Cancer du rein de l’adulte au Centre Hospitalo-universitaire de Tengandogo : Aspects épidémiologiques, cliniques, histopathologies et thérapeutiques

Abstract

OBJECTIVE: To study the epidemiological, clinical and histopathological aspects of renal cancers at the University Hospital of Tengandogo. MATERIALS AND METHODS: There were a cross-sectional, descriptive and analytical study with retrospective collection over a period of 5 years and 6 months, from January 1st, 2016 to June 30, 2021. RESULTS: We treated 39 patients, 33 patients were included, with an exhaustiveness of 84.6%. The mean age of the patients was 52.6 years ± 11.7. The sex-ratio was 1.06. Eight patients had risk factors. Lumbar pain and hematuria were the most frequent circumstances of discovery. The average consultation time was 8.6 months ± 1.1. The physical examination had objectified a lumbar mass in 17 patients, 9 patients had lumbar contact and the examination was normal in 13 patients. The right kidney was the most affected side with 17 patients. The mean size of the tumor was 12.2 cm ± 2.4. All patients underwent radical nephrectomy. We recorded one death intraoperatively. The histological type was clear cell renal carcinoma in 32 patients. One patient had chromophobe cell renal cell carcinoma. CONCLUSION: Kidney cancer is a rare pathology, it occurs in adults around the age of fifty. Patients consult late and locally advanced and metastasized forms are the most frequent. The histological type is dominated by clear cell renal carcinoma. KEYWORDS: Cancer; Kidney; Nephrectomy.