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Senghor F, Hussein Y, Ndiaye K, Slaoui O, Thiam I, Diom ES. [A thyroid pathology: The great simulator]. Ann Pathol 2024; 44:125-129. [PMID: 38326138 DOI: 10.1016/j.annpat.2024.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 01/06/2024] [Accepted: 01/10/2024] [Indexed: 02/09/2024]
Abstract
INTRODUCTION Tuberculosis remains a major public health problem in developing countries. Thyroid localization is very rare, and often the cause of misdiagnosis. Pathological anatomy plays an important role in the diagnosis of certainty. The authors report a case of primary thyroid tuberculosis in a 22-year-old patient. We highlight the epidemiological particularities of this case, and discuss diagnostic methods and the contribution of pathological anatomy. OBSERVATION A 22 year-old male patient, with no reported pathological history, was seen in the clinic for the management of an isolated anterior cervical swelling that had been evolving for two months. Clinical examination revealed only a small thyroid nodule, with no inflammatory or vascular features. Biological tests were unremarkable. Ultrasound revealed a 2.4cm hypoechoic, homogeneous, poorly vascularized tissue mass in the left lobe, classified as EU-TIRADS 3. Fine needle aspiration with cytopathological study revealed a necrotizing granulomatous lesion suggestive of tuberculosis. A lobo-isthmectomy was performed, and histopathology revealed thyroid parenchyma destroyed by tubercular granulomas. The postoperative course was straightforward, with an exeat on postoperative day 6. Anti-tuberculosis treatment was instituted for 6 months. Three- and six-month follow-up examinations were unremarkable. The evolution was favorable, with recovery after treatment. CONCLUSION Primary thyroid tuberculosis is rare. Cytology is important for orientation, and often helps to avoid misdiagnosis. The diagnosis should be considered in the presence of any thyroid mass in a patient from a tuberculosis-endemic region.
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Affiliation(s)
- Fabrice Senghor
- Service d'anatomie pathologique de l'hôpital de la Paix, Ziguinchor, Sénégal.
| | - Younes Hussein
- Service d'ORL de l'hôpital de la Paix, Ziguinchor, Sénégal
| | - Kor Ndiaye
- Service d'ORL de l'hôpital de la Paix, Ziguinchor, Sénégal
| | - Otman Slaoui
- Service d'ORL de l'hôpital régional, Ziguinchor, Sénégal
| | - Ibou Thiam
- Service d'anatomie pathologique Aristide Le Dantec, Dakar, Sénégal
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Bentefouet TL, Thiam I, Senghor F, Kebe CT, Gaye M, Ahouidi MJD, Dial CMM. [Epidemiological and anatomopathological profile of endometriosis in Dakar: retrospective study over a period of 20 years]. Ann Pathol 2024; 44:57-64. [PMID: 37953128 DOI: 10.1016/j.annpat.2023.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 10/23/2023] [Indexed: 11/14/2023]
Abstract
INTRODUCTION Endometriosis is a gynecological pathology defined by the presence and abnormal development of endometrial tissue outside the uterine cavity. Our objective was to draw up an epidemiological profile and to describe the anatomical clinical forms of endometriosis in Dakar. PATIENTS AND METHODS This is a retrospective study of all cases of external and internal endometriosis diagnosed in an anatomy and pathology laboratory in Dakar over a period of twenty (20) years. The study parameters were collected from anonymous data sheets. Data entry and analysis were performed using version 22 of the EPI INFO and SPSS software. RESULTS Our study involved 104 female patients. The mean age was 47.3±10.0. Among the patients with an adenomyosis condition, the mean age was 49.8 years. Patients with an external endometriosis condition had a mean age of 37.6 years. The location of the endometriosis was statistically correlated with the age of patients and with parity. Anatomically and pathologically, the surgical specimen 89.4% (n=93) was the main type of sampling that was found. The uterine body was the main location of the pathology, with 78.9% (n=82), followed by the umbilical location with 9.6% (n=10). Leiomyomas 44.07% (n=26) were the main associated lesions. CONCLUSION Endometriosis is a gynecological pathology that is unfortunately not well known, and which is under diagnosed in Senegal.
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Affiliation(s)
- Tonleu Linda Bentefouet
- Unité de formation et de recherche en sciences de la santé de Thiès. Dixieme-Thiès, Thies, Senegal.
| | - Ibou Thiam
- Université Cheikh Anta Diop de Dakar, 5005 Dakar -Fann, Senegal
| | - Fabrice Senghor
- Université Assane Seck de Ziguinchor, Diabir-Ziguinchor, Senegal
| | | | - Magib Gaye
- Université Cheikh Anta Diop de Dakar, 5005 Dakar -Fann, Senegal
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Gaye AM, Thiam I, Deguenonvo GNC, Guèye M, Sarr ISS, Dial CMM. Lithopedion as a factor in post‐traumatic intestinal perforation. J Forensic Sci 2022; 67:2097-2100. [DOI: 10.1111/1556-4029.15070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/19/2022] [Accepted: 05/19/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Abdou Magib Gaye
- Anatomy and Pathological Cytology Laboratory of the Aristide Le Dantec Hospital Dakar Senegal
| | - Ibou Thiam
- Anatomy and Pathological Cytology Laboratory of the Aristide Le Dantec Hospital Dakar Senegal
| | | | - Mamour Guèye
- Department of Gynecology and Obstetrics of the Aristide Le Dantec Hospital Dakar Senegal
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Nougnignon Comlan Deguenonvo G, Thiam I. [Multivisceral pancratic cytosteatonecrosis found at autopsy]. Ann Pathol 2021; 42:424-427. [PMID: 34920904 DOI: 10.1016/j.annpat.2021.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 09/21/2021] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Pancreatic cytosteatonecrosis is a rare condition associated with various pancreatic diseases such as acute or chronic pancreatitis and pancreatic cancer. We report a case of pancreatic cytosteatonecrosis discovered at autopsy. OBSERVATION This is a young man, 29 years old, alcoholic, non-smoker, who consulted for abdominal pain, vomiting, fever (38°). Renal ultrasound showed signs of acute renal failure, with severe anemia at 6g/dl and hyperleukocytosis. Lipasemia has not been tested. The treatment combined hemodialysis, punctures of effusions, analgesics, antibiotics and diuretics. The death occurred after 45 days of hospitalization. The medical autopsy requested showed an abdominal cavity dotted with multiple whitish, chalky, "candle-stained" nodules scattered throughout the peritoneum. Microscopy confirmed the diagnosis by showing large areas of adiponecrosis associated with polymorphic, diffuse leukocyte infiltrates and calcifications. CONCLUSION This observation is original by the discovery at autopsy of one of the major complications of acute pancreatitis. This situation is dramatic because the death could be avoided. You have to think about it in order to ask for the dosage of lipasemia. The "digestion" of pancreatic enzymes are responsible for intra-pancreatic and peri-pancreatic complications. Chronic alcoholism and cholelithiasis are the main risk factors.
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Affiliation(s)
| | - Ibou Thiam
- Laboratoire d'anatomie et de cytologie pathologiques, Pavillon Bichat, C.H.N.U. Aristide Le DANTEC, avenue Pasteur, BP : 3001, Dakar, Sénégal
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Senghor F, Thiam I, Sow O, Traore A, Fall B, Dial CMM. Primary squamous cell carcinoma of the kidney in southern Senegal (Ziguinchor): case report and review of the literature. Pan Afr Med J 2021; 40:175. [PMID: 35018208 PMCID: PMC8720232 DOI: 10.11604/pamj.2021.40.175.29222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 10/26/2021] [Indexed: 11/29/2022] Open
Abstract
The kidney's primary squamous cell carcinoma is a rare tumor, representing 0.5-0.8% of malignant renal tumors and 4% of upper urinary tract tumors. This pathology often occurs after a long past history of renal lithiasis and repeated untreated or poorly treated urinary tract infections. The delay in diagnosis resulting from an insidious symptomatology, without specific signs, often leads to a pejorative development, especially in poor countries. A seventy-nine-year-old Senegalese woman, with no past history of lithiasis nor recurrent urinary tract infection and urinary schistosomiasis, was received for a recurrent total hematuria associated with left lumbar pain. Clinical examination revealed a mobile tender left lumbar mass, with lumbar contact and renal sloshing. The left renal tumor´s diagnosis was retained on clinical and scannographic arguments, justifying an enlarged left total nephrectomy, by laparotomy. The anatomopathological examination of the surgical sample made it possible to make the diagnosis of primary invasive squamous cell carcinoma of the left kidney and to find foci of carcinoma in-situ on squamous metaplasia in the calyxes. Unlike the typical case of primary squamous cell carcinoma of the kidney, our patient did not have a long past history of renal lithiasis nor untreated or poorly treated recurrent urinary tract infections and urinary schistosomiasis. Primary squamous cell carcinoma of the kidney may not be related to a past history of recurrent urinary tract infections and lithiasis, but to any other cause of squamous metaplasia of the urothelium. Surgery remains the best option for this entity.
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Affiliation(s)
- Fabrice Senghor
- Pathological Anatomy Department, Aristide Le Dantec University Hospital, Dakar, Senegal
- Health Sciences Training and Research Unit, Assane Seck University, Ziguinchor, Senegal
- Corresponding author: Fabrice Senghor, Pathological Anatomy Department, Aristide Le Dantec University Hospital, Dakar, Senegal.
| | - Ibou Thiam
- Pathological Anatomy Department, Aristide Le Dantec University Hospital, Dakar, Senegal
| | - Omar Sow
- General Surgery Department, De La Paix University Hospital, Ziguinchor, Senegal
| | - Aboubacar Traore
- Urology Department, De La Paix University Hospital, Ziguinchor, Senegal
| | - Boubacar Fall
- Health Sciences Training and Research Unit, Assane Seck University, Ziguinchor, Senegal
- Urology Department, De La Paix University Hospital, Ziguinchor, Senegal
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Sow O, Sarr A, Ndiaye M, Ondo CZ, Sine B, Ndiath A, Diaw EHM, Gaye AM, Ndour NS, Dabo O, Thiam I, Sow Y, Diao B, Ndoye AK. Rhabdomyosarcome paratesticulaire : à propos d’un cas chez un adulte jeune. PAMJ-CM 2021. [DOI: 10.11604/pamj-cm.2021.5.34.27736] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Ndiaye M, Sow O, Gaye AM, Sarr A, Ndiath A, Sine B, Ondo CZ, Diaw EHM, Dabo O, Thiam I, Sow YH, Diao B, Ndoye AK. Primary urethra adenocarcinoma in women: case report and review of the literature. PAMJ-CM 2020. [DOI: 10.11604/pamj-cm.2020.4.38.25874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Dial C, Doh K, Thiam I, Roth PAN, Moreira C, Woto-Gaye G. Retinoblastoma in children: a case series from Senegal. Oxf Med Case Reports 2019; 2019:omz084. [PMID: 31772735 PMCID: PMC6792087 DOI: 10.1093/omcr/omz084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 05/28/2019] [Accepted: 07/22/2019] [Indexed: 11/13/2022] Open
Abstract
Retinoblastoma is the most common tumor of the eye in Senegalese children. Diagnosis occurs often at a late stage, when enucleation is unavoidable. In this report, we describe all recorded cases occurring in Senegal over a 10-year period (2005-14). For the 106 cases clinically and radiological identified, the mean age at diagnosis was 30 months (2 months / 10 years). Leucocoria (74.6%) and exophthalmos (42.3%) were common signs of the disease. For the 67 cases identified through patient-file examination, extra-ocular forms were present in 30% of cases at the time of diagnosis and retinal detachment in 19% of cases. Chemotherapy and surgery were the only available therapeutic methods. Overall survival at 5 years was 70%. Retinoblastoma is a serious illness that threatens the lives and sight of affected children. There are about 10 cases per year in Senegal. Management can be enhanced by improving existing technical platforms and training medical staff.
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Affiliation(s)
- Chérif Dial
- Laboratory of Anatomy and Cytology, Hospital of Grand Yoff, 15 Rue Robert Brun, 3270, Dakar, Senegal
| | - Kwame Doh
- Laboratory of Pathological Anatomy and Cytology, Aristide Dantec Hospital, Avenue Pasteur, 3001 Dakar, Senegal
| | - Ibou Thiam
- Laboratory of Pathological Anatomy and Cytology, Aristide Dantec Hospital, Avenue Pasteur, 3001 Dakar, Senegal
| | - Paul Aïda Ndoye Roth
- Department of Ophthalmology, Aristide Dantec Hospital, Avenue Pasteur, 3001 Dakar, Senegal
| | - Claude Moreira
- Oncology's Pediatric Department, Aristide Dantec Hospital, Avenue Pasteur, 3001 Dakar, Senegal
| | - Gisèle Woto-Gaye
- Laboratory of Pathological Anatomy and Cytology, Aristide Dantec Hospital, Avenue Pasteur, 3001 Dakar, Senegal
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Ndour MA, Sow M, Thiam I, Djiba B, Senghor F, Diagne N, Ndao AC, Pouye A. [Pseudotumoral tuberculosis of the cervix]. Pan Afr Med J 2019; 32:163. [PMID: 31303932 PMCID: PMC6607291 DOI: 10.11604/pamj.2019.32.163.17763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Accepted: 02/16/2019] [Indexed: 11/11/2022] Open
Abstract
La localisation cervicale de la tuberculose est rare et peut prendre l'apparence d'un cancer du col utérin. La présentation pauci-symptomatique et l'évolution insidieuse sont à l'origine d'un retard diagnostique. Les symptômes communément rencontrés sont non spécifiques, ce qui contribue au retard thérapeutique et majore le risque d'infertilité qui reste la séquelle quasi inéluctable. Nous rapportons un cas de tuberculose du col utérin dont le diagnostic de prime abord n'a pas été évident. En effet une patiente a été adressée à notre département pour suspicion de cancer du col utérin. Le diagnostic de suspicion de cancer a été alors retenu devant un col qui saignait au contact avec une tomodensitométrie abdominopelvienne en faveur d'une tumeur du col utérin. Une biopsie de confirmation histologique a été indiquée. On a retrouvé à l'examen anatomopathologique, un granulome épithélio-giganto-cellulaire avec nécrose caséeuse, compatible avec une tuberculose cervicale. La recherche d'un terrain était négative. Un traitement antituberculeux instauré a conduit à la guérison. Retenue souvent sur la base d'éléments présomptifs, la décision diagnostique et thérapeutique de tuberculose du col cervicale reconnait la place de l'examen anatomopathologique.
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Affiliation(s)
- Michel Assane Ndour
- Service de Médecine Interne, Centre Hospitalier Aristide le Dantec, Dakar, Sénégal
| | - Maimouna Sow
- Service de Médecine Interne, Centre Hospitalier Aristide le Dantec, Dakar, Sénégal
| | - Ibou Thiam
- Service d'Anatomopathologie, Centre Hospitalier Aristide le Dantec, Dakar, Sénégal
| | - Boundia Djiba
- Service de Médecine Interne, Centre Hospitalier Aristide le Dantec, Dakar, Sénégal
| | - Fabrice Senghor
- Service d'Anatomopathologie, Centre Hospitalier Aristide le Dantec, Dakar, Sénégal
| | - Nafi Diagne
- Service de Médecine Interne, Centre Hospitalier Aristide le Dantec, Dakar, Sénégal
| | - Awa Cheikh Ndao
- Service de Médecine Interne, Centre Hospitalier Aristide le Dantec, Dakar, Sénégal
| | - Abdoulaye Pouye
- Service de Médecine Interne, Centre Hospitalier Aristide le Dantec, Dakar, Sénégal
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Gaye AM, Mouamba FG, Diemé MJ, Niang D, Thiam I, Dial CMM. [Undifferentiated Carcinoma of the Nasopharynx in Dakar, an Area Supposed to be Non-Endemic: about 13 Cases]. ACTA ACUST UNITED AC 2019; 111:84-89. [PMID: 30789241 DOI: 10.3166/bspe-2018-0029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2018] [Accepted: 06/01/2018] [Indexed: 11/20/2022]
Abstract
Undifferentiated carcinoma of the nasopharynx (UCNT) has variable incidence throughout the world. Senegal is supposed to be a non-endemic zone. There is a constant connection with the Epstein-Barr virus. In this work, the authors study and discuss the pathological aspects of undifferentiated carcinoma of the nasopharynx in 13 cases. They also seek to make the link between this cancer and the presence of an Epstein-Barr virus infection in these patients. This is a retrospective series of cases involving patients with UCNT, diagnosed on histological basis in Dakar and confirmed by immunohistochemistry. An EBV search was performed on these cases through in situ hybridization by the EBER probe. 15 cases diagnosed on histological basis were able to benefit from immunohistochemistry, and 13 cases were confirmed, ie 87%. The mean age was 28.37 years with extremes of 5 and 56 years. The male sex predominated, with a sex ratio of 8/3. The macroscopic lesions were of ulcerous-budding type for cases revealed by a mass of the cavum. The histological aspect resulted in a proliferation of atypical undifferentiated cells, with large, clear, strongly nucleated nuclei, with eosinophilic cytoplasm, scarcely abundant. The stroma was of the lymphoid type. In situ hybridization with the EBER probe showed moderate or intense diffuse scarring of the tumor cells for 10 cases, ie 77%. The number of cases noted in our study taking into account the period of 10 years considered, is indicative of the rare nature of this type of cancer in Dakar. While globally, Epstein-Barr Virus is consistently associated with UCNT, for some of our cases we have not been able to highlight EBV, suggesting the possible involvement of other risk factors, such as HPV.
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Affiliation(s)
- A M Gaye
- Laboratoire d'anatomie et cytologie pathologiques du CNHU Aristide Le Dantec, Dakar, Sénégal
| | - F G Mouamba
- Laboratoire d'anatomie et cytologie pathologiques du CNHU Aristide Le Dantec, Dakar, Sénégal
| | - M J Diemé
- Laboratoire d'anatomie et cytologie pathologiques du CNHU de Fann, av. Cheikh Anta Diop, Dakar, Sénégal
| | - D Niang
- Laboratoire d'anatomie et cytologie pathologiques du CNHU de Fann, av. Cheikh Anta Diop, Dakar, Sénégal
| | - I Thiam
- Laboratoire d'anatomie et cytologie pathologiques du CNHU Aristide Le Dantec, Dakar, Sénégal
| | - C M M Dial
- Laboratoire d'anatomie et cytologie pathologiques du CNHU de Grand Yoff, Dakar, Sénégal
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Thiam I, Doh K, Gaye AM, Sonhaye K, Ndiaye M, Woto Gaye G. [Laryngeal Tuberculosis Diagnosed in a Pathological Laboratory in Senegal (2011-2015)]. ACTA ACUST UNITED AC 2019; 111:5-8. [PMID: 30763505 DOI: 10.3166/bspe-2018-0010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Accepted: 01/23/2018] [Indexed: 11/20/2022]
Abstract
Laryngeal tuberculosis (LT) is a rare disease. The therapy for LT is easy but the diagnosis remains a challenge for the pathologist and the laryngologist because of the absence of specific signs. The objective was to analyze the epidemiological and pathological profiles of LT cases in Dakar (Senegal) with a view to better understand this pathology. This study was a retrospective and descriptive of LT cases diagnosed in pathology laboratories in Senegal during five years (2011-2015). The LT was found in 9 cases. The mean age at diagnosis was 41.9 years (18/58) without sex predominance (sex-ratio = 0.8). Tobacco intoxication (3/9), tuberculosis contagion (1/9), HIV immunodepression (2/9), and diabetes (1/9) were the various risk factors found. Dysphonia was a constant symptom (9/9) associated with dysphagia (2/9) and cervical adenopathy (1/9). The macroscopic presentation was tumoral-like (7/9) and erythematosus and fibrinoid (2/9). The LT was of glottic seat in all the cases (9/9) with participation on top-glottic in two of the cases. The biopsy was performed in all patients. It reported tuberculous granuloma in four cases (4/9), tuberculoid granuloma in one case (1/9), and chronic lymphocytic laryngitis in four cases (4/9). CT-scan of the lungs was pathological in five patients (5/9). Evolution was favorable in all cases under "conventional tuberculosis treatment" over a period of six months. The diagnosis of LT requires a high collaboration between the laryngologist and the pathologist.
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Affiliation(s)
- I Thiam
- Laboratoire d'anatomie et cytologie pathologiques, de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal
| | - K Doh
- Laboratoire d'anatomie et cytologie pathologiques, de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal
| | - A M Gaye
- Laboratoire d'anatomie et cytologie pathologiques, de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal
| | - K Sonhaye
- Service d'otorhinolaryngologie et de chirurgie cervicofaciale, hôpital universitaire de Fann, Dakar, Sénégal
| | - M Ndiaye
- Service d'otorhinolaryngologie et de chirurgie cervicofaciale, hôpital universitaire de Fann, Dakar, Sénégal
| | - G Woto Gaye
- Laboratoire d'anatomie et cytologie pathologiques, de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal
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Soumboundou M, Thiam I, Doh K, Woto-Gaye G. Cervical Cancer: What Vaccine in Senegal? J Glob Oncol 2018. [DOI: 10.1200/jgo.18.64000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Introduction: Cervical cancer (CC) is first cancer in terms of frequency and mortality among women in Senegal. This is a public health problem hence the urgency of preventive measures including vaccination. The choice of the vaccine cannot be made on strictly financial factors, nor on the results of the others studies, but should take into account the prevalence and distribution of HPV in the CC in Senegal. We conducted this study with the aim of determining the distribution of the genotype of the different types of HPV found in the CC in Senegal and propose a vaccine for Senegal. Methods: It was a retrospective and descriptive study carried out in cooperation with the molecular and radiobiology institute of Lyon. Sixty paraffin-embedded tissue blocks were chosen by a simple random method on 1015 blocks of CC diagnosed in pathology laboratories of public hospitals of Senegal. In Lyon, the total DNA of the tumor genome was extracted and amplified according to the multiplex PCR technique using primers MY09-MY11, GP5 + and GP6 +. β-globin was used as an internal control. Results: Of the 60 paraffin blocks examined, DNA extraction was unsatisfactory in 4 cases. HPV-HR infection was present in all other tumors. It was a monoinfection in 33 cases (59%) and a multi-infection in 23 cases (41%). In total, of the 56 validated cases, 89 HPV-HR were identified by the PCR-multiplex technique. HPV 16 and 18 accounted for about 70% of all HPV implicated in the CC in Senegal. The other HPV types found are HPV 45 (9), HPV 35 (5), HPV 58 (5), HPV 39 (3), HPV 66 (2), and one case of HPV 31, 33, 51, 59, 68. In 51 patients (91.1%), HPV 16 or 18 was at least one of the viruses involved. Conclusion: The involvement of HPV in CC was first reported by German virologist Harold Zur Hausen in 1980. Several studies have subsequently corroborated this association by finding a stronger binding of HPV to CC than that of tobacco to lung cancer. In 1996, the WHO recognized HPV-HR as the leading cause of CC. There is a variable distribution of HPV in the literature according to geographical and ethnic criteria. In Senegal, as almost everywhere else, HPV 16 and to a lesser degree HPV 18 represent the two major viruses involved in carcinogenesis of the cervix. Of twelve identified viral genotypes, HPV 16 and HPV 18 account for nearly 70% of viral infections and are involved in more than 90% of CC cases. At present, there are three types of vaccines: Cervarix (HPV 16, 18), Gardasil (HPV 6, 11, 16, 18) and Gardasil 9 (HPV 6, 11, 16, 18, 31, 33, 45, 52, 58). The authors recommend the use of Cervarix in the cancer plan of Senegal. They also advise a better sexual education to control the infection and especially the multi-infection found in 40% in the CC in Senegal. Finally, they emphasize that vaccination is not exclusive of screening but rather should accompany it.
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Affiliation(s)
- M. Soumboundou
- University Cheikh Anta Diop, Pharmaceutical Physics Laboratory FMPO, Dakar, Senegal
| | - I. Thiam
- University Cheikh Anta Diop, Pharmaceutical Physics Laboratory FMPO, Dakar, Senegal
| | - K. Doh
- University Cheikh Anta Diop, Pharmaceutical Physics Laboratory FMPO, Dakar, Senegal
| | - G. Woto-Gaye
- University Cheikh Anta Diop, Pharmaceutical Physics Laboratory FMPO, Dakar, Senegal
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Doh K, Thiam I, Takin RCA, Sonhaye K, Woto-Gaye G. [A rare parotid tumor]. Ann Pathol 2018; 38:321-324. [PMID: 29880294 DOI: 10.1016/j.annpat.2018.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Revised: 04/08/2018] [Accepted: 04/19/2018] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Sebaceous lymphadenoma of the parotid (SLP) is a rare, benign tumor with similar epidemiological and macroscopic characteristics with other sebaceous differentiated tumors of the parotid (SDTP). The authors report a case of SLP in an 80-year-old woman. They then recall the distinctive histological and immunohistochemical criteria of SDTP. OBSERVATION Mrs P. D. was received during a surgical consultation for the management of a painless right parotid swelling that has evolved for 10years, increasing slightly in volume. At admission, the mass was movable, firm with a healthy skin without facial paralysis or satellite lymphadenopathy. The surgical intervention performed removed a nodular mass measuring 7cm, encapsulated, yellowish. It was made of regular epithelial cells without atypia or mitoses organized in nests, trabeculae and massifs. This tumor also included small canalicular cystic dilatations associated with several islands of sebaceous glands. The stroma was dense lymphoid with follicles and germinal centers. The tumor cells were CK7+, P63+, MSA+ and had a Ki67<5%. The diagnosis of an SLP was retained. No additional therapy was performed. One year after surgery, the patient had no local recurrence or metastatic foci. CONCLUSION SLP is a rare tumor with a particular histological and immunohistochemical profile. It is an epithelial tumor with sebaceous islands, a dense reactional lymphoid stroma, expression of luminal and basal epithelial markers and a low proliferation index.
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Affiliation(s)
- Kwame Doh
- Laboratoire d'anatomie et de cytologie pathologiques de l'hôpital Aristide-Le-Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal.
| | - Ibou Thiam
- Laboratoire d'anatomie et de cytologie pathologiques de l'hôpital Aristide-Le-Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal.
| | - Romulus Carmen Adechina Takin
- Laboratoire d'anatomie et de cytologie pathologiques de l'hôpital régional de Troyes, hôpital général de Troyes, 101, avenue Anatole-France, 10000 Troyes, France.
| | - Khaled Sonhaye
- Service d'ORL et de CCF de l'hôpital régional de Ziguinchor, BP 535, Ziguinchor, Sénégal.
| | - Gisèle Woto-Gaye
- Laboratoire d'anatomie et de cytologie pathologiques de l'hôpital Aristide-Le-Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal
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Dial C, Doh K, Thiam I, Faye M, Woto-Gaye G. Une étiologie exceptionnelle de l’insuffisance rénale aiguë : le lymphome de Burkitt. Nephrol Ther 2018; 14:237-239. [DOI: 10.1016/j.nephro.2017.11.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2017] [Revised: 10/24/2017] [Accepted: 11/19/2017] [Indexed: 11/25/2022]
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Thiam I, Doh K, Hassan-Farah S, Tagba E, Leloua A, Woto-Gaye G. [Intra-thyroid metastasis and the pathologist]. Ann Pathol 2017; 37:170-174. [PMID: 28291559 DOI: 10.1016/j.annpat.2016.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Revised: 09/06/2016] [Accepted: 11/25/2016] [Indexed: 11/30/2022]
Abstract
Intra-thyroid metastases (ITM) are rarely observed clinically. The high blood flow of the thyroid and its high content of iodine explain this rarity. The clinical and radiological criteria of ITM are not very specific. The pathologist is the principal actor of ITM diagnosis. Cytology, intraoperative examination and histological techniques are the means available. The microscopic aspects of ITM are varied. Art is to differentiate ITM to undifferentiated primary tumor. We report two cases of ITM in patients aged 49 and 52 years, respectively. We discuss diagnostic methods and challenges for pathologists in identifying such lesions.
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Affiliation(s)
- Ibou Thiam
- Laboratoire d'anatomie et de cytologie pathologiques, hôpital Aristide Le Dantec, BP : 3001 Anta Diop, Dakar, Sénégal.
| | - Kwame Doh
- Laboratoire d'anatomie et de cytologie pathologiques, hôpital Aristide Le Dantec, BP : 3001 Anta Diop, Dakar, Sénégal.
| | - Samatar Hassan-Farah
- Laboratoire d'anatomie et de cytologie pathologiques, hôpital Aristide Le Dantec, BP : 3001 Anta Diop, Dakar, Sénégal.
| | - Essolam Tagba
- Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, hôpital régional de Ziguinchor, Ziguinchor, Sénégal
| | - Adolph Leloua
- Service d'urologie-andrologie, hôpital Général de Grand-Yoff, BP 3270, Dakar, Sénégal
| | - Gisèle Woto-Gaye
- Laboratoire d'anatomie et de cytologie pathologiques, hôpital Aristide Le Dantec, BP : 3001 Anta Diop, Dakar, Sénégal
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Dial C, Doh K, Thiam I, Ndoye Roth P, Moreira C, Woto-Gaye G. [Pathological profiles of retinoblastoma in Senegal]. J Fr Ophtalmol 2016; 39:739-743. [PMID: 27765445 DOI: 10.1016/j.jfo.2016.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2016] [Accepted: 07/24/2016] [Indexed: 10/20/2022]
Abstract
OBJECTIVES Describe the macroscopic and microscopic profiles of retinoblastoma (RB) in Senegal and correlate histological criteria with progression to establish severity factors. METHODOLOGY We realized a retrospective study over 10 years (January 2005-December 2014). Only patients (n=67) who underwent histological analysis of the enucleation specimen (n=68) were followed until the end of the study. RESULTS The tumor measured an average of 3.8cm (2/4.5). Endophytic tumor development was observed in 55 cases (80.8%), exophytic in 6 cases (8.9%) and mixed in 7 cases (10.3%). Retinal detachment was present in 13 cases (19.2%). The RB was well differentiated in 11 cases (16.2%), moderately differentiated in 31 cases (45.6%) and undifferentiated in 26 cases. Optic nerve (ON) invasion was present in 18 cases (26.5%). The tumor was extraretinal in 37 cases (54.4%). The anterior chamber was invaded in 6 cases (8.8%). The global survival at 2 years was 84% and 70% at 5 years. On multivariate analysis, well differentiated tumors and stage pT1 were associated with remission. Retrolaminar ON invasion, massive choroidal invasion and stage pT3 were risk factors for recurrence. Poor tumor differentiation, invasion of the ON resection margin, tumor invasion through the sclera, and stage pT4 were predictive of death. CONCLUSION The pathologist is a principal actor in the management of RB because his account guide the post-surgical management strategy.
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Affiliation(s)
- C Dial
- Laboratoire d'anatomie et cytologie pathologiques, hôpital de Grand-Yoff, BP 3270 Grand-Yoff, Dakar, Sénégal
| | - K Doh
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide Le Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal.
| | - I Thiam
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide Le Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal
| | - P Ndoye Roth
- Service d'ophtalmologie, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - C Moreira
- Service d'oncologie pédiatrique, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - G Woto-Gaye
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide Le Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal
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Gaye AM, Doh K, Thiam I, Bentefouet L, Woto-Gaye G. Bilharziose et cancer : une association fortuite ou une relation de cause à effet. Bull Cancer 2016; 103:806-7. [DOI: 10.1016/j.bulcan.2016.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Revised: 07/18/2016] [Accepted: 07/22/2016] [Indexed: 10/21/2022]
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Woto-Gaye G, M'Farrej MK, Doh K, Thiam I, Touré S, Diop R, Dial C. [Human papilloma viruses: other risk factor of head and neck carcinoma]. ACTA ACUST UNITED AC 2016; 109:160-4. [PMID: 27325173 DOI: 10.1007/s13149-016-0500-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2016] [Accepted: 04/07/2016] [Indexed: 12/17/2022]
Abstract
Head and neck carcinoma (HNC) occupy the sixth place as the most frequent type of cancer worldwide. Next to alcohol and tobacco intoxication, other risk factors (RF) are suspected, including the human papilloma viruses (HPVs). The aim of this study was to highlight the prevalence of HPVs and histo-epidemiological characteristics of HNC HPV+ in Senegal. This is a prospective, multicenter preliminary study of 18 months (January 1, 2012-June 30, 2014). The cases of HNC histologically confirmed in Senegal were then sent to the bio-pathology department of the Curie Institute in Paris to search HPVs. In the 90 included cases, the PCR technique was successful in 54 cases (60%). HPVs were found in seven cases, that is, a prevalence of 13%. HPVs were associated with 5 cases of hypopharyngeal carcinoma and 2 cases of carcinoma of the oral cavity. Patients with HNC HPV+ had a median age of 42 years against 49 years for HPV-patients. Three patients (42.8%) with HPV+ carcinomas were smokers. Of the 47 HPV-patients, 40 patients (87.1%) had alcohol intoxication and/or smoking. The concept of oral sex was refuted by all our patients. Squamous cell carcinoma was the only histological type found. HPV+ cell carcinoma showed no specific histological appearance. HPVs are another certain RF of HNC in Senegal. The major therapeutic and prognostic impact of HPVinduced cancers requires the systematic search of the viruses by the PCR technique.
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Affiliation(s)
- G Woto-Gaye
- Hôpital Aristide-Le-Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal
| | - M K M'Farrej
- Hôpital Aristide-Le-Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal
| | - K Doh
- Hôpital Aristide-Le-Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal.
| | - I Thiam
- Hôpital Aristide-Le-Dantec, pavillon Bichat, avenue Pasteur, BP 3001, Dakar, Sénégal
| | - S Touré
- Service de stomatologie, d'odontologie et de chirurgie maxillofaciale, Dakar, Sénégal
| | - R Diop
- Service de stomatologie, d'odontologie et de chirurgie maxillofaciale, Dakar, Sénégal
| | - C Dial
- Hôpital Général de Grand Yoff, BP 3270, Grand Yoff, Dakar, Sénégal
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Doh K, Thiam I, Ka S, Dial C, Woto-Gaye G. [Rectal endometriosis: An exceptional etiology of acute intestinal occlusion]. Ann Pathol 2016; 36:412-414. [PMID: 27079729 DOI: 10.1016/j.annpat.2015.11.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 08/05/2015] [Accepted: 11/12/2015] [Indexed: 11/25/2022]
Abstract
The intestinal occlusion acute is an emergency and therapeutic diagnostic. A rectal tumor is rarely the cause in a young adult. We are carrying the case of a patient of 43years old, received at emergency on a board of intestinal occlusion acute due to a rectal tumor of a fortuitous discovery during the operation. The final diagnosis after a histopathologic examination was for the less unexpected. It was rectal endometriosis in its tumor-like. A complementary medical care obtains satisfactory results.
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Affiliation(s)
- Kwame Doh
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide le Dantec, pavillon Bichat, BP 3001, avenue Pasteur, Dakar, Sénégal.
| | - Ibou Thiam
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide le Dantec, pavillon Bichat, BP 3001, avenue Pasteur, Dakar, Sénégal.
| | - Sidy Ka
- Service des urgences chirurgicales, hôpital régional de Thiès, Thiès, Sénégal.
| | - Cherif Dial
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide le Dantec, pavillon Bichat, BP 3001, avenue Pasteur, Dakar, Sénégal.
| | - Gisèle Woto-Gaye
- Laboratoire d'anatomie et cytologie pathologiques, hôpital Aristide le Dantec, pavillon Bichat, BP 3001, avenue Pasteur, Dakar, Sénégal
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Doh K, Tagba E, Thiam I, Sarr A, Woto-Gaye G. [NK/T-cell Lymphoma of nasal-type: A rare affection with a poor prognosis]. ACTA ACUST UNITED AC 2016; 117:167-9. [PMID: 26972561 DOI: 10.1016/j.revsto.2016.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Revised: 01/13/2016] [Accepted: 02/01/2016] [Indexed: 12/12/2022]
Abstract
INTRODUCTION NK/T cell lymphoma of nasal-type was described in 1933 as a malignant midfacial granuloma. The diagnosis of this rare affection is clinical and immunohistopathological. We report a case of NK/T cell lymphoma diagnosed at an advanced stage. OBSERVATION A 60-year-old man with no particular medical history presented since seven months with a left nasal obstruction associated with a purulent and fetid rhinorrhea followed by a centrifugal midfacial necrosis. Blood tests showed an inflammatory syndrome. The CT-scan of the face showed a filling of the nose and sinus by a tissular process and a lysis of the bone walls. Three series of biopsies (le last being performed under general anesthesia) were necessary to get the diagnosis of NK/T cell lymphoma. The standard histology showed a malignant proliferation made of round and spindle-shaped lymphoid-like cells and angiocentric arrangement. The cells were CD 2+, CD 3+, CD 5+ and CD 56+. The spontaneous evolution was fatal one month after diagnosis in a context of septic shock. CONCLUSION NK/T cell lymphoma of nasal-type is a rare disease but should be evocated in patient with midfacial necrosis of centrifugal evolution. The diagnosis certainty is made on immunohistopathological analysis. Multiple biopsies, made at distance from necrotic areas and under general anesthesia may be necessary.
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Affiliation(s)
- K Doh
- Laboratoire d'anatomie et de cytologie pathologiques, hôpital Aristide le Dantec, Dakar, Sénégal.
| | - E Tagba
- Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, hôpital régional de Ziguinchor, Dakar, Sénégal
| | - I Thiam
- Laboratoire d'anatomie et de cytologie pathologiques, hôpital Aristide le Dantec, Dakar, Sénégal
| | - A Sarr
- Laboratoire d'anatomie et de cytologie pathologiques, hôpital Aristide le Dantec, Dakar, Sénégal
| | - G Woto-Gaye
- Laboratoire d'anatomie et de cytologie pathologiques, hôpital Aristide le Dantec, Dakar, Sénégal
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Sarr A, Thiam I, Gueye D, Sow Y, Fall B, Thiam A, Sine B, Ba M, Diagne BA. [Inflammatory pseudo-tumor of the bladder expelled through the urethral meatus in a girl]. Arch Pediatr 2015; 22:1295-7. [PMID: 26552617 DOI: 10.1016/j.arcped.2015.09.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Revised: 02/24/2015] [Accepted: 09/20/2015] [Indexed: 10/22/2022]
Abstract
Inflammatory pseudo-tumors of the bladder are rare benign tumors that mostly arise in the differential diagnosis of sarcomas in children. The authors report an unusual case of pedunculated inflammatory pseudo-tumor of the bladder that externalized by the urethral meatus in a 13-year-old girl. The treatment consisted of a ligation-resection of the pedicle, followed by resection of the tumor. After regular follow-up for 18 months there was no tumor recurrence.
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Affiliation(s)
- A Sarr
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
| | - I Thiam
- Laboratoire d'anatomopathologie, centre hospitalo-universitaire Aristides-Le-Dantec, Dakar, Sénégal
| | - D Gueye
- Service de chirurgie viscérale, centre hospitalier régional de Diourbel Heinrich Lubke, Diourbel, Sénégal
| | - Y Sow
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - B Fall
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - A Thiam
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - B Sine
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - M Ba
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
| | - B A Diagne
- Service d' urologie andrologie, hôpital Aristides-Le-Dantec, avenue Pasteur, Dakar, Sénégal
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Thiam I, Doh K, Seck M, Kammoun C, Woto-Gaye G. [Appendicitis schistosomiasis: unusual lesion about two cases in Senegal]. Bull Soc Pathol Exot 2015; 108:161-4. [PMID: 25877306 DOI: 10.1007/s13149-015-0432-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2014] [Accepted: 03/03/2015] [Indexed: 11/28/2022]
Abstract
Appendiceal schistosomiasis is a rare disease of only histopathological diagnosis. Appendectomy should be followed by treatment with praziquantel to avoid complications. We report two cases of appendiceal schistosomiasis while discussing the place of this infection in the pathogenesis of appendicitis. Finally we recommend a routine pathological examination of any part of appendectomy for better care for patients.
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Affiliation(s)
- I Thiam
- Hôpital Aristide Le Dantec, Avenue Pasteur, BP 3001, Dakar, Sénégal
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Tall A, N'diaye C, Diom ES, Thiam I. Solitary neurofibroma originating from the posterior nasal septum: Transnasal endoscopic resection. Eur Ann Otorhinolaryngol Head Neck Dis 2015; 132:223-5. [PMID: 25846118 DOI: 10.1016/j.anorl.2015.03.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
INTRODUCTION The head and neck region is one of the locations of neurogenic tumors such as neurofibroma. Although mostly associated with neurofibromatosis, it can be solitary. The present study reports a very rare case of solitary neurofibroma originating from the posterior nasal septum. CASE PRESENTATION A 48-year-old female presented with tumor in the right nasal cavity. The tumor, originating in the posterior nasal septum, extended to the posterior sinuses and nasopharynx. Following endoscopic and radiological assessment, the tumor was resected by transnasal endoscopic surgery. Histological examination showed the tumor to be a neurofibroma. At 14months' follow-up, there was no recurrence. DISCUSSION AND CONCLUSIONS However rare, solitary neurofibroma must be considered in the differential diagnosis of unilateral benign tumor involving nasal and paranasal sinuses. A transnasal endoscopic approach should be considered for treatment.
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Affiliation(s)
- A Tall
- Clinique ORL et de Chirurgie Cervico-Faciale, CHU, Hôpital de Fann, avenue Cheikh Anta Diop, Dakar, Senegal.
| | - C N'diaye
- Clinique ORL et de Chirurgie Cervico-Faciale, CHU, Hôpital de Fann, avenue Cheikh Anta Diop, Dakar, Senegal
| | - E-S Diom
- Clinique ORL et de Chirurgie Cervico-Faciale, CHU, Hôpital de Fann, avenue Cheikh Anta Diop, Dakar, Senegal
| | - I Thiam
- Service d'Anatomie Pathologique, Hôpital Aristide Le Dantec, 30, avenue Pasteur, BP 3001, Dakar, Senegal
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Seck SM, Dia DG, Doupa D, Diop-Dia A, Thiam I, Ndong M, Gueye L. Diabetes Burden in Urban and Rural Senegalese Populations: A Cross-Sectional Study in 2012. Int J Endocrinol 2015; 2015:163641. [PMID: 26491437 PMCID: PMC4605376 DOI: 10.1155/2015/163641] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2015] [Revised: 07/11/2015] [Accepted: 08/13/2015] [Indexed: 12/13/2022] Open
Abstract
Diabetes represents a challenging global health issue in the 21st century. Data from sub-Saharan African populations are scarce and are usually restricted to urban settings. The objective of this study was to compare prevalence and risk factors of diabetes in rural and urban areas in Senegal. Methods. In a community-based survey between January and May 2012, we included 1027 adults aged ≥18 years living in northern Senegal. Sociodemographic, clinical, and biological data were collected during household visits. Multivariate logistic regression was performed to identify factors associated with diabetes. Results. Mean age of participants was 48.0 ± 16.9 years and 65.7% were female. Participants from urban area represented 55.7%. The age-standardized prevalence of diabetes was 7.6% (6.0% in men versus 9.0% in women). Prevalence of diabetes was higher in urban areas (8.1%) compared to rural areas (4.6%). Disease awareness rate was 43%. After multivariate analysis, age (OR = 1.63, p = 0.001), familial history of diabetes (OR = 1.42, p = 0.001), and abdominal obesity (OR = 1.17, p = 0.05) were associated with diabetes. Conclusion. Diabetes is frequent in urban and rural areas in Senegal. Awareness rate is very low among populations. Age, family history of diabetes, and abdominal obesity are the main risk factors identified.
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Affiliation(s)
- S. M. Seck
- Faculty of Health Sciences, Gaston Berger University, Saint-Louis, Senegal
- *S. M. Seck:
| | - D. G. Dia
- Faculty of Health Sciences, Gaston Berger University, Saint-Louis, Senegal
| | - D. Doupa
- Faculty of Health Sciences, Gaston Berger University, Saint-Louis, Senegal
| | - A. Diop-Dia
- Faculty of Health Sciences, Gaston Berger University, Saint-Louis, Senegal
| | - I. Thiam
- Faculty of Health Sciences, Gaston Berger University, Saint-Louis, Senegal
| | - M. Ndong
- Nutrition Department, Faculty of Agronomic Sciences, Gaston Berger University, Saint-Louis, Senegal
| | - L. Gueye
- Faculty of Health Sciences, Gaston Berger University, Saint-Louis, Senegal
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Bodian M, Ba FG, Jobe M, Ndiaye MB, Kane A, Sarr SA, Mbaye A, Gaye AM, Thiam I, Diao M, Sarr M, Bâ SA. Fatal evolution of a huge right atrial free-floating thrombus. Clin Case Rep 2014; 1:63-5. [PMID: 25356214 PMCID: PMC4184751 DOI: 10.1002/ccr3.25] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2013] [Revised: 09/22/2013] [Accepted: 10/10/2013] [Indexed: 11/18/2022] Open
Abstract
Key Clinical Message Right atrial thrombus is a rare medical emergency that should be suspected in all cases of pulmonary embolism, and rapid action should be taken to ensure a timely, proper management.
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Affiliation(s)
- Malick Bodian
- Service de cardiologie, CHU Aristide Le Dantec Dakar, Senegal
| | - Fatimata G Ba
- Service de cardiologie, CHU Aristide Le Dantec Dakar, Senegal
| | - Modou Jobe
- Service de cardiologie, CHU Aristide Le Dantec Dakar, Senegal
| | | | - Adama Kane
- Service de cardiologie, CHU Aristide Le Dantec Dakar, Senegal
| | - Simon A Sarr
- Service de cardiologie, CHU Aristide Le Dantec Dakar, Senegal
| | - Alassane Mbaye
- Service de cardiologie, Hôpital General de Grand Yoff Dakar, Senegal
| | - Abdou M Gaye
- Service d'anatomie et de cytologie pathologiques, CHU Aristide Le Dantec Dakar, Senegal
| | - Ibou Thiam
- Service d'anatomie et de cytologie pathologiques, CHU Aristide Le Dantec Dakar, Senegal
| | - Maboury Diao
- Service de cardiologie, CHU Aristide Le Dantec Dakar, Senegal
| | - Moustapha Sarr
- Service de cardiologie, CHU Aristide Le Dantec Dakar, Senegal
| | - Serigne A Bâ
- Service de cardiologie, CHU Aristide Le Dantec Dakar, Senegal
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Niang L, Ndoye M, Labou I, Jalloh M, Diaw J, Thiam I, Konte A, Kouka S, Kane R, Gueye S. Aspects epidemiologiques cliniques et therapeutiques des tumeurs de vessie a l’hopital general de grand yoff de dakar. African Journal of Urology 2014. [DOI: 10.1016/j.afju.2014.03.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Ondo CZ, Sarr A, Sow Y, Thiam I, Fall B, Sow D, Thiam A, Diao B, Fall P, Gaye G, Ndoye A, Ba M, Diagne B. Bilharziome testiculaire à Schistosomia haematobium : à propos de deux observations. Prog Urol 2014; 24:67-9. [DOI: 10.1016/j.purol.2013.04.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2013] [Revised: 04/03/2013] [Accepted: 04/17/2013] [Indexed: 11/16/2022]
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Niang L, Ndoye M, Ouattara A, Jalloh M, Labou M, Thiam I, Kouka SC, Diaw JJ, Gueye SM. [Management of prostate cancer in Senegal: what is being done?]. Prog Urol 2013; 23:36-41. [PMID: 23287482 DOI: 10.1016/j.purol.2012.09.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2012] [Revised: 08/18/2012] [Accepted: 09/09/2012] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To evaluate the management of patients with prostate cancer in Senegal. MATERIALS AND METHODS We performed a retrospective descriptive study, based on the medical records of patients managed for prostate cancer during a period of six years and a half from January 1, 2004, to June 30, 2010. All records of inpatients and outpatients managed for prostate cancer were collected. Data collection was performed through a standardized survey form, and included the following parameters: age, presence or absence of known history of prostate cancer in siblings, circumstances of discovery, clinical and paraclinical examination, histology and therapeutic modalities. RESULTS We studied the records of 164 patients with prostate cancer. The mean age of our patients was 65years, ranging from 43 to 96years. The circumstances of diagnosis were mostly due to lower urinary tract symptoms. Digital rectal examination was suggestive in 87% of cases, and PSA levels were high in 100% of cases, ranging from 5.88ng/ml to 21,660ng/ml, with a mean of 1447.57ng/ml. Half of the patients had PSA levels greater than or equal to 100ng/ml. The most common histological type was adenocarcinoma. During the study period, 49 radical prostatectomies were performed. The mean PSA levels of patients who underwent a prostatectomy were 23.4ng/ml. Radical retropubic prostatectomy was performed in 35 patients, and radical perineal prostatectomy was performed in 10 cases. Pulpectomy was the method most commonly used in metastatic prostate cancer; it was performed in 48 patients. After resistance to castration, antiandrogens were reintroduced in 13 patients, and diethylstilbestrol in four patients. Only two patients underwent a taxane-based chemotherapy regimen. CONCLUSION The diagnosis of prostate cancer was usually tardive in Senegal. Treatment often involves surgical castration. Prostatectomy was only very seldom indicated.
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Affiliation(s)
- L Niang
- Service d'urologie-andrologie, hôpital Général-du-Grand-Yoff, BP 3270, Dakar, Sénégal.
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Niang L, Thiam I, Ndoye M, Ouattara A, Magloire Y, Jalloh M, Labou I, Gueye SM. La fracture de verge à Dakar. À propos de 25 cas. Basic Clin Androl 2012. [DOI: 10.1007/s12610-012-0203-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Résumé
Buts
Présenter les caractéristiques épidémiologiques, cliniques et thérapeutiques des fractures de verge dans le service d’urologie-andrologie de l’hôpital général de Grand Yoff de Dakar.
Matériels et méthode
Il s’agit d’une étude descriptive portant sur 25 cas de fracture de verge pris en charge dans le service d’urologie-andrologie de l’hôpital général de Grand Yoff de Dakar entre janvier 2001 et décembre 2011. Les paramètres suivant ont été étudiés: l’âge, la résidence, les antécédents, les données cliniques, les données de l’exploration chirurgicale et les résultats du traitement.
Résultats
En dix ans, 25 cas de fractures de verge ont été enregistrés soit une moyenne de 2,5 cas par an. L’âge moyen de survenue était de 36 ans avec des extrêmes de 22 et 60 ans. Les circonstances de survenue sont dominées par les manipulations forcées (52 %) et les rapports sexuels (32 %). La douleur associée à une latérodéviation controlatérale de la verge, une tuméfaction localisée de la verge ou extensive à la région sus-pubienne ou périnéale sont les principaux signes retrouvés. Une prise en charge urgente (délai moyen de prise en charge de deux heures avec des extrêmes de 45 minutes et 48 h) en milieu chirurgical avec réparation des corps caverneux et albuginorraphie a été la règle.
Conclusion
La fracture de verge est une urgence urologique relativement peu fréquente dans notre contexte. Son diagnostic reste aisé et est essentiellement clinique. Une prise en charge précoce et correcte en milieu chirurgical est garante d’un bon résultat fonctionnel et esthétique.
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Diallo Y, Moreira C, Diao B, Ondo CZ, Thiam I, Mendez V, Sylla C. [Renal bilharzioma: A case report]. Prog Urol 2011; 21:226-8. [PMID: 21354042 DOI: 10.1016/j.purol.2010.04.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2010] [Revised: 03/16/2010] [Accepted: 04/07/2010] [Indexed: 11/19/2022]
Abstract
Renal bilharzioma is an exceptional localization that occurs as a complication of urogenital bilharzioma. The authors report the case of a renal bilharzioma, in a 7-year-old patient, being considered as a nephroblastoma. The investigations revealed a large abdominal mass with solid component. She underwent neoadjuvant chemotherapy and radical nephrectomy. The histological examination of the specimen concluded to renal bilharzioma. The authors underline the difficulty of differential diagnosis with nephroblastoma. The diagnosis is often made after surgery by histological examination of the specimen.
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Affiliation(s)
- Y Diallo
- Département d'urologie, UFR des sciences de la santé, université de Thiès, BP 967, Thiès, Sénégal.
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Diop A, Millogo A, Thiam I. IN32-TU-02 Malnutrition and neurological disorders: the experience in Africa. J Neurol Sci 2009. [DOI: 10.1016/s0022-510x(09)70124-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Diouf S, Diagne I, Moreira C, Signate SYH, Faye O, Ndiaye O, Sylla A, Diallo I, Thiam D, Diop B, Thiam I, Gaye I, Sarr M, Fall M. [Integrated treatment of iron deficiency, vitamin A deficiency and intestinal parasitic diseases: impact on Senegalese children's growth]. Arch Pediatr 2002; 9:102-3. [PMID: 11865542 DOI: 10.1016/s0929-693x(01)00704-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Thiam I. Cancelling immunization program a bad idea. Can Nurse 1998; 94:8. [PMID: 9555316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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Thiam I. Cutting immunization aid: penny wise, pound foolish? CMAJ 1997; 157:1202-3. [PMID: 9361638 PMCID: PMC1228346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
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Thiam I. Canadian immunization cuts will cause child deaths. Can Fam Physician 1997; 43:1203. [PMID: 9241449 PMCID: PMC2255119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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Thiam I. Canadian immunization cuts will cause child deaths. Can J Public Health 1997; 88:229. [PMID: 9336089 PMCID: PMC6990204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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