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尼日利亚白化病患者的皮肤癌:22例病例综述

Cutaneous Cancers in Nigerian Albinos: A Review of 22 Cases.

作者信息

Awe Oluwafemi Olasupo, Azeke Terence Akhator

机构信息

Department of Surgery, Plastic Surgery Unit, Faculty of Clinical Sciences, Ambrose Alli University, Ekpoma, Nigeria.

Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.

出版信息

Niger J Surg. 2018 Jan-Jun;24(1):34-38. doi: 10.4103/njs.NJS_23_17.

Abstract

CONTEXT

Albinism is an inherited disorder of hypopigmentation involving the skin, eyes, and hair. This disorder results in the absence or reduction in melanin production. There are two main types of albinism which are ocular albinism and oculocutaneous albinism. It could also be classified as syndromic or nonsyndromic the melanin, which protects from the harmful effect of ultraviolet radiation of the sun on the normal skin, is deficient in the albino, predisposing them more, to cutaneous malignancies.

AIM

This study is to highlight the epidemiology of cutaneous cancers in albinos in sub-urban Nigeria.

METHODOLOGY

This is a retrospective review of all albinos with histological diagnoses of cutaneous malignancies that presented to Irrua Specialist Teaching Hospital, Irrua Edo State, Nigeria between September 2010 and August 2016. The following details were extracted from the patients' case-notes, operation register, and the histopathology register. These data include age, gender, site of the lesion, the diagnosis, no of lesions excised, and duration of the lesion (s). These were collated and analyzed using SPSS version 22.

RESULTS

There were 22 albinos with histopathologically diagnosed cutaneous malignancies. There were 11 males and 11 females with male:female of 1. The age range is from 25 to 55 years with the mean of 34.68.

CONCLUSION

Albinism is one of the most common causes of cutaneous malignancies, and majority of them present with locally advanced lesions that will need excision biopsy resulting in disfigurement. This problem can be prevented in many cases with proper community education, support, and free health care. There is also need for them to present early whenever they noticed any skin changes.

摘要

背景

白化病是一种涉及皮肤、眼睛和毛发的遗传性色素减退疾病。这种疾病导致黑色素生成缺失或减少。白化病主要有两种类型,即眼部白化病和眼皮肤白化病。它也可分为综合征型或非综合征型。黑色素可保护正常皮肤免受太阳紫外线辐射的有害影响,而白化病患者体内黑色素缺乏,使他们更容易患皮肤恶性肿瘤。

目的

本研究旨在突出尼日利亚郊区白化病患者皮肤癌的流行病学情况。

方法

这是一项对2010年9月至2016年8月期间在尼日利亚江户州伊鲁阿专科医院就诊的所有经组织学诊断为皮肤恶性肿瘤的白化病患者的回顾性研究。从患者的病历、手术记录和组织病理学记录中提取了以下详细信息。这些数据包括年龄、性别、病变部位、诊断结果、切除的病变数量以及病变持续时间。使用SPSS 22版对这些数据进行整理和分析。

结果

有22例经组织病理学诊断为皮肤恶性肿瘤的白化病患者。男性11例,女性11例,男女比例为1:1。年龄范围为25至55岁,平均年龄为34.68岁。

结论

白化病是皮肤恶性肿瘤最常见的病因之一,其中大多数表现为局部晚期病变,需要进行切除活检,这会导致容貌毁损。在许多情况下,通过适当的社区教育、支持和免费医疗保健可以预防这个问题。他们在注意到任何皮肤变化时也需要尽早就诊。

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