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Primary Malignant Musculosqueletal Tumors of Members in Adult in Togo

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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Extra-Pulmonary Tuberculosis: Retrospective Review of 83 Confirmed Cases, Observed in Radiology in Lomé(TOGO)

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Open Journal of Radiology 2016年第1期6卷 49-55页

作者： Mazamaesso Tchaou tchin darre Komi Edem Mossi Lantam Sonhaye Mohaman Djibril Awereou Kotosso Lama Agoda-Koussema Komlan Adjenou Koffi N’Dakena Department of Radiology Sylvanus Olympio Teaching Hospital of Lomé Lomé Togo Department of Pathology Laboratory Sylvanus Olympio Teaching Hospital of Lomé Lomé Togo Department of Internal Medicine Sylvanus Olympio Teaching Hospital of Lomé Lomé Togo Department of Infectious and Tropical Diseases Sylvanus Olympio Teaching Hospital of Lomé Lomé Togo

Background: Tuberculosis primarily affects lungs, but all organs may be affected. Extra-pulmonary forms of tuberculosis cause a big public health problem as it is diagnosed late. This delay in diagnosis is not only due to the delay in the examination, but also due to difficulties related to extra-pulmonary tuberculosis diagnostic. Aim: To describe the different locations of extra-pulmonary Tuberculosis and its aspects in Togo. Patients and Methods: A retrospective analysis of all extra-pulmonary tuberculosis cases diagnosed by imaging over five years (January 2010 to December 2015) was done. All the cases were confirmed either by direct examination of biological fluids or by histological analysis of biopsy and surgical samples or by culture on specific area. Data were collected from the Department of Radiology, from Microbiology Laboratory of the Pneumo-phthisiology unit and from Pathology Laboratory of Sylvanus Olympio Teaching Hospital of Lomé. Results: A total of 83 cases of extra-pulmonary Tuberculosis had been taken into account: 45 men and 38 women, with a maximum number of cases (66.3%) in the age group between 20 to 40 years old. An HIV infection was known in 51 patients (61.4%). Pulmonary damage was associated in 21 patients (25.3%). A total of 116 extra-pulmonary tuberculosis locations were recorded. Damages were pleural in 37.1% (43), ganglion in 24.1% (28), osteo-articular in 15.5% (18), abdominal in 12.9% (15), military represented 8.6% (10), a case of testicular damage, and a case of mammary tuberculosis. Conclusion: The medical scanning based on conventional radiography, ultrasonography and TDM is indispensable for the diagnosis and the care taking of extra-pulmonary tuberculosis since some locations may be confused with many other diseases and lead to misdiagnosis errors and delay the treatment.

关键词： Extra-Pulmonary Tuberculosis Radiography Ultrasonography Computed Tomography Diagnostic Africa Togo

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Blood Transfusion Practices at the Gynecology-Obstetrics Department of the Sylvanus Olympio University Hospital in Lomé: A Study of 254 Cases

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Open Journal of Obstetrics and Gynecology 2019年第4期9卷 494-501页

作者： Aboubakari Abdoul-Samadou Douaguibe Baguilane Bassowa Akila R. D. Ajavon Dédé Logbo-Akey Kossi-Edem Djata Kokou darre tchin Akpdza Koffi Gynecology and Obstetric Department Kara University Hospital Kara Togo Gynecology and Obstetric Department Campus University Hospital Lome Togo Gynecology and Obstetric Department Sylvanus Olympio University Hospital Lome Togo Laboratory of Pathological Anatomy Sylvanus Olympio University Hospital Lome Togo

Objective:?To describe blood transfusion practices in obstetric at the Sylvanus Olympio University Hospital in Lomé. Patients and method: Prospective, cross-sectional and descriptive study, conducted from 1 June 2017 to 31 May 2018 at the gynecology-obstetrics department. The study focused on transfused pregnant, parturient and delivered women. Study parameters were sociodemographic, clinical, therapeutic and prognostic. Results: 252 patients, aged 16 to 49 with an average age of 30.4 years, referred in 74% of cases. Hemorrhage was observed in 238 cases (94.4%) and anemia in 14 cases (5.6%). Blood transfusion was urgently used in 89.7% of cases and hemorrhagic abortion was the main indication. Blood group O+ (34.5%) was the most used and blood products were obtained after two hours in 81% of cases. Conclusion: Blood transfusion is often performed urgently and for bleeding. But the Gynecology-Obstetrics department does not have any blood in reserve, whereas the Sylvanus Olympio University Hospital collection and distribution station covers less than 10% of the needs.

关键词： Blood Transfusion Indications Gynecology-Obstetric Departement Togo

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Experience with Open Prostatectomy in Lomé, Togo

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Open Journal of Urology 2016年第5期6卷 73-79页

作者： Tchilabalo M. Kpatcha Boyodi Tchangai Kodjo Tengue Fousséni Alassani Gnimdou Botcho tchin darre Essomindedou Leloua Komi H. Sikpa Edoe V. Sewa Tsipa Anoukoum Komlan Gnassingbe Department of Urology the University Teaching Hospital of Lomé Togo Departement of Surgery the University Teaching Hospital of Lomé Togo Department of Pathology the University Teaching Hospital of Lomé Togo Department of Pediatric Surgery the University Teaching Hospital of Lomé Togo

Background: Open prostatectomy is the most commonly available surgical procedure for benign prostatic hyperplasia and this is the case in most countries in West African even with all the limitations of the procedure. Objective: The objective is to determine the pattern and outcomes of open prostatectomy in Lomé. Patients & Methods: From December 2011 to November 2012, we conducted a descriptive cross-sectional study on a series of patients treated for prostate adenoma. Dysuria was assessed using the International Prostate Symptom Score (IPSS). The history of each patient was recorded, as well as paraclinical data. All patients were surgically treated via abdominal incision procedure. The data obtained included the patients’ demographics, clinical features, the IPSS scores, investigations, type of open prostatectomy, outcome and follow-up. The data were analyzed for means and frequencies using Epi Info version 3.5.3. Results: Fifty-four consecutive patients underwent surgery consecutively, their ages ranging from 40 to 92 years, with an average of 67.27 ± 12.50 years. In all, 46 (85.2%) patients presented with obstructive symptoms and 26 (48.1%) presented with urinary retention. The average prostate volume was 114.31 ± 20.11 cm3 with a range of 31 - 485 cm3. The average blood loss at surgery was 425.92 ± 38.2 ml with an average operating time of 66.05 ± 15.75 mins and the main complications were hemorrhaging and clot retention in 7 (13%), epididymo-orchitis in 9 (16.7%), and urinary incontinence in 6 (11.1%) patients. IPSS scores were under 7 in 92% of patients three months after surgery and the mortality rate was 3.7%. Conclusion: This study has shown that open prostatectomy in our environment is still the commonest surgical option for benign prostatic hyperplasia with good outcomes though with manageable complications.

关键词： Open Prostatectomy Benign Prostate Hyperplasia Good Outcome Complications Lomé Togo

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Breast Cancer: Knowledge, Attitudes on Risk Factors and Means of Screening by Medical Students from Lomé, Togo

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Advances in Breast Cancer Research 2020年第4期9卷 127-137页

作者： tchin darre Mazamaesso Tchaou Toukilnan Djiwa Essossinam L. Tcharié Luc Valère C. Brun Fifonsi A. Gbeasor-Komlanvi Bidamin N’Timon Abdoulatif Amadou Panakinao Simgban Didier Koumavi Ekouévi Gado Napo-Koura Department of Pathology University Teaching Hospital of Lomé Lomé Togo Department of Radiology University Teaching Hospital of Lomé Lomé Togo Department of Pathology University Teaching Hospital of Parakou Parakou Bénin Department of Health and Epidemiology University of Lomé Lomé Togo

Background: Breast cancer is the leading cause of cancer-related death in women around the world. The objective of this study was to assess knowledge and attitudes about breast cancer screening among students in the Faculty of Health Sciences at the University of Lomé. Methods: This was a prospective descriptive transversal study conducted among students enrolled in the Faculty of Health Sciences (FSS) of the University of Lomé (UL) in the 2019 school year account 2020. The purpose of this study was to assess the knowledge and attitudes of medical students about breast cancer screening. Results: In total, the questionnaire was completed by 934 students, for a response rate of 57.1%. The most frequently mentioned risk factors were the presence of a family history of breast cancer (n = 799, 85.55%) and the use of oral or injectable contraceptives (n = 606, 64.88%). There is a statistically significant link between the participants’ knowledge of the self-examination and clinical examination of the breasts and certain socio-demographic characteristics, namely age (OR = 0.2, 95% CI [0.11 - 0.75], p-value 0.0001), the level of study (OR = 1.5, 95% CI [0.55 - 2.46], p-value = 0.0054), the follow-up of a course on breast cancer (OR = 2.63, 95% CI [0.32

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Spondylodiscitis, an Exceptional Complication of Prostate Biopsy: Case Report

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Open Journal of Modern Neurosurgery 2021年第2期11卷 97-101页

作者： Abd el Kader Moumouni Tchilabalo Matchonna Kpatcha Massaga Dagbe Katanga Anthony Beketi Mawouto Akpalou Gnimdou Botcho Komi Hola Sikpa Detema Wenkouda Maba Fabie Opeku Komi Awume Bidamin Ntimon tchin darre Neurosurgery Department University Teaching Hospital of Kara Kara Togo Urology Department University Teaching Hospital of Kara Kara Togo Radiology Department University Teaching Hospital of Kara Kara Togo Neurosurgery Department Sylvanus Olympio Teaching Hospital Lomé Togo Surgery Department CHR Atakpamé Atakpamé Togo Bacteriology Laboratory University Teaching Hospital of Kara Kara Togo Pathologyanatomy Laboratory Sylvanus Olympio Teaching Hospital Lomé Togo

Background: Transrectal prostate biopsy is a major prostate cancer diagnosis procedure that can cause infectious complications. Osteoarticular localization is uncommon. Aim: To report a case of spondylodiscitis due to a transrectal prostate biopsy and highlight therapeutical principles. Case Presentation: A 60-year-old male underwent transrectal prostate biopsy performed because of high PSA level, and presented 48 hours later with back pain, fever at 40°C associated with an obnubilation. He was treated for malaria without favorable evolution. Persistance of pain and occurrence of neurologic manifestations motivated dorso-lumbar Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) which permitted diagnosis of spondylodiscitis. The treatment was made by triple antibiotic therapy combining Imipenem 500 mg/8h (IV);Ofloxacin 200 mg/12h (IV) and Metronidazole 500 mg/8h (IV) over four weeks. Evolution under treatment was favorable. Conclusion: Spondylodiscitis is an exceptional complication of transrectal prostate biopsy. It may be evocated in case of bones pain after prostate biopsy.

关键词： Spondylodiscitis Prostate Biopsy Complication

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Breast Cancer: Knowledge, Attitudes on Risk Factors and Means of Screening by Medical Students from Lomé, Togo

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Advances in Breast Cancer Research（乳腺癌） 2020年第4期

作者： tchin darre Mazamaesso Tchaou Toukilnan Djiwa Essossinam L. Tchari Luc Valère C. Brun Fifonsi A. Gbeasor-Komlanvi Bidamin N’Timon Abdoulatif Amadou Panakinao Simgban Didier Koumavi Ekouévi Gado Napo-Koura

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