Adult Kidney Cancer in the Thies Region: Epidemiological, Diagnostic and Therapeutic Aspects

Abstract

To study the epidemiological, diagnostic, and therapeutic characteristics and the monitoring of patients with kidney cancer seen in hospitals in the Thies region.Patients and methods: We conducted a retrospective descriptive study over a period of seven years (2015)(2016)(2017)(2018)(2019)(2020)(2021) collecting data on all cases of adult kidney cancer managed at the urology-andrology departments in the Thies region. Results:We included 35 cases of adult kidney cancer. The average age of the patients was 53.3+/-30.7 years (Range: 19 to 84 years). We noted a slight female predominance (51.43%) and noted at least one risk factor for kidney cancer in 14 patients (40%). Hematuria (65.7%), lower back pain (54.3%) and lumbar mass (51.4%) were the main circumstances of discovery. All patients had an ultrasound and a uro CT-Scan. Tumor location was right kidney in 18 patients (51.4%) and left kidney in 17 patients (50.6%). Localized (34.3%) and locally advanced (42.9%) tumors were the most represented. Metastases were found in 6 patients (17.1%). Total nephrectomy was performed in 29 patients (82.9%). In the follow-up, we observed 30 setbacks (85.7%) after treatment and obtained 3 cases of death (8.5%) and 1 case of recurrence. The most common histological type was clear cells renal carcinoma (91.4%). Conclusion:The discovery of renal tumors remains late in our regions. Open nephrectomy is still relevant in our context.