INFECTION MIMETIC TUMOR FEVER IN ALBANIAN ADULTS: EPIDEMIOLOGICAL AND NOSOGRAPHICAL DATA

Abstract

Introduction: Tumoral pathologies are often presented as acute or prolonged febrile syndromes, with fever as the only dominant clinical pattern. Material and Methods: 123 patients, during 2010-2015, age groups 20-70 y ears. This study is based on an epidemiological (gender, age group, and resi ence) and clinical survey (history, clinical, biological and serological data) Results: Epidemiological Males were 79 cases and females 44 cases. Mean age was 45 yrs old, resident in town 82, countryside 41. Clinical A. Tumors Head and neck 9 (cerebral 7 ,thyroid 2 ) Thorax 11( pulmonar adenocarcinoma 8, breast 3 ) D igestive tract 49 ( gastric cancer 4, colon 16,pancreas 15, liver 8, billiary tract 6) Lymphohe mopoetic system 46 ( leucosis 19 ,lymphoma 17, myeloma 8, Hairy Cell Leukemia 2) Urogenital tr c 8 ( renal cancer 2,prostatic 2, seminoma 1,ovarian 3) B Fever profile and corresponding tumor Continuous (cerebral 3, thyroid 2, pulmonar 6 ,colon 6,intestinal 1, pancreas 5, acute leucosis 8 , billiary tract 2, renal 1 ,seminoma1, breast 1) Remmitent (cerebral 2, colon 5, i testinal 2, pancreas 4, liver 2, billiary tract 2, acute leucosis 2, HCL 2, seminoma 1,breas t 2) Intermmitent (cerebral 2, pulmonar 2, liver 6, billiary tract 2, pancreas 6 ,colon 5, ren al 1) Recurrent (lymphoma 7, acute leucosis 2, myeloma 2) Ondulant (lymfoma 10, acute leucosis 3, myeloma 6 ) Conclusion: We identified 17 types of febrile tumors and 5 diff erent types of fever. Continuous fever dominated with 29.3% of cases. Diagnostic or ientation to malignances followed a detailed anamnestic, laboratory and imagery screening.