Background: The purpose of this study was to provide epidemiological and histological data of thyroid cancers in Togo. Materials and Methods: This was a retrospective cross-sectional study of cases of thyroid cancers diagnosed from 2000 to 2014 (15 years) at the pathology laboratory of the Sylvanus Olympio Teaching Hospital of Lomé. All cases of review of a thyroid sample (biopsies, surgical specimens) were collected from the data records of that laboratory. Results: Thyroid cancers represented 1.1% (7930cases) of all cancers registered during the study period. Mean age was 45.4±0.3 years and the proportion of females was 78.3%. We identified 92.4% carcinomas and 7.6% lymphomas. Carcinomas were well differentiated in 80 cases and were dominated by the papillary type (47 cases). Metastasis was observed in 13% of patients. The pTNM classification evaluated in 18 cases showed a predominance of grade I (13 cases). Lymphomas were dominated by lymphoma diffuse large B-cell (5 cases). Conclusions: This study is the first global standard for thyroid cancer pathology in Togo. The high frequency of follicular form suggests an unrecognized iodine deficiency. The improvement of the technical platform of the LAP (immunohistochemistry) will increase the diagnosis of rare forms of thyroid cancer.
The congenital epulis is a benign congenital granular cell tumor arising most often of the alveolar ridge of the jawbone. When giant, it is source of digestive discomfort disabling feeding. We report the case of a newborn female, vaginal delivery, presented with a giant intraoral tumor. Tumor obstructing the mouth of the newborn and prevent the attachment and feeding. The treatment consisted of excision of the tumor under general anesthesia. The histology of the tumor was revealed that it was an epulis.
Objective: We conducted a retrospective study to determine the epidemiological profile and describe the diagnostic aspects of maxillofacial trauma. Methods: It was a retrospective descriptive study over 20 years (January 1995-December 2014 in Oral and Maxillofacial Surgery Department of the Sylvanus Olympio Teaching Hospital in Lomé. All the hospitalized patients for facial trauma were included. Results: 501 cases of facial trauma were retained with an annual incidence of 25 cases. The average age was 33 years and the most represented age groups are those of 20 to 29 years (35.53%) and 30 to 39 years (30.14%); and the sex ratio was 9. Traffic roads accidents represented the main circumstance (89.81%) and the motorcycle was the most involved (80.34%). Patients were admitted in the first week (75.65%) with 35.93% on the first day. The maxillofacial CT-Scan was the most requested radiological examination (33.75%). Bone lesions were: mandible (31%), zygomatic (23.26%) and maxillary (18.99%). Dental lesions were found in 68 cases. Extra-facial lesions were found in 44 cases. The patients were treated in the first week (62.48%) and in the first day after admission (20.76%). Conclusions: Maxillofacial trauma is increasing, mainly in young adults due to road traffic accidents.
IntroductionNotre objectif a été d'établir le panorama des cancers primitifs oto-rhino-laryngologiques et cervico-maxillo-faciaux dans un service de référence au Togo.MéthodesIl s’est agi d’une étude rétrospective descriptive, portant sur les cancers diagnostiqués dans le service d’ORL et de chirurgie cervico-maxillo-faciale du CHU Sylvanus Olympio de Lomé. Elle a été réalisée sur une période de 10 ans (1er Janvier 2005 au 31 Décembre 2014).RésultatsLes cancers ORL et cervico-maxillo-faciaux représentaient 0,48% des consultations et 15,3% de l’ensemble des tumeurs ORL. L’âge moyen des patients était de 47 ans, avec des extrêmes de 3 mois et 86 ans. On notait une prédominance masculine; la sex-ratio était de 1,45. L’alcoolotabagisme prédominait dans le cancer du larynx. Les cancers des voies aérodigestives supérieures (VADS) ont représenté 64,8%, avec une prédominance des cancers de la cavité buccale (36,2% des VADS), suivi des cancers de l’oropharynx (18,5% des VADS) puis des cancers du larynx (18,1% des VADS). Les adénopathies cervicales malignes primitives représentaient 18%. Les lésions les plus rares étaient les cancers de l’oreille et du tissu osseux maxillo-mandibulaire (2,24% chacun). L’histologie était dominée par le carcinome épidermoïde (61,4%) suivi du lymphome non hodgkinien (23,2%).ConclusionLes cancers ORL et cervico-maxillo-faciaux sont fréquents au Togo et diagnostiqués à tout âge. Les cancers prédominants sont ceux de la cavité buccale, du pharynx et les adénopathies cervicales malignes primitives.
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