泌尿器科・外科
オープンアクセス

概要

Particularities of the Management of Testicular Cancer in the Thies Region of Senegal

Saint Charles Nabab Kouka, Linda Bentefouet, Mark Thaim, Modou Faye, Mbayang Diop, Mohamed Cisse, Mohamed Jalloh, Aissatou Diame, Yoro Diallo, Cheickna Sylla

Objective: To present the epidemiological, diagnostic and therapeutic profile of patients with testicular cancer in hospitals in the Thies region.

Patients and methods: We conducted a descriptive study from January 1^st, 2015 to December 31^st, 2022. We described the clinical features and treatment of cases managed in different urology departments in the Thiès region.

Results: We collected data on 16 cases of testicular cancer in the study period. Mean patients age was 27 ± 9.5 years. The age group most affected was 20 to 39 years old. The circumstances of discovery were an enlarged scrotum (14 cases), Scrotal pain (1 patient) and 1 case of unilateral scrotum vacuity associated with inguinal swelling. Ultrasound was performed in all patients. The dosage of tumor markers (alpha-feto-protein, beta-HCG) was carried out in 15 patients. All our patients underwent inguinal orchiectomy. Pathology examination noted 9 cases of seminoma germ cell tumor’s and 4 case of embryonal carcinoma. Six patients had secondary lymph node and pulmonary localizations. Chemotherapy was performed in 7 patients and no patient received radiotherapy. With an average follow-up of 6 months, 5 patients died.

Conclusion: Testicular cancer is rare in thies region Senegal. Inguinal orchiectomy is the standard treatment. This cancer is radio-chemo-sensitive.