The kidney cancer is not uncommon.The aim of our study is to analyze the epidemiologic data, clinical, radiological, pathological presentations and therapeutic management of kidney cancer in our context.This is a retrospective study fro m cases files of a few patients hospitalized in our urological department for renal tumors between 2007 and 2013.
RESULTS: The mean age of the patients at time of diagnosis was 58.5 years with age extremes ranging from 24 years to 80 years.We noticed a male predominance with 25 men (62.5%) against 15 women (37.5%).The average time between the onset of symptoms and diagnosis was about 10 and a half months (range 22 days and 5 years).The diagnosis was based on clinical, radiological presentations as well as histologic findings. Symptoms were polymorphic, dominated by low back pain found in 24 patients (60%), hematuria found in 14 cases (35%), impaired general condition in 7 patients (17.5%) and mass lumbar in 1 case (2.5%). In 6 (15% of cases) of our patients, the discovery circumstances were fortuitous. Ultrasonography suggested the diagnosis of neoplasm in most of our patients; CT however was used to confirm diagnosis in our patients. Six% of patients (15%) presented with metastasis at time of diagnosis reflecting an advanced stage of cancer. The treatment consisted of radical nephrectomy for 34 patients (94.4%) and partial for two patients (5.5%) and an anti-angiogenic therapy for two patients (5.5%). The therapeutic abstention was determined in four patients (10%) given the advanced stage of the neoplasm. Histological study found a clear cell adenocarcinoma in 25 patients, or 65.8%