Barro-Traoré Fatou, Traoré Adama, Konaté Issouf, Traoré Si Simon, Sawadogo Nobila Oumar, Sanou Issa, Soudré B Robert, Heid Eric, Grosshans Edouard
Service de dermatologie et de vénéréologie, Centre hospitalier national Yalgado Ouedraogo, 01 BP 7022, Ouagadougou 01, Burkina Faso.
Sante. 2003 Apr-Jun;13(2):101-4.
We conducted a retrospective study of the files of all patients seen from 1 January 1992 through 31 December 1996 with tumors of the skin and mucosal membranes at the Yalgado Ouédraogo National Hospital in order to determine the epidemiologic features of this disease. The records revealed 988 patients presented 1024 tumors, which could be classified into 33 categories. Most of the patients (60.6%) were in the age bracket of 20 to 39 years. Nearly all cases (988 or 96.5%) were benign skin tumors, mainly of infectious origin, especially viral (51.7%). We observed a substantial number of sexually transmissible infections, such as condylomata. We also found 36 cases (3.5%) of malignant tumors, including 29 cases of Kaposi sarcoma, five skin carcinoma (13.8%), three spinocellular and two basocellular; we also noted two borderline malignant tumors: a dermatofibrosar-coma protuberans and a nodular hidradenoma. The elevated prevalence of condyloma (151 cases) may explain the predominance of the 20-39 year age group, which is the most sexually active. Our series also confirmed the relative rarity (3.5%) of cutaneous cancers among African blacks. The predominance of Kaposi sarcoma may be explained by the high prevalence of HIV infection in our country.
我们对1992年1月1日至1996年12月31日期间在亚尔加杜·韦德拉奥戈国家医院就诊的所有皮肤和黏膜肿瘤患者的病历进行了回顾性研究,以确定这种疾病的流行病学特征。记录显示,988名患者出现了1024个肿瘤,可分为33类。大多数患者(60.6%)年龄在20至39岁之间。几乎所有病例(988例或96.5%)都是良性皮肤肿瘤,主要起源于感染,尤其是病毒感染(51.7%)。我们观察到大量性传播感染病例,如尖锐湿疣。我们还发现了36例(3.5%)恶性肿瘤,包括29例卡波西肉瘤、5例皮肤癌(13.8%),其中3例为棘细胞癌,2例为基底细胞癌;我们还注意到2例交界性恶性肿瘤:1例隆突性皮肤纤维肉瘤和1例结节状汗腺瘤。尖锐湿疣患病率升高(151例)可能解释了20至39岁年龄组占主导地位的原因,该年龄组性活动最为活跃。我们的系列研究还证实了非洲黑人皮肤癌相对罕见(3.5%)。卡波西肉瘤占主导地位可能是由于我国艾滋病毒感染率较高。