A review of urinary bladder cancers at the Kenyatta National Hospital over 8 years Period January 1976-June 1984.
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Date
1985-07Author
Ndagwatha, P L W
Type
ThesisLanguage
enMetadata
Show full item recordAbstract
A review of carcinomas of the bladder seen at Kenyatta
National Hospital Hospital covering a period of 8 years (January,
1977 -June 1984) was undertaken . 113 patients ware documented
as having urinary bladder carcinomas, but only 75 cases were selected
according to criteria used by the author. Total numbers of malignancies
reported over this period was 14,495, hence the ratio of urinary bladder
was found to be 0.75.
Males predominated over females by 4 times. The age peaks
were overall at 6th and 7th decades though males were in 5th and
7th decades while females were at 6th decade. There was no clear
cut aetiological agents although postulates are presented, 81.3%
of patients presented with haemoturia , 65.3% of patients presented
with irritative bladder symptoms, whiIe 41.3% presented with bladder
outlet obstruction.
The frequently seen histological variant of neoplasms were
transitional cell carcinomas of all grade and/or stages, followed by .
anaplastic and then by squamous cell carcinoma. Bladder pheochromocytor
as well as embryonal rhabdomyosarcoma were also encountered. Squamous
cell carcinoma was frequently seen to be associated with
S.haematobium in endemic areas, Coast and Lake regions.
Clinical, radiological cal, endoscopic examinations as
well as biopsy and histology were used frequently as the
diagnostic tools. A total of 32 patients underwent surgical
intervention while 31 patients had non surgical intervention
in form of chemotherapy and radiotherapy. 12 patients
did not have any treatment offered as some refused treatment
and some died before treatment could be instituted. Those
that had surgical/nonsurgical Intervention were 63 in all,
24 were recorded as alive and 20 as dead.
Citation
Master of medicine,(surgery)University of Nairobi,July,1985.Publisher
University of Nairobi surgery