Lougue-Sorgho L C, Cisse R, Kagone M, Bamouni Y A, Tapsoba T L, Sanou A
Service de radiologie et d'imagerie médicale, Centre hospitalier national Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso.
Bull Soc Pathol Exot. 2002 Nov;95(4):244-7.
The bladder's cancer is frequent in West Africa. Urinary schistosomiasis endemicity helps to explain this high incidence. It is a pathology of late diagnosis, little or badly explored by imaging. Through a retrospective survey of 71 patients' files aged in average of 51.7 years, all having a bladder's tumour which is clinically shown by an haematuria, the major symptom, often by a pelvic volume, and who have all gone through an abdominal echography and/or intravenous urography (IVU) and/or retrograde urethrocystography (UCR), we have tried to point out the role of imaging in the caring of this pathology in our working context. Imaging, with a 98.5% sensibility for sonography and 100% for IVU, took part in all the cases to the diagnosis, to the search of urinary signs of reflux, associated signs authorizing a diagnostic orientation, but was excluded from the evolutive follow-up due to the poverty of our populations. So, despite some limits specific to the survey, particularly the absence of historadiological comparison for all the files, echography and IVU with cystography have always led to malignancy diagnosis. Therefore they should be requested for any patient consulting for haematuria.
膀胱癌在西非很常见。泌尿血吸虫病的地方性有助于解释这种高发病率。这是一种诊断较晚的疾病，影像学检查很少或几乎没有进行充分探究。通过对71例平均年龄为51.7岁的患者病历进行回顾性调查，所有患者均患有临床上以血尿（主要症状）、通常以盆腔肿块表现的膀胱肿瘤，且均接受了腹部超声检查和/或静脉肾盂造影（IVU）和/或逆行尿道膀胱造影（UCR），我们试图指出在我们的工作环境中影像学检查在这种疾病诊治中的作用。超声检查敏感性为98.5%，静脉肾盂造影为100%，影像学检查在所有病例中都参与了诊断、寻找尿液反流迹象、有助于诊断方向的相关迹象，但由于我们患者群体的贫困状况，被排除在病情进展的随访之外。因此，尽管该调查存在一些特定局限性，特别是所有病历均未进行历史影像学比较，但超声检查、静脉肾盂造影及膀胱造影始终能得出恶性肿瘤的诊断。因此，对于任何因血尿前来咨询的患者，都应要求进行这些检查。
