Cancer of the vulva in Burkina Faso: a hospital-based case series
Identifieur interne : 001323 ( Main/Exploration ); précédent : 001322; suivant : 001324Cancer of the vulva in Burkina Faso: a hospital-based case series
Auteurs : Nayi Zongo [Burkina Faso] ; Nina Korsaga-Somé [Burkina Faso] ; Amandine Banata Gang-Ny [Burkina Faso] ; Edgar Ouangré [Burkina Faso] ; Maurice Zida [Burkina Faso] ; Aimé Sosthène Ouédraogo [Burkina Faso] ; Aboubacar Hirrhum Bambara [Burkina Faso] ; Augustin Tozoula Bambara [Burkina Faso] ; Si Simon Traore [Burkina Faso] ; Pascal Niamba [Burkina Faso] ; Adama Traoré [Burkina Faso] ; Ahmadou Dem [Sénégal]Source :
- Infectious Agents and Cancer [ 1750-9378 ] ; 2016.
Abstract
Vulvar cancer is a rare gynaecological cancer. In Burkina Faso, the diagnosis of vulvar cancers is delayed and the prognosis is poor. However, no specific study on vulvar cancers has been conducted at the moment. This work aimed to study the characteristics of these cancers.
This is a prospective study on histologically confirmed primary cancers of the vulva diagnosed between 1st January 2013 and 30th June 2015. The demographic and clinical aspects were studied at the Yalgado Ouedraogo University Hospital of Ouagadougou (CHU-YO).
We noticed 21 cases of vulvar cancers within 30 months, ranking it as the 4th most common gynaecological cancer. The average age of the patients was 55 years (standard deviation +/− 6.3) and the median age was 57 years. Scars resulting from female circumcision, menopause (
The cancer of the vulva is rare. Women are of menopausal age, are mostly circumcised and HIV-infection is common. A majority of patients sought consultation at advanced stage of disease, and diagnosis was belatedly made. Pain and ulceration were the main reasons for consultation. The sensitization of the population, education for self- examination would allow earlier diagnosis.
Url:
DOI: 10.1186/s13027-016-0080-y
PubMed: 27489564
PubMed Central: 4971747
Affiliations:
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University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Bambara, Augustin Tozoula" sort="Bambara, Augustin Tozoula" uniqKey="Bambara A" first="Augustin Tozoula" last="Bambara">Augustin Tozoula Bambara</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Traore, Si Simon" sort="Traore, Si Simon" uniqKey="Traore S" first="Si Simon" last="Traore">Si Simon Traore</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Niamba, Pascal" sort="Niamba, Pascal" uniqKey="Niamba P" first="Pascal" last="Niamba">Pascal Niamba</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Traore, Adama" sort="Traore, Adama" uniqKey="Traore A" first="Adama" last="Traoré">Adama Traoré</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Dem, Ahmadou" sort="Dem, Ahmadou" uniqKey="Dem A" first="Ahmadou" last="Dem">Ahmadou Dem</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Oncology Institute Joliot Curie of Dakar, Dakar, Senegal</nlm:aff><country 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sortKey="Korsaga Some, Nina" sort="Korsaga Some, Nina" uniqKey="Korsaga Some N" first="Nina" last="Korsaga-Somé">Nina Korsaga-Somé</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Banata Gang Ny, Amandine" sort="Banata Gang Ny, Amandine" uniqKey="Banata Gang Ny A" first="Amandine" last="Banata Gang-Ny">Amandine Banata Gang-Ny</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Ouangre, Edgar" sort="Ouangre, Edgar" uniqKey="Ouangre E" first="Edgar" last="Ouangré">Edgar Ouangré</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Zida, Maurice" sort="Zida, Maurice" uniqKey="Zida M" first="Maurice" last="Zida">Maurice Zida</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Ouedraogo, Aime Sosthene" sort="Ouedraogo, Aime Sosthene" uniqKey="Ouedraogo A" first="Aimé Sosthène" last="Ouédraogo">Aimé Sosthène Ouédraogo</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Division of Pathologic Anatomy, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of Pathologic Anatomy, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Bambara, Aboubacar Hirrhum" sort="Bambara, Aboubacar Hirrhum" uniqKey="Bambara A" first="Aboubacar Hirrhum" last="Bambara">Aboubacar Hirrhum Bambara</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Bambara, Augustin Tozoula" sort="Bambara, Augustin Tozoula" uniqKey="Bambara A" first="Augustin Tozoula" last="Bambara">Augustin Tozoula Bambara</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Traore, Si Simon" sort="Traore, Si Simon" uniqKey="Traore S" first="Si Simon" last="Traore">Si Simon Traore</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of General Surgery, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Niamba, Pascal" sort="Niamba, Pascal" uniqKey="Niamba P" first="Pascal" last="Niamba">Pascal Niamba</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Traore, Adama" sort="Traore, Adama" uniqKey="Traore A" first="Adama" last="Traoré">Adama Traoré</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou, Burkina Faso</nlm:aff><country xml:lang="fr">Burkina Faso</country><wicri:regionArea>Division of Dermatology and Venerology, Yalgado Ouédraogo University Hospital of Ouagadougou, 03 BP 7021 Ouagadougou</wicri:regionArea><wicri:noRegion>03 BP 7021 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Dem, Ahmadou" sort="Dem, Ahmadou" uniqKey="Dem A" first="Ahmadou" last="Dem">Ahmadou Dem</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Oncology Institute Joliot Curie of Dakar, Dakar, Senegal</nlm:aff><country xml:lang="fr">Sénégal</country><wicri:regionArea>Oncology Institute Joliot Curie of Dakar, Dakar</wicri:regionArea><wicri:noRegion>Dakar</wicri:noRegion></affiliation></author></analytic><series><title level="j">Infectious Agents and Cancer</title><idno type="eISSN">1750-9378</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Vulvar cancer is a rare gynaecological cancer. In Burkina Faso, the diagnosis of vulvar cancers is delayed and the prognosis is poor. However, no specific study on vulvar cancers has been conducted at the moment. This work aimed to study the characteristics of these cancers.</p></sec><sec><title>Methods</title><p>This is a prospective study on histologically confirmed primary cancers of the vulva diagnosed between 1st January 2013 and 30th June 2015. The demographic and clinical aspects were studied at the Yalgado Ouedraogo University Hospital of Ouagadougou (CHU-YO).</p></sec><sec><title>Results</title><p>We noticed 21 cases of vulvar cancers within 30 months, ranking it as the 4th most common gynaecological cancer. The average age of the patients was 55 years (standard deviation +/− 6.3) and the median age was 57 years. Scars resulting from female circumcision, menopause (<italic>n</italic> = 20) and HIV infection were noticed in 19 cases and 6 cases respectively. The average time from first symptoms to first consultation was 29 months. Pain and ulceration were the main reasons for consultation. The clinical picture was chiefly an ulcero-granulating tumour. There was squamous cell carcinoma in 20 cases and basal carcinoma in 1 case. Fifteen patients were at stage III or IV, where of three patients had metastatic disease. We noticed vitiligo in 9 vulvar cancer cases.</p></sec><sec><title>Conclusion</title><p>The cancer of the vulva is rare. Women are of menopausal age, are mostly circumcised and HIV-infection is common. A majority of patients sought consultation at advanced stage of disease, and diagnosis was belatedly made. Pain and ulceration were the main reasons for consultation. The sensitization of the population, education for self- examination would allow earlier diagnosis.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="De Martel, C" uniqKey="De Martel C">C de Martel</name></author><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Franceschi, S" uniqKey="Franceschi S">S Franceschi</name></author><author><name sortKey="Vignat, J" uniqKey="Vignat J">J Vignat</name></author><author><name sortKey="Bray, F" uniqKey="Bray F">F Bray</name></author><author><name sortKey="Forman, D" uniqKey="Forman D">D Forman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hacker, Nf" uniqKey="Hacker N">NF Hacker</name></author><author><name sortKey="Eifel, Pj" uniqKey="Eifel P">PJ Eifel</name></author><author><name sortKey="Der Velden, Jv" uniqKey="Der Velden J">JV der 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Robertson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Amourak, S" uniqKey="Amourak S">S Amourak</name></author><author><name sortKey="Alaoui, Ff" uniqKey="Alaoui F">FF Alaoui</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wassila, S" uniqKey="Wassila S">S Wassila</name></author><author><name sortKey="Leila, S" uniqKey="Leila S">S Leila</name></author><author><name sortKey="Noureddine, H" uniqKey="Noureddine H">H Noureddine</name></author><author><name sortKey="Sihem, H" uniqKey="Sihem H">H Sihem</name></author><author><name sortKey="Nejla, D" uniqKey="Nejla D">D Nejla</name></author><author><name sortKey="Mohamed, B" uniqKey="Mohamed B">B Mohamed</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stroup, Am" uniqKey="Stroup A">AM Stroup</name></author><author><name sortKey="Harlan, Lc" uniqKey="Harlan L">LC Harlan</name></author><author><name sortKey="Trimble, El" uniqKey="Trimble E">EL Trimble</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Burkina Faso</li><li>Sénégal</li></country></list><tree><country name="Burkina Faso"><noRegion><name sortKey="Zongo, Nayi" sort="Zongo, Nayi" uniqKey="Zongo N" first="Nayi" last="Zongo">Nayi Zongo</name></noRegion><name sortKey="Bambara, Aboubacar Hirrhum" sort="Bambara, Aboubacar Hirrhum" uniqKey="Bambara A" first="Aboubacar Hirrhum" last="Bambara">Aboubacar Hirrhum Bambara</name><name sortKey="Bambara, Augustin Tozoula" sort="Bambara, Augustin Tozoula" uniqKey="Bambara A" first="Augustin Tozoula" last="Bambara">Augustin Tozoula Bambara</name><name sortKey="Banata Gang Ny, Amandine" sort="Banata Gang Ny, Amandine" uniqKey="Banata Gang Ny A" first="Amandine" last="Banata Gang-Ny">Amandine Banata Gang-Ny</name><name sortKey="Korsaga Some, Nina" sort="Korsaga Some, Nina" uniqKey="Korsaga Some N" first="Nina" last="Korsaga-Somé">Nina Korsaga-Somé</name><name sortKey="Niamba, Pascal" sort="Niamba, Pascal" uniqKey="Niamba P" first="Pascal" last="Niamba">Pascal Niamba</name><name sortKey="Ouangre, Edgar" sort="Ouangre, Edgar" uniqKey="Ouangre E" first="Edgar" last="Ouangré">Edgar Ouangré</name><name sortKey="Ouedraogo, Aime Sosthene" sort="Ouedraogo, Aime Sosthene" uniqKey="Ouedraogo A" first="Aimé Sosthène" last="Ouédraogo">Aimé Sosthène Ouédraogo</name><name sortKey="Traore, Adama" sort="Traore, Adama" uniqKey="Traore A" first="Adama" last="Traoré">Adama Traoré</name><name sortKey="Traore, Si Simon" sort="Traore, Si Simon" uniqKey="Traore S" first="Si Simon" last="Traore">Si Simon Traore</name><name sortKey="Zida, Maurice" sort="Zida, Maurice" uniqKey="Zida M" first="Maurice" last="Zida">Maurice Zida</name></country><country name="Sénégal"><noRegion><name sortKey="Dem, Ahmadou" sort="Dem, Ahmadou" uniqKey="Dem A" first="Ahmadou" last="Dem">Ahmadou Dem</name></noRegion></country></tree></affiliations></record>Pour 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