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889
MANAGEMENT OF PROSTATE CANCER IN ACCRA, GHANA.
E D Yeboah1, A W Hsing2,3, S Mante4
1University of Ghana Medical School(UGMS), Korle Bu Teaching Hospital(KBTH), Accra, Ghana now University of Ghana School of Medicine and Dentistry(UGSMD), Accra, Ghana.
Journal of the West African College of Surgeons
|November 29, 2017
Summary
Prostate cancer management in Africa improved significantly, with a rise in early-stage diagnoses and successful treatments like radical prostatectomy and radiotherapy, leading to better outcomes for patients.
Area of Science:
- Oncology
- Urology
- Public Health
Background:
- Prostate cancer presents diagnostic and treatment challenges for African populations.
- Early detection and appropriate management are critical for improving patient outcomes.
Purpose of the Study:
- To investigate the clinical incidence, risk factors, TNM staging, management strategies, and outcomes of prostate cancer.
- To assess the impact of improved facilities and skilled teams on prostate cancer care.
Main Methods:
- A prospective study of 669 prostate cancer cases managed between 2004 and 2013.
- Cases were diagnosed via clinical evaluation and histology, then staged using the TNM system.
- Management protocols included radical prostatectomy, brachytherapy, external beam radiotherapy, and hormonal therapy.
Main Results:
- Organ-confined prostate cancer increased from 15.3% to 62% over the study period.
- Treatment modalities showed varying mortality rates: radical prostatectomy (0.3%), brachytherapy (0.1%), and EBRT (0.7%).
- Metastatic prostate cancer had higher mortality rates, particularly with hormonal therapy (6%).
Conclusions:
- Enhanced facilities and expert teams have significantly improved the detection of organ-confined prostate cancer.
- Treatment advancements, including surgery and radiotherapy, have led to longer disease-free survival.
- The study highlights a positive trend in prostate cancer management and outcomes in the studied African population.
