[Anatomical-clinical presentation and prognostic factors in cancers of the cervix at the General Hospital of Yaounde]. / Presentations anatomo-cliniques et facteurs pronostiques des cancers du col uterin a l'hôpital General de Yaounde.

The objective of this work was to search for and precise all the facts related to clinical anatomo and the prognosis capable of individualising the sick in our midst. We proposed to analyse 111 files of cases treated for the cancer of the uterine neck in the gynaecology services and cancerology-radiotherapy in the General Hospital, Yaounde. All the facts related to the clinical anatomo presentations of the patients were noted as well as the therapeutic results in accordance with the facts and the technical means of treatment. All these facts have been compared to the ones of the literature. We established that the clinical anatomo presentation of the cases in our series is comparable to the one of the literature taking into account the previous history, the general state, the symptoms and the clinical signs. On the other hand, it differs relatively by the important proportion of the young, the long diagnosis delay, the importance of the extensive stages and the additional prognosis factors in relation with the inadequacy of technical means of treatment. In conclusion, a lucid reorientation of our policy to fight against cancers in general and of cancer of the uterine neck in particular that takes into account the reality of the data based on the clinical and prognosis facts of our patients is needed.

[Management of cervical cancers in Yaounde. 111 cases]. / Prise en charge thérapeutique des cancers du col uterin à Yaoundé. A propos d'une série de 111 malades.

Over a 3-year period, 111 patients presenting histologically documented cervical carcinoma were treated in the Department of Cancerology and Radiotherapy at the General Hospital in Yaounde, Cameroon. Available therapeutic modalities included surgery and radiation therapy with a mean energy of 1.25 Mev of cobalt 60 which were used alone or in combination. Therapeutic strategies had to be adapted to these poor facilities based on poor pretreatment assessment of involvement. Thirty-two patients were not treated using both surgery and radiation therapy due to either insufficient financial resources or advanced disease. Seventy-nine patients were treated with both surgery and radiation therapy in various combinations depending on initial disease stage. The low quality of results was directly related to poor pretreatment assessment of extent and the unavailability of endobrachytherapy.

Aspects echographiques de la pathologie hypertrophique du corps thyroide a l'Hopital Militaire de Yaounde

Les auteurs procedent a une etude retrospective de 36 patients; porteurs d'une hypertrophie de la thyroide; sur un bilan clinique; echographique; hormonal; chirurgical et anatomo-pathologique. Ils notent comme beaucoup d'auteurs une absence de specificite entre les aspects cliniques echographiques et histologiques. Ils preconisent un examen echographique systematique pour le bilan d'une masse thyroidienne; car dans un contexte comme celui du Cameroun sans examen scintigraphique; l'echographie bien que non specifique est plus sensible que l'examen clinique; elle permet un bon bilan diagnostique; revelant des criteres de presomption de benignite ou de malignite. Associee a la cytoponction echo-guidee; elle ameliore la precision diagnostique; permettant un traitement plus efficace

traitement des cancers du col uterin : notre experience a l'Hopital General de Yaounde : a propos d'une serie de 111 malades

Cent onze malades presentant un cancer du col uterin histologiquement confirme ont ete traitees et suivies pendant une periode de quatre annees a l'Hopital General de Yaounde. Les moyens therapeutiques comportaient uniquement l'utilisation d'une maniere parfois isolee; mais le plus souvent en association des rayons gamma d'une energie moyenne de 1;25 Mev du CO60 et de la chirurgie. En effet; les auteurs dispose d'un plateau technique qui ne contient toujours pas de possibilites d'exploitation des avantages de la plesiocurietherapie et de l'endocurietherapie. Ils expliquent dans ce travail comment ils ont du prendre en consideration ces insuffisances techniques pendant le choix des strategies et modalites therapeutiques

Apport de la radiotherapie dans le traitement des cancers du sein a Yaounde apres quatre annees de recul

Les auteurs se sont proposes grace a une analyse retrospective des dossiers; d'etudier l'apport de la radiotherapie dans 55 cas de lesions malignes de la glande mammaire histologiquement confirmees et traitees dans le service de cancerologie-radiotherapie de l'hopital general de Yaounde sur une periode de 4 ans de 1991 a 1994 inclus. L'irradiation a ete menee dans tous les cas; grace aux rayons gamma d'une energie moyenne de 1;25 Mev du cobalt 60. Son effet curateur a ete evalue au niveau de la tumeur primitive et des ganglions regionaux dans le contexte d'un traitement radical d'une part et conservateur d'autre part. Son role antalgique a ete apprecie chez des patients presentant des metastases cancereuses douloureuses. Ses complications ainsi que les difficultes liees a son application au Cameroun ont ete recherchees puis precisees. Enfin; sur la base des differents resultats obtenus; les auteurs ont tire des conclusions et proposes des recommandations adaptees

[Benign sacro-coccygeal teratoma. A case report in Yaounde, Cameroon]. / Tératome sacro-coccygien bénin. A propos d'un cas observé à Yaoundé, Cameroun.

The authors describe a cases of sacrococcygeal teratoma observed in an infant after pregnancy without ultrasound surveillance. The mass was located in the buttock with a mainly exo-pelvic extension. There was no other malformation. Ultrasound examination revealed a heterogeneous structure with solid and liquid areas. Alphafoetoprotein level was high but the beta-HCG level was normal. The surgical specimen weighed 1990 grams and presented microcystic cavities and calcifications. Histological examination confirmed the diagnosis of benign complex multitissue teratoma. Postoperative recovery was uneventful and development of the child was normal 45 months after the procedure. The authors review the histologic, diagnostic, and prognostic features of teratomas and emphasize the importance of early surgical management, which is usually feasible in Africa.

[Solitary extra-osseous ovarian plasmacytoma. Apropos of an unusual case in a 12 year old child]. / Le plasmocytome solitaire extraosseux ovarien. A propos d'un cas exceptionnel chez une enfant de 12 ans.

A rare case of extramedullary or solitary ovarian plasmocytoma in a 12 years old patient is reported. Surgery consisted of left adnexectomy associated with omentectomy. Chemotherapy with abdomino-pelvic iradiation were effectuated afterwards. Review of literature and therapeutic indications are discussed.

Cephalopelvic disproportion at term involving a lithopedion: a case report.

A case of obstructed labor in a term pregnancy caused by cephalopelvic disproportion as a result of a lithopedion retained in a sacculus of the lower uterine segment is reported. Detection and management of this condition are discussed, and a review of relevant literature is also presented.