoms of the low urinary tract (35%). The practitioner’s experience did not affect these criteria (p = 0.12). The screening tools were the digital rectal examination (DRE) associated with prostate specific antigen (PSA) assay (20.5%), PSA alone (29.5%), DRE alone (6.6%), suprapubic ultrasound (32.3%) and endorectal ultrasound (11.1%). The choice of the screening tool was related to the practitioner’s experience (p = 0.03). The determining factor for a urological consultation was a high PSA (>4 ng/ml) independent of the DRE. Conclusion: Prostate cancer screening is largely done by general practitioners in Lomé. However, the use of some criteria and tools for the screening is not optimal.

关键词： Prostate Cancer Screening Survey Lomé Togo

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Ultrasound-Guided Core Needle Biopsy of Breast Lesions: Results and Usefulness in a Low Income Country

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Open Journal of Radiology 2017年第4期7卷 209-218页

作者： Mazamaesso Tchaou tchin darré Pihou Gbandé Massaga Dagbé Akila Bassowa Lantam Sonhaye Lama-Kegdigoma Agoda-Koussema Department of Radiology The University Teaching Hospital of Lomé Lomé Togo Department of Pathology The University Teaching Hospital of Lomé Lomé Togo Department of Obstetrics and Gynecology The University Teaching Hospital of Lomé Lomé Togo

Background: Core needle biopsy (CNB) under ultrasound guidance is an accepted standard of care for the diagnosis of breast lesions. It is safe, cost-effective and minimally invasive compared with surgical excision. Objective: The aim of this study was to evaluate the CNB’s results regarding the procedure, complications, histopathological findings and their correlation with the imaging data and surgical histopathological findings. Method: A cross-sectional prospective and descriptive study of a consecutive series of ultrasound-guided CNB of breast lesions in women conduced from January 2015 to December 2016 at the Sylvanus Olympio university hospital of Lomé, in Togo. Results: There were 72 CNB performed under ultrasound guidance in women;from which 54 were retained for the study. The mean age was 44.9 years ± 9.8. 11.1% had a family history of breast cancer. Lesions were most often palpable (90.7%). They were located in the left breast in 54.7%. Lesions were categorized probably malignant or malignant (Birads 4 and 5) in 70.4% and probably benign (Birads 3) in 29.6%. Their mean size was 24.8 mm ± 7.6 at ultrasound. There were no major complications during the procedure. One CNB (1.9%) considered inconclusive was repeated. Histologically, invasive ductal carcinoma (61.1%) was the most common lesion. Fifty-three women underwent surgical procedure and histopathological confirmation. Ultrasound-guided CNB had a sensitivity of 97.5%, specificity of 100%, positive predictive value of 100%, negative predictive value of 92.8%, and an overall diagnostic accuracy of 98.1%. Breast Imaging Reporting and Data System (Birads) categorization had a sensitivity of 94.8%, specificity of 100%, positive predictive value of 100%, negative predictive value of 87.4%, and diagnostic accuracy of 96.2%. Conclusion: Ultrasound guided CNB represent accurate methods for the characterization of breast lesions, with high values of diagnostic accuracy, sensitivity, specificity and negative predict

关键词： Ultrasound Core Needle Biopsy Breast Cancer Histology

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Cancers in the Elderly Seen in Anatomical Pathology Laboratory in Lomé, Togo

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Open Journal of Pathology 2016年第1期6卷 26-31页

作者： tchin darré Atchi Walla Tchilabalo Matchonna Kpatcha Abdoul-Samadou Aboubakari Nidain Maneh Mikotakatola Koulinga Koffi Amégbor Gado Napo Koura Department of Pathology The University Teaching Hospital of Lomé Lomé Togo Department of Trauma and Orthopedic The University Teaching Hospital of Lomé Lomé Togo Department of Urology The University Teaching Hospital of Lomé Lomé Togo Department Obstetrics and Gynecology The University Teaching Hospital of Kara Kara Togo Department of Ophthalmology The University Teaching Hospital of Lomé Lomé Togo

Background: The elderly cancers are worldwide a major public health issue. Their exact incidence is unknown in Togo. The purpose of this study was to describe epidemiological and histological data of cancers in the elderly in Togo. Materials and Methods: This was a cross-sectional and descriptive study of cases of elderly cancers diagnosed at the laboratory of pathology of the university teaching hospital of Lomé from 1995 to 2014 (20 years). Cases of examination on samples of the elderly (biopsy, excision, surgical specimens) were collected from the data records of that laboratory. Results: Overall, 792/5200 cases of elderly cancer were collected representing 15.2% of all cancers diagnosed in the laboratory. The annual incidence was 39.6 cases. Patient age ranged from 65 to 103 years old, with a mean of 68.5 ± 4 years old. The sex ratio (M/F) was 1.3. At pathological level, the study material included pieces (n=290 cases;36.6%) and biopsies (n=502 cases;63.4%). Cancers located preferably in prostate in men (38%), and in women the most frequent locations were cervix (16.2%) and breast (15.8%). We noticed four histological groups: carcinomas (n = 706 cases;89.1%), sarcomas (n = 43 cases;5.5%), lymphoma (n = 34 cases;4.3%) and melanoma (n = 9 cases;1.1%). Carcinomas were dominated by adenocarcinomas (50.1%) and squamous cell carcinomas (33.8%);Kaposi’s sarcoma (32.6%) was the most common histological type in sarcomas. Conclusion: Our results showed that the elderly cancers were frequent in Togo, locating mostly in uterus cervix and breast in female, and prostate in men. This study could help to advocate the establishment of a cancer registry in Togo.

关键词： Cancer Elderly Togo

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Evaluation of Knowledge of Medical Students of University of Lomé(Togo) on the Contribution of Prostate Biopsy in the Detection of Prostate Cancer

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Open Journal of Urology 2021年第9期11卷 317-325页

作者： Tchilabalo Matchonna Kpatcha Toukilnan Djiwa Albadia Sidibé Edoé Viyomé Sewa Gnimdou Botcho Komi Hola Sikpa Essodina Padja Sassil Daré Mazamaesso Tchaou tchin darré Department of Urology University Teaching Hospital of Kara Kara Togo Department of Pathology University Teaching Hospital of Lomé Lomé Togo Department of Radiology University of Lomé Lomé Togo Department of Urology University Teaching Hospital of Lomé Togo Department of Surgery University Teaching Hospital of Lomé Togo

Background: Prostate cancer is the second leading cause of death from cancer in humans in most developed countries. In Togo, around 59.8% of prostate cancers are diagnosed at an advanced stage because of the insufficient screening in connection with the recent introduction of prostate biopsy and the late generalization of PSA (prostate specific antigen). Objective: This study aimed to assess the knowledge of students from the Faculty of Health Sciences of the University of Lomé on the contribution of prostate biopsy in the diagnosis of prostate cancer. Results: A total of 1017 students filled out the form, with an overall response rate of 95.3%. The range age of the subjects was 24.5 years, and a sex ratio (M/F) of 2.51. The majority of students were license (546, 53.69%). Five hundred and eighty-one (57.13%) of the students had not received any training in prostate cancer. Five hundred and eighty-two students (57.23%) had no knowledge of prostate biopsy. There is a statistically significant link between students’ knowledge of the prostate biopsy and age (OR 1, 95% CI [0.49 - 2.03], p = 0.0001), sex (OR 1, 95% CI [0.33 - 1.08], p = 0.0003), the study cycle (OR 2.5, 95% CI [1.02 - 5.06], p = 0.0047) and the effectiveness of an internship in urology department (OR 1, 95% CI [0.61 - 1.31], p Conclusion: Medical students have little knowledge of the place of biopsy in the detection of prostate cancer. Educational efforts should focus on improving their knowledge so that they can make appropriate decisions in the future.

关键词： Prostate Cancer Biopsy Knowledge Medical Students Togo

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Prostate Biopsy: Which Technique for Which Results at LoméUniversity Hospital in 2017?

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Open Journal of Urology 2018年第4期8卷 125-133页

作者： Tchilabalo Matchonna Kpatcha tchin darré Essodina Padja Adolphe Essomindedou Leloua Gnimdou Botcho Edoé Viyomé Sewa Kodjo Tengue Komi Hola Sikpa Ekoué David Dosseh Department of Urology University Teaching Hospital of Lomé Lomé Togo Department of Pathology University Teaching Hospital of Lomé Lomé Togo Department of Surgery University Teaching Hospital of Kara Kara Togo Department of Surgery University Teaching Hospital of Lomé Lomé Togo

Background: Diagnosis of prostate cancer is certified by histology true prostate biopsies. The aim of our study was to evaluate our prostate biopsy method. Material and Methods: It was a prospective study including patients underwent prostate biopsy. Inclusion criteria were prostate specific antigen (PSA) level up to 4ng/ml and/or abnormal prostate at digital rectal examination. Patients who had risk factors of bleeding have been excluded of the study. The preparation before biopsy included antibioprophylaxy (Ciprofloxacine-Tinidazole) and rectal hypertonic cleaning (Normacol*). Twelve cores have been taken in each prostate by transrectal digital-guided way, using Biopty Gun 18 Gauge. Local anesthesia has been done previously by intrarectal application of 20 ml of gel of Lidoca?ne. Two other cores were taken into each abnormal area at rectal examination. The follow-up have been done during twelve weeks. Results: Eighty patients of 65 years of age were included. Nine patients had familial history of prostate cancer. PSA levels ranged from 5 to 6400 ng/ml with a median of 26.77 ng/ml ± 11.2. Complications occurred in 11.25% of patients, principally infectious complications which caused death of one patient by septicemia. The rate of cancer detection was 20%. Prostate abnormality at digital rectal examination and the presence of familial history of prostate cancer were not predictive factors of the presence of cancer on cores. Conclusion: Our prostate biopsy method is limited by the lack of ultrasonographic guidance and is at important risk of infectious complications.

关键词： Biopsy Prostate Cancer Digital Guidance Infectious Complications

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Echo-Mammographic and Anatomo-Pathological Aspects of Male Breast Cancer in Togo

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Open Journal of Radiology 2017年第4期7卷 250-258页

作者： Bidamin N’timon tchin darré Massaga Dagbé Pihou Gbandé Abdoulatif Amadou Mazamaesso Tchaou Lantam Sonhaye Samadou Aboubakari Kodzo Selom Edi Lama Kègdigoma Agoda-Koussema Komlavi Adjenou Department of Radiology University Teaching Hospital of Kara Kara Togo Department of Pathology Sylvanus Olympio University Teaching Hospital of Lomé Lomé Togo Department of Radiology Sylvanus Olympio University Teaching Hospital of Lomé Lomé Togo Department of Radiology Campus University Teaching Hospital of Lomé Lomé Togo Department of Obstetrics and Gynecology University Teaching Hospital of Kara Kara Togo

Studies of male breast cancer are rare in Africa. In Togo in particular, no work has focused on the epidemiological, mammo-echographic, pathological, therapeutic or prognostic aspects of male breast cancer. The aim of this study is to report cases of male breast cancer in Togo by describing the main epidemiological, mammo-echographic and pathological aspects. This was a retrospective, descriptive and analytical study of 10 cases of male patients presenting with breast cancer confirmed by the pathologic examination on the echo-guided samples over a period of 6 years in University Teaching Hospital in Lomé. A total of ten patients were retained. The mean age of patients was 55 years with extremes of 39 years and 65 years. All patients had a palpable breast mass. The lesions were classified in 60% American College of Radiology (ACR) 5 and 40% ACR 4. The axillary lymph node invasion rate was 40%. Infiltrating ductal carcinoma was the histologic type diagnosed in all patients. Any breast mass in an elderly male subject is suspected with high predictive value. Mammography ultrasound plays an important role in the diagnosis alongside pathology.

关键词： Male Breast Cancer Mammography-Ultrasound Pathology Togo

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Giant Breast Hamartoma: A Case Report in Togo

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Open Journal of Radiology 2018年第1期8卷 30-36页

作者： Bidamin N’timon tchin darré Massaga Dagbé Pihou Gbandé Abdoulatif Amadou Mazamaesso Tchaou Lantam Sonhaye Samadou Aboubakari Dédé Ajavon Akila Bassowa Lama Kègdigoma Agoda-Koussema Komlanvi Adjenou Department of Radiology University Teaching Hospital of Kara Kara Togo Department of Pathology Sylvanus Olympio University Teaching Hospital of Lomé Lomé Togo Department of Radiology Sylvanus Olympio University Teaching Hospital of Lomé Lomé Togo Department of Radiology Campus University Teaching Hospital of Lomé Lomé Togo Department Obstetrics and Gynecology University Teaching Hospital of Kara Kara Togo

We report the case of a 50-year-old patient, who was explored in mammography, ultrasound and CT for a large painful mass of the right breast that had been evolving for 30 years and gradually increasing in size. There was a typical “sausage slice” appearance with clear center macrocalcifications on the mammogram;an aspect of “breast in the breast” on ultrasound. The scanner had made it possible to specify the dimensions of the mass, which measured 21.4 cm in height;18.6 cm wide and 9.5 cm thick. Histology after exeresis noted the adenolipofibromatous nature of the mass.

关键词： Mammography Ultrasound Hamartoma Togo

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Knowledge of Risk Factors and Means of Breast Cancer Screening by Women Seen in Gynecological Consultation at Sylvanus Olympio University Hospital-Lome Togo

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Journal of Cancer Therapy 2023年第12期14卷 465-477页

作者： Ameyo Ayoko Ketevi Djima Patrice Dangbemey Edem Logboh-Akey Komlan Alessi Andele Bingo M’Bortche Akila Bassowa Achraf Adou Rahim Akou Sodina Gblomatsi Baguilane Douaguibe Dare tchin Abdoul Samadou Aboubakari Koffi Akpadza Department of Gynecology-Obstetrics Health Sciences Faculty University of Lome Lome Togo Department of Gynecology-Obstetrics Health Sciences Faculty University of Abomey-Calavi Abomey-Calavi Bénin Department of Gynecology-Obstetrics Health Sciences Faculty University of Kara Kara Togo Bingo M’Bortche-Principal Clinic of the Togolese Association of Family Well-Being Planning (ATBEF) Lome Togo Department of Pathology University Teaching Hospital of Lome Lome Togo

Background: In Togo, awareness is very low and patients regularly present with advanced stages of breast cancer. Objective: Determine the knowledge of risk factors and means of breast cancer screening by women seen in gynecological consultation of the Sylvanus Olympio University Hospital (CHU SO). Methods: This was a descriptive cross-sectional study conducted at the gynecology-obstetrics clinic of the CHU SO of Lomé, from March 1 to July 15, 2022. Results: We surveyed 1,566 gynaecological outpatients. Six hundred (600) patients agreed to answer our questions freely, giving a participation rate of 38.3%. The average age of the respondents was 31.9 years old. In 25.5% of cases, the respondents were high school graduates. Five hundred and forty-five of the respondents, or 90.8% had already heard of breast cancer. The most frequent sources of information were medical staff in 34.1% of cases. The presence of nodule in the breast was cited as a clinical sign in 68.4% of cases, breast self-examination as a means of screening in 72.6% of cases, personal history of breast cancer in 51.7% of the cases has non-modifiable risks and smoking as a modifiable risk factor by 58.9% of the respondents. In 31% of cases, they performed breast cancer screening on their own. Breast self-examination was performed by 27.7% of them. Occupation and level of study were statistically associated with women’s knowledge of breast cancer. Conclusion: Most women recognize the existence of breast cancer but their knowledge about signs and risk factors remains low. Few of them, practice screening.

关键词： Breast Cancer Screening Women Knowledge Togo

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Primary Malignant Musculosqueletal Tumors of Members in Adult in Togo

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Open Journal of Orthopedics 2016年第4期6卷 103-107页

作者： Atchi Walla Faré Gnandi-Pio Piriziwè Dossim Gamal Ayouba Tchaa Towoezim tchin darre Anani Abalo Michel Dossim Service de Chirurgie Orthopédique et Traumatologique CHU SylvanusOlympio Lomé Togo Service de Chirurgie Orthopédique et Traumatologique CHU Kara Kara Togo Service de Chirurgie Générale du CHP de Kpalimé Kpalimé Togo Laboratoire d’Anatomie et Cytologie Pathologiques CHU SylvanusOlympio Lomé Togo

Purpose: Primary malignant musculosqueletal tumors in adult are rare affections group and its treatment is still a real challenge today. The aim of this work was to describe the epidemiologic and treatment aspects of these tumors in the national reference center of our country. Materiel and Methods: It was a retrospective review of primary malignant musculosqueletal tumors treated in orthopedics and trauma unit of Sylvanus Olympio teaching hospital of Lomé, Togo from January 2000 to December 2014. Results: During the study period, 28 cases were selected and reviewed. There were 17 men (60.71%) and 11 women (39.29%). The average age was 32.7 years. There were 20 cases (71%) of primary malignant bone tumors (PMBT) and 8 cases (29%) of primary malignant soft tissues tumors (PMSTT). There were 6 (30%) of osteosarcoma. The tumor was located in the bones of the forearm and wrist/hand in 2 (10%) patients for each anatomical site;for the lower limb, around knee in 7 (35%) patients. Eight patients had PMSTT (28, 57%). There were three cases of rhabdomyosarcoma, 2 cases of fibrosarcoma. Tumors were located around knee in 4 cases and around ankle/foot in 3 cases. In the two groups of tumor, tumor resection was performed in 5 patients (17.86%) and limb amputation indicated in 23 patients (82.14%), was performed in 15 (53.57%) and 8 patients (37.78%), rejected it and left hospital against medical advice. Conclusion: Malignant musculoskeletal tumors are relatively rare in Togo. Their treatment is based on radical surgery which is often not supervised by adjuvant therapies. Ignorance, poverty of the population and embryonic state of diagnostic and treatment infrastructures are the obstacles to their care. Education and awareness must be integrated to care and fight against this group of diseases.

关键词： Primary Bone Tumors Soft Tissue Tumors Osteosarcoma Rhabdomyosarcoma Togo

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Intravesical Prostate Protrusion (IPP) versus Middle Lobe Volume on Ultrasonography in Assessing the Impact of Benign Prostatic Hyperplasia

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Open Journal of Radiology 2020年第4期10卷 193-202页

作者： Mazamaesso Tchaou Judith Mahunan Hounkpevi Pihou Gbande Essodina Padja Tchilabalo Kpatcha Ekoué Gbadoe tchin darre Lama Kegdigome Agoda-Koussema Department of Radiology Regional Hospital of Sokodé Sokodé Togo Department of Radiology University Hospital of Lomé Lomé Togo Department of Urology University Hospital of Lomé Lomé Togo Department of Pathology University Hospital of Lomé Lomé Togo

Background: Ultrasound is the main method of exploring the prostate. In benign prostatic hyperplasia (BPH), it provides important morphological information and assesses its impact, helping to guide the treatment. Objective: To compare intravesical prostatic protrusion (IPP) and middle lobe volume by ultrasound in BPH. Method: This was a single center prospective, descriptive and analytical study, over a period of 6 months, including 95 patients, undergoing prostatic trans-abdominal ultrasound. Patients were selected by a single urologist for clinical suspicion of benign prostatic hypertrophy. The ultrasound examination was done by a single senior radiologist. Results: The mean age of the patients was 66.63 ± 11.55 years with ranges from 38 to 98 years. The prevalence of BPH was 76.84%. The rate of patient with middle lobe protrusion was 48.42%. The mean middle lobe volume was 11.29 ± 12.90 ml. More than half of the patients (50.91%) had an IPP stage 3 of. The mean bladder wall thickness was 6.08 ± 2.58 mm, with 50.53% being pathological. The post-voiding residue (PVR) was significant in 38.75% of patients. Renal repercussions were present in 17.89%. The correlation analysis did not note a statistical link between prostate volume and quality of life score (p > 0.05). There was a statistically significant correlation between IPP values and quality of life score (p = 00461), IPSS score (p = 0.0424) and PVR (p = 0.0395). For middle lobe volume, there was a correlation with PVR (p = 0.0018). There was no correlation with clinical impact (quality of life score and IPSS score). Conclusion: The IPP appears to be an easy element to measure and better than the volume of the prostate and the middle lobe in assessing the impact of BPH.

关键词： Benign Prostatic Hyperplasia Ultrasonography Intravesical Prostatic Protrusion Middle Lobe Togo

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