Clinical characteristics of prostate cancer in African Americans, American whites, and Senegalese men

To describe the clinical features of prostate cancer in Senegalese men and compare these features with those found in African-American and white American men. We identified an unselected series of 121 patients with prostate cancer diagnosed at two hospitals in Dakar, Senegal between 1997 and 2002. Medical record abstractions were undertaken to evaluate the prostate tumor characteristics, patient age at diagnosis, prostate-specific antigen (PSA) levels, and reason for referral. In addition, these characteristics were compared with a sample of 455 U.S. white men and 60 African-American men with prostate cancer who were studied as part of a prostate cancer case-control study. Senegalese men had a significantly worse tumor stage than Americans (41.3% versus 18.8%, P