Clinical Stage Evaluation at Diagnosis of Prostate Cancer at Urology-Andrology Clinic Cnhu-Hkm Cotonou

Hounnasso Prince Pascal¹, Avakoudjo Josué Dejinnin Georges¹, Soumanou Fouad Kolawalé Yde^1*, Koussouhon Manoël Dossavi¹, Yevi Dodji Magloire², Vodonou Alexandre¹

¹Urology-Andrology, Faculty of Medecine, CNHU-HKM, Cotonou, Benin.
²Urology-Andrology, Faculty of Medicine, CHD-OP, Porto-Novo, Benin.

DOI: 10.4236/oju.2015.53004                

Abstract

Aims: To evaluate the clinical stage at diagnosis of prostate cancer. Materials and Methods: This study was retrospective and descriptive from January 2008 to June 2013. Patients who were diagnosed with prostate cancer wereinvolved and confirmed by clinical examination anatomopathological screening. They also realized a total serum PSA, a bladder-prostatic and abdominal ultrasound. Results: Average age was seventy years, ranging from fifty years to seventy years. The general status of our patients was satisfactory in 78% of cases. Main symptoms were dysuria and frequencyin 96% and 86%, respectively. Family past history of prostate cancer were found in 24% of cases. Twenty-three patients (43%) had a total serum PSA ≥ 100 ng/ml. Adenocarcinoma was the main histological type. Grades 1 and 4 were the most frequent. Thirty-three patients (66%) had a Gleasonscore betwen [2]-[6]. Forty-four patients (88%) had locally advanced and metastatic desease. The D’Amico score was identified in six patients but 3 and 2 patients were low risk and intermediate riskrespectively. Finally, 1 patient was high risk. Conclusion: Prostate cancer remains elderly man cancer. It was discovered in locally advanced and metastatic desease in this series. This diagnosis was late in the majority of cases.

Keywords

Prostate Cancer, Anatomical Pathology, Total Serum PSA

Conflicts of Interest

The authors declare no conflicts of interest.

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