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Epidemiological Aspects of Metastatic Relapse of Breast Cancer in an African Context

Open Journal of Obstetrics and Gynecology 2017年第5期7卷 552-561页

作者： Jean Marc Dia Corneille Saki Oyeladé Mouhideen Eric Bohoussou Moctar Touré gerard okon Privat Guié Simplice Anongba Gynecology Department of the University and Hospital Center of Treichville (CHUT) Abidjan C&ocirc te d’Ivoire Cancerology Department of the University and Hospital Center of Treichville (CHUT) Abidjan C&ocirc te d’Ivoire

Objectives: This study aimed to describe the epidemiological characteristics of metastatic relapse in breast cancer at the University and Hospital Center of Treichville. Methodology: This is a cohort and retrospective study conducted from January 2000 to December 2015 on 178 patients with metastaticrelapse in breast cancer. Results: The prevalence of metastatic relapses was 49% and the patients had an average age of 53.4 years and among them, 91.6% received school education and 88.2% did not have a high socioeconomic level. The majority of initial tumors were in Stage III (47.8%), SBR III (47.2%), High Ki 67 (46.5%), Negative RH (79.3%), and HER2 negative (58%). Metastases were generally unique (62.9%), dominated by bone sites (36.6%), with an average occurrencedelay of 2.4 years. After the occurrence of metastases, the cumulative survival rate was 5% at 3 years, and nil at 5 years. Conclusion: Metastatic relapses were common with poor prognosis.

关键词： Breast Cancer Risk Factors Metastatic Relapses

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Results of the Management of Urogenital Fistulae from Community Caravans

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Open Journal of Obstetrics and Gynecology 2017年第8期7卷 858-865页

作者： Eric Bohoussou Jean Marc Dia gerard okon Lydie Djanhan Bilé Kouamé Yao Djanhan Gabriel Gnanazan Serges Boni Department of Gynecology and Obstetrics University and Hospital Center of Treichville (CHUT) Abidjan Cote d’Ivoire National Coordinator Fistula Project UNFPA Abidjan Cote d’Ivoire Department of Gynecology and Obstetrics University and Hospital Center of Bouaké (CHUB) Bouaké Cote d’Ivoire Department of Urology University and Hospital Center of Treichville (CHUT) Abidjan Cote d’Ivoire Department of Gynecology and Obstetrics University and Hospital Center of Cocody (CHUC) Abidjan Cote d’Ivoire

Objective: To report the experience of surgical caravans for urogenital fistulas care. Methodology: This was a retrospective study covering the period from January 2014 to December 2014 and which took place on 7 sites of fistula care. The epidemiological, anatomoclinical, therapeutic and evolutionary aspects were studied. Results: 346 patients were operated during 14 caravans. Their average age was 33.11 years (range: 12 to 70 years). Most of these patients were without remunerative activities (80%) and without education (63.3%). The average duration of fistula progression was 6.08 years (range: 0 to 42 years). Obstetrical etiology was predominant (87.9%). According to the classification of Kees Waaldijk, fistulas were divided into type I (67.4%), type II (21.1%), and type III (11.5%). The most common surgical approach was the transvaginal route (82.1%). The vesicovaginal splitting with separated suture of the bladder and the vagina was the basic technique (94.7%). The therapeutic results were judged after a follow-up of 1 month and 3 months. Across the cohort, 80 patients (23.1%) were lost of sight for follow-up at 1 month and 245 (70%) at 3 months. The success rates evaluated in patients reviewed at 1 month and 3 months were respectively 70% and 64%. Conclusion: The incidence of urogenital fistulas is still high in Cote d'Ivoire. Various anatomoclinical varieties have been identified and treated with satisfactory results in poorly equipped local structures.

关键词： Urogenital Fistulas Epidemiology Diagnosis Treatment

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