title: [Kidney cancer. Report of 170 cases].
abstract: OBJECTIVE
  The goal of this study is the analysis of the diagnostic and therapeutic aspects of this affection which is usually discovered at a delayed stage in our context.
  
  
  METHODS
  A retrospective study of 170 renal cancer, collected during a period of 15 years (1985-2000). Ninety-two men and 78 women were studied, 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 evaluated 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 concludes to clear cell adenocarcinoma in 91.2% of cases.
  
  
  CONCLUSIONS
  The authors deplore the delayed diagnosis of renal cancer in our context which is responsible of a high rate of abstention (33%); and underline the interest of the early diagnosis for an adequate management.
authors.affiliation: Service d'urologie, CHU Ibn Rochd, Casablanca, Maroc.
authors.forename: H
authors.initials: H
authors.lastname: Fekak
authors.forename: S
authors.initials: S
authors.lastname: Bennani
authors.forename: A
authors.initials: A
authors.lastname: Taha
authors.forename: R
authors.initials: R
authors.lastname: Rabii
authors.forename: A
authors.initials: A
authors.lastname: Joual
authors.forename: S
authors.initials: S
authors.lastname: Sarf
authors.forename: M
authors.initials: M
authors.lastname: Hafiani
authors.forename: M
authors.initials: M
authors.lastname: el Mrini
authors.forename: S
authors.initials: S
authors.lastname: Benjelloun
mesh_terms: D018262:Adenocarcinoma, Clear Cell / Q000175:diagnosis* / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D010146:Pain / Q000209:etiology; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography