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首页> 外文期刊>World Journal of Surgical Oncology >Skin cancers in albinos in a teaching Hospital in eastern Nigeria - presentation and challenges of care
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Skin cancers in albinos in a teaching Hospital in eastern Nigeria - presentation and challenges of care

机译：尼日利亚东部一家教学医院的白化病皮肤癌-护理的现状和挑战

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Background Albinism is a genetic disorder characterized by lack of skin pigmentation. It has a worldwide distribution but is commoner in areas close to the equator like Nigeria. Skin cancers are a major risk associated with albinism and are thought to be a major cause of death in African albinos. Challenges faced in the care of these patients need to be highlighted in order to develop a holistic management approach with a significant public health impact. The aim of the study was to determine the pattern of skin cancers seen in Albinos, and to highlight problems encountered in their management. Method Case records of albinos managed in Imo state University teaching Hospital from June 2007 to May 2009 were reviewed. The data obtained was analyzed using descriptive statistics. Results and discussion In the period under review, albinos accounted for 67% of patients managed for primary skin cancers. There were twenty patients with thirty eight (38) lesions. Sixty one percent of the patients were below 40 years. Average duration of symptoms at presentation was 26 months. The commonest reason for late presentation was the lack of funds. Squamous cell carcinoma was the commonest histologic variant. Most patients were unable to complete treatment due to lack of funds. Conclusion Albinism appears to be the most important risk factor in the development of skin cancers in our environment. Late presentation and poor rate of completion of treatment due to poverty are major challenges.
机译：背景白化病是一种遗传病，其特征是缺乏皮肤色素沉着。它分布在世界各地，但在像尼日利亚这样的赤道附近地区比较普遍。皮肤癌是白化病的主要危险因素，被认为是非洲白化病死亡的主要原因。为了发展对公众健康有重大影响的整体管理方法，必须强调这些患者在护理方面面临的挑战。这项研究的目的是确定在Albinos中发现的皮肤癌的类型，并强调在其管理中遇到的问题。方法回顾2007年6月至2009年5月在伊莫州立大学教学医院管理的白化病病例记录。使用描述性统计数据分析获得的数据。结果与讨论在回顾期内，白化病患者占原发性皮肤癌患者的67％。有20名患者有38（38）个病变。百分之六十一的患者低于40岁。出现症状的平均时间为26个月。迟到的最常见原因是资金不足。鳞状细胞癌是最常见的组织学变异。由于缺乏资金，大多数患者无法完成治疗。结论白化病似乎是环境中皮肤癌发展的最重要危险因素。由于贫困而出现的迟到和治疗完成率低是主要的挑战。

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