Incidental prostate cancer status in two tertiary centers in Kigali, Rwanda: insights from a retrospective review
Rattachement africain : Rwanda. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Introduction: prostate cancer is reported in 16.7% of benign prostate hyperplasia (BPH) surgical specimens. This incidental prostate cancer (IPCa) is usually low grade. While incidence rates vary widely across regions, no published data exist from Rwanda, thus motivating this study. Methods: this was a retrospective cross-sectional analysis of Trans-Urethral Resection of Prostate (TURP) and open simple prostatectomy specimens from two tertiary hospitals between January 2015 and October 2022 to identify IPCa rate. The clinical characteristics and pathology reports were retrieved. Independent t-test, Fisher´s exact test, and logistic regression were performed to assess associations between clinical characteristics and occurrence of IPCa. Results: we included 153 patients, mean age 70 years (SD: ±10). 140/153 patients had Lower Urinary Tract Symptoms (LUTS), macrohematuria 4/153, and low back pain 1/153. IPCa was diagnosed in six individuals (6/153, 4%). One patient (1/6) with hematuria and the sole patient with low back pain had IPCa diagnosis (respectively OR: 16.4, 95% CI: 1.1 - 235.9, P=0.04 and OR 38.8, 95% CI: 1.5 - 881.2, P=0.02). Age, prostate volume, and a PSA >4ng/mL were not predictors of IPCa. Grade group (GG) 2 had 2/6 patients, while GG 1, 3, 4, and 5 had 1/6 each. Clinically, 1/6 were cT1a, 5/6 cT1b, with one patient upstaged to T3b postoperatively. Cancer management was watchful waiting in 2/6, active surveillance in 1/6, and androgen deprivation therapy in 3/6 patients. Conclusion: the incidence of prostate cancer in BPH specimens may be low but occasionally high-grade. Patients with symptoms beyond LUTS need careful assessment preoperatively. Larger prospective studies are needed to corroborate these findings for clinical use.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Incidental prostate cancer status in two tertiary centers in Kigali, Rwanda: insights from a retrospective review
- Date Crossref
- 23/11/2025
- Éditeur
- Pan African Medical Journal
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Rwanda Kigali, Rwanda (code pays fourni par la source)Université ou école supérieure
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Rwanda Military Hospital Rwanda (code pays fourni par la source)Établissement de santé
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Centre Hospitalier Universitaire de Kigali Kigali, Rwanda (code pays fourni par la source)Établissement de santé
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King Faisal Hospital Kigali, Rwanda (pays nommé en fin d’affiliation)Établissement de santé
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Rwanda Military Referral and Teaching Hospital Kigali, Rwanda (pays nommé en fin d’affiliation)Établissement de santé
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Kigali University Teaching Hospital Kigali University Teaching Hospital, Rwanda (pays nommé en fin d’affiliation)Université ou école supérieure
University of Rwanda (Kigali, Rwanda), Rwanda Military Hospital (Rwanda) et Centre Hospitalier Universitaire de Kigali (Kigali, Rwanda), avec 3 autres affiliations. Pays d’affiliation : Rwanda.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.