[Problems with lung cancer in the pneumology service at G Barnako Hospital, Mali].

The authors report the results of a retrospective study on the bronchial cancers observed in the service of PPH of the hospital of the point G of Bamako during the time active of January 1, 1999 to December 31, 2003. The goal was to describe the epidemiological, clinical and therapeutic aspects of bronchial cancer On 669 in-patients, 36 cases of bronchial cancer were diagnosed either a prevalence of 5.36%. the average age of the patients was 54.5 years with the extreme ones going from 35 to 80 years. Our series was made up of 27 men and 9 women with a sex ratio of 3 in favor of the men. The nicotinic was the principal factor of risk (69.4%) with an average of 20,9 packages year. The mode of prevalent nicotinic was the cigarette (92%). The functional signs most frequent were the thoracic pain (72.2%); cough (56.6%); dyspnea (22.2%). The histological type was found in 19.4% of the cases, carcinomas épidermoíde were more frequents (42.9%). 93.4% of the patients had profited only from one palliative treatment. Bronchial cancer poses enormous problems with the experts of the countries under equipped. Its appalling forecast is related to the delays and insufficiencies diagnostic and therapeutic