IntroductionLes affections cutanées restent encore un problème de santé publique dans la majorité des pays en développement. Notre étude s'est fixée comme objectif de déterminer les aspects épidémiologiques et histologiques des dermatoses au Togo.MéthodesIl s'agissait d'une étude descriptive et transversale portant sur les cas de dermatoses diagnostiquées de 2002 à 2013 (10 ans) au laboratoire d'anatomie pathologique (LAP) du CHU- Sylvanus Olympio. Tous les cas d'examen portant sur un prélèvement de peau (biopsie, exérèse, pièces opératoires) ont été colligés de 2002 à 2013 à partir des données des registres dudit laboratoire.RésultatsAu cours de la période d’étude, 1119 (7,6%) des 14720 prélèvements reçus au LAP étaient des prélèvements de peau, ce qui correspond à une fréquence annuelle de 111,9 prélèvements. L’âge moyen des patients dont les prélèvements de peau appartenaient était de 35,4 ans et le sex-ratio (H/F) de 1,39. Au plan histologique, les lésions cutanées étaient reparties en dermatoses non tumorales (390 cas, 34,8%), dermatoses tumorales et pseudo tumorales (607 cas, 54,2%) et des dermatoses de diagnostic incertain (122 cas, 10,9%). La lèpre (95 cas, 8,5%) et le carcinome épidermoïde (134 cas, 11,9%) étaient les types histologiques les plus fréquents.ConclusionLes dermatoses tumorales et pseudo tumorales font plus l'objet de demande d'examen anatomopathologique au Togo, ce qui s'explique par la hantise de tumeurs malignes devant toute dermatose tumorale. L'amélioration du plateau technique du LAP (immunohistochimie, immunofluorescence directe) permettra d'accroitre ses capacités diagnostiques.
Background: Prostate cancer is the second leading cause of death from cancer in humans in most developed countries. In Togo, around 59.8% of prostate cancers are diagnosed at an advanced stage because of the insufficient screening in connection with the recent introduction of prostate biopsy and the late generalization of PSA (prostate specific antigen). Objective: This study aimed to assess the knowledge of students from the Faculty of Health Sciences of the University of Lomé on the contribution of prostate biopsy in the diagnosis of prostate cancer. Results: A total of 1017 students filled out the form, with an overall response rate of 95.3%. The range age of the subjects was 24.5 years, and a sex ratio (M/F) of 2.51. The majority of students were license (546, 53.69%). Five hundred and eighty-one (57.13%) of the students had not received any training in prostate cancer. Five hundred and eighty-two students (57.23%) had no knowledge of prostate biopsy. There is a statistically significant link between students' knowledge of the prostate biopsy and age (OR 1, 95% CI [0.49 -2.03], p = 0.0001), sex (OR 1, 95% CI [0.33 -1.08], p = 0.0003), the study cycle (OR 2.5, 95% CI [1.02 -5.06], p = 0.0047) and the effectiveness of an internship in urology department (OR 1, 95% CI [0.61 -1.31], p < 0.0001). Conclusion: Medical students have little knowledge of the place of biopsy in the detection of prostate cancer.
Objective
The aim of the study was to describe the epidemiological and etiological characteristics of cervical lymphadenopathy in children, for 15 years (2003-2017) at the pathology laboratory of Lomé, Togo.
Results
A total of 221 cervical adenopathies in children were collected. The sex ratio (M/F) of patients was 1.1 and the average age was 9.8 ± 0.3 years. The notion of HIV was found in 69 children. Histological, the etiologies were infectious (n = 128 cases, 57.9%), tumors (n = 96 cases) and others (n = 8 cases, 1.6%). The main etiology among infections was tuberculosis (n = 84 cases). Tumor etiologies were primitive in 82 cases and secondary in 3 cases. Primary tumors were dominated by lymphomas (n = 74 cases) in its Burkitt form (n = 44 cases). The etiologies of cervical lymphadenopathy in tropical environments are always dominated by infectious agents.
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