Abstract
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.
Highlights
Bladder tumours are frequent, have a poor prognosis and are the second most common genitourinary tumour in men
At the end of a ten-month study in the medical imaging department of the Mali hospital, we had included 17 patients with bladder tumours out of 451 patients referred for abdominal CT or euro scanner, i.e. a frequency of 3.76%
The most frequently found chronic conditions were: urinary bilharzia (47.05%) and smoking (17.65%)
Summary
A bladder tumour is an excessive multiplication of abnormal cells in its mucosa [1] [2] They account for 3% of malignant tumour mortality and affect more men than women, 80% of them after the age of 55. In Europe, the incidence of bladder tumours varies between 6 and 13 per 100,000 inhabitants [3] It is the 7th leading cause of cancer mortality in men and the 9th in women [4]. Medical imaging is involved in all stages of patient management It has a place of choice in the assessment of the extension of the disease, the therapeutic decision and the post-therapeutic follow-up [8] [11], in view of the high frequency of this cancer.
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