Dermatological malignancies at a University teaching Hospital in Northwestern Tanzania: A retrospective review of 154 cases

  • Phillipo L. Chalya Consultant General surgeon and Senior Lecturer in Surgery
  • Japhet M. Gilyoma Consultant Surgeon and Senior Lecturer
  • Emmanuel S. Kanumba General Surgeon and Lecturer in Surgery
  • Brian Mawala General Surgeon and Lecturer in Surgery
  • Nestory Masalu Oncologist
  • Kahima J. Kahima Pathologist
  • Peter Rambau Pathologist, CUHAS
Keywords: Dermatological malignancies, prevalence, histopathological pattern, anatomical distribution, treatment outcome, Tanzania

Abstract

Dermatological malignancies are among the most common form of cancers and the global incidence has been increasing at an alarming rate. A retrospective study was conducted to determine the prevalence, histopathological pattern, anatomical distribution and treatment outcome of dermatological malignancies at Bugando Medical Centre in North-western Tanzania. Data were collected from patients’ files kept in the Medical record department; the surgical wards, operating theatre and histopathology laboratory and analyzed using SPSS system. A total of 154(12.8%) patients with a histopathological diagnosis of dermatological malignancy were studied. Generally, males outnumbered females by a ratio of 1.4:1. The majority of patients were in the 5th and 6th decades of life. Malignant melanoma was the most common dermatological malignancy (67.5%) followed by Kaposi’s sarcoma (10.4%), Squamous cell carcinoma (8.4%) and Basal cell carcinoma(7.8%).  The lower limbs were the most frequent site accounting for 55.8%. Wide local excision was the most common surgical procedure performed in 79.2% of cases. Post-operative wound infection was the most common complication in 58.3% of patients. Mortality rate was 3.8%. Dermatological malignancies are more prevalent in our setting. A high degree of suspecious is needed to avoid lebeling "malignancy" as "chronic ulcers".

 

Author Biographies

Phillipo L. Chalya, Consultant General surgeon and Senior Lecturer in Surgery
Consultant Genaral surgeon & Senior Lecturer, CUHAS
Japhet M. Gilyoma, Consultant Surgeon and Senior Lecturer
Senior lecturer, Head Department Surgery,CUHAS

 

 

 

Emmanuel S. Kanumba, General Surgeon and Lecturer in Surgery
General and Neurosurgeon Bugando Medical Centre
Brian Mawala, General Surgeon and Lecturer in Surgery
General surgeon,  Lecturer CUHAS
Nestory Masalu, Oncologist
Medical Oncologist, BMC
Kahima J. Kahima, Pathologist
Pathologist and Lecturer, CUHAS-Bugando
Peter Rambau, Pathologist, CUHAS
Pathologist, CUHAS-Bugando
Published
2012-01-01
How to Cite
ChalyaP. L., GilyomaJ. M., KanumbaE. S., MawalaB., MasaluN., KahimaK. J., & RambauP. (2012). Dermatological malignancies at a University teaching Hospital in Northwestern Tanzania: A retrospective review of 154 cases. Tanzania Journal of Health Research, 14(1). https://doi.org/10.4314/thrb.v14i1.3
Section
Articles

Journal Identifiers


eISSN: 1821-9241
print ISSN: 1821-6404