Medical & Surgical Urology
Open Access

Abstract

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 and 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.

Published Date: 2023-12-22; Received Date: 2023-11-20