The cancer of kidney. A report of 170 cases.

Purpose: the goal of this study is the analysis of the diagnostic and thera peutic aspects of this affection which is usually discovered at a delayed s tage in our context. Material and methods: a retrospective study of 170 renal cancer, collected during a period of 15 years (1985-2000). Ninety-two men and 78 women were s tudied, their mean-age was 50 years (15-81 years). The diagnosis was relied on clinical, radiological and histological arguments. Results: lumbar pain, hematuria and enormous mass were present in 85 cases (50%). The ultrasound and computed exams permitted the diagnosis and also e valuated the venous and locoregional extension. The treatment consisted on large nephrectomy practiced in 114 patients (67%), abstention in 56 cases ( 33%) due to the advanced stage of the tumor. The histological exam conclude s to clear cell adenocarcinoma in 91.2% of cases. Conclusion: the authors deplore the delayed diagnosis of renal cancer in ou r context which is responsible of a high rate of abstention (33%); and unde rline the interest of the early diagnosis for an adequate management. (C) 2 001 Editions scientifiques et medicales Elsevier SAS.