Pub Date : 2016-01-01DOI: 10.4103/1595-1103.182483
O. Abiola, Ibukun Olalekan Oyinloye, Segun Oladele Adeniyi
Peyronie's disease (PD) is characterized by fibrous plaque deposit in the tunica albuginea of corpus cavernosum, which may be associated with penile pain, deformities, and erectile dysfunction (ED). Its prevalence in Nigeria is not known, but limited numbers of cases were reported in literature. However, improvement in the management of ED has led to an increase in the presentation of patients with ED to physicians; in which during evaluation of such patients, PD has been occasionally diagnosed. This case report highlights the clinical findings and management of a Nigerian adult male who presented with erectile failure with clinical findings of PD and literature review of PD associated with ED.
{"title":"Peyronie's disease and erectile dysfunction: A case report and review of literature","authors":"O. Abiola, Ibukun Olalekan Oyinloye, Segun Oladele Adeniyi","doi":"10.4103/1595-1103.182483","DOIUrl":"https://doi.org/10.4103/1595-1103.182483","url":null,"abstract":"Peyronie's disease (PD) is characterized by fibrous plaque deposit in the tunica albuginea of corpus cavernosum, which may be associated with penile pain, deformities, and erectile dysfunction (ED). Its prevalence in Nigeria is not known, but limited numbers of cases were reported in literature. However, improvement in the management of ED has led to an increase in the presentation of patients with ED to physicians; in which during evaluation of such patients, PD has been occasionally diagnosed. This case report highlights the clinical findings and management of a Nigerian adult male who presented with erectile failure with clinical findings of PD and literature review of PD associated with ED.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"138 1","pages":"20 - 22"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79773290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.4103/1595-1103.182475
Nasiru Abubakar, Y. Ilyasu, M. Samaila, Aliyu U Bappa, Karo C Akpobi, M. Samdi
Epithelioid hemangioma (EH) is an uncommon cutaneous vascular lesion often localized to the superficial dermis. We report a 55-year-old female with multilobular anterolateral neck mass which was clinically diagnosed as multinodular goiter. However, tissue histology revealed EH.
{"title":"Epithelioid hemangioma mimicking multinodular goiter: A case report and the review of the literature","authors":"Nasiru Abubakar, Y. Ilyasu, M. Samaila, Aliyu U Bappa, Karo C Akpobi, M. Samdi","doi":"10.4103/1595-1103.182475","DOIUrl":"https://doi.org/10.4103/1595-1103.182475","url":null,"abstract":"Epithelioid hemangioma (EH) is an uncommon cutaneous vascular lesion often localized to the superficial dermis. We report a 55-year-old female with multilobular anterolateral neck mass which was clinically diagnosed as multinodular goiter. However, tissue histology revealed EH.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"150 1","pages":"14 - 16"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75768812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.4103/1595-1103.182477
Suvendu Maji, M. Saha, Tanveer Adil, Soumen Das
An obturator hernia is a rare condition but is associated with the highest mortality of all abdominal wall hernias. They are notorious for their diagnostic difficulty and present a challenge to the surgeon. Preoperative diagnosis is often a rarity. They commonly present in elderly emaciated women, typically associated with chronic diseases. The most common symptom is strangulation combined with mechanical intestinal obstruction. Early surgical intervention is often delayed due to the absence of clinical and radiological clues. The following case report highlights these difficulties and reviews current literature on the management of such cases.
{"title":"A rare case of strangulated obturator hernia presenting as subacute intestinal obstruction","authors":"Suvendu Maji, M. Saha, Tanveer Adil, Soumen Das","doi":"10.4103/1595-1103.182477","DOIUrl":"https://doi.org/10.4103/1595-1103.182477","url":null,"abstract":"An obturator hernia is a rare condition but is associated with the highest mortality of all abdominal wall hernias. They are notorious for their diagnostic difficulty and present a challenge to the surgeon. Preoperative diagnosis is often a rarity. They commonly present in elderly emaciated women, typically associated with chronic diseases. The most common symptom is strangulation combined with mechanical intestinal obstruction. Early surgical intervention is often delayed due to the absence of clinical and radiological clues. The following case report highlights these difficulties and reviews current literature on the management of such cases.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"1 1","pages":"23 - 26"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89256370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.4103/1595-1103.182476
R. Patnayak, A. Jena
{"title":"List of authors in scholarly publications: Does it matter?","authors":"R. Patnayak, A. Jena","doi":"10.4103/1595-1103.182476","DOIUrl":"https://doi.org/10.4103/1595-1103.182476","url":null,"abstract":"","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"167 1","pages":"27 - 27"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76555884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.4103/1595-1103.182479
A. Chika, Ikeanusi Mary Philomena
Fibrous dysplasia is a bone disease that manifests usually before the end of the third decade. Fracture occurring after a minor impact is usually on a background of diseased bone. This case illustrates an asymptomatic bone disease that was diagnosed incidentally when there was failure of union of a humeral fracture after 10 weeks of adequate conservative treatment.
{"title":"Fibrous dysplasia of the humerus: An uncommon cause of pathological fracture in a 56-year-old","authors":"A. Chika, Ikeanusi Mary Philomena","doi":"10.4103/1595-1103.182479","DOIUrl":"https://doi.org/10.4103/1595-1103.182479","url":null,"abstract":"Fibrous dysplasia is a bone disease that manifests usually before the end of the third decade. Fracture occurring after a minor impact is usually on a background of diseased bone. This case illustrates an asymptomatic bone disease that was diagnosed incidentally when there was failure of union of a humeral fracture after 10 weeks of adequate conservative treatment.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"14 1","pages":"17 - 19"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87221544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.4103/1595-1103.182480
T. Agu
Prayer houses that profess miracles and healing through prayers and vigils abound in our clime, but this case report of irreparable limb damage due to an unprofessional medical intervention by a prayer warrior is new and worrisome. This case is an advanced acute compartment syndrome of both legs which was caused by a prayer warrior who, supposedly, had the inspiration to apply tight splints on the legs of a girl with cerebral palsy so that she could walk.
{"title":"Overzealous prayer house as a new cause of irreparable limb damage: A case report and review of the literature","authors":"T. Agu","doi":"10.4103/1595-1103.182480","DOIUrl":"https://doi.org/10.4103/1595-1103.182480","url":null,"abstract":"Prayer houses that profess miracles and healing through prayers and vigils abound in our clime, but this case report of irreparable limb damage due to an unprofessional medical intervention by a prayer warrior is new and worrisome. This case is an advanced acute compartment syndrome of both legs which was caused by a prayer warrior who, supposedly, had the inspiration to apply tight splints on the legs of a girl with cerebral palsy so that she could walk.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"19 1","pages":"10 - 13"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78974115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.4103/1595-1103.182481
A. Mahmud-Ajeigbe, K. Oladigbolu, F. Giwa, Er Abah, A. Rafindadi, A. Olayinka, V. Pam
Background: Cataract surgery is the most commonly performed surgery in most ophthalmic units. Endophthalmitis is still a dreaded complication and knowledge of the normal bacterial flora on the ocular surface and adnexae is paramount in the management of these cases. Aims and Objectives: To investigate the most frequently found ocular bacteria flora in patients scheduled for routine cataract surgery at the Ahmadu Bello University Teaching Hospital Shika Zaria, Northern Nigeria and to determine their antimicrobial susceptibility pattern. Materials and Methods: This was a cross-sectional descriptive study carried out between December 2010 and February 2012 in subjects scheduled to undergo routine cataract surgery. The lower conjunctival fornix was swabbed with a sterile swab. The samples were inoculated onto enriched and selective culture media. Antimicrobial susceptibility testing was done using the modified Kirby Bauer standardized disc-diffusion method. Data were entered and analyzed using SPSS version 20.0. Results: One hundred and fifty-seven eyes of 157 patients were sampled. The patients were between the ages of 16–96 years with a mean age of 58.8 ± 14.5 years. Positive bacterial culture was found in 35% (n = 55) of the patients. The predominant bacteria cultured was Staphylococcus epidermidis 49.1%. There was resistance to tetracycline (32.7%) and gentamycin (1.8%). All the isolates were sensitive to tobramycin and ciprofloxacin. A statistically significant relationship was found between age and culture status (P = 0.008). Conclusion: Coagulase negative Staphylococcus (S. epidermidis) was the most common commensal found in the conjunctival sacs of patients undergoing cataract surgery, and most of the isolates were susceptible to commonly used antibiotics.
{"title":"Bacterial flora in precataract surgery patients in a Northern Nigerian hospital","authors":"A. Mahmud-Ajeigbe, K. Oladigbolu, F. Giwa, Er Abah, A. Rafindadi, A. Olayinka, V. Pam","doi":"10.4103/1595-1103.182481","DOIUrl":"https://doi.org/10.4103/1595-1103.182481","url":null,"abstract":"Background: Cataract surgery is the most commonly performed surgery in most ophthalmic units. Endophthalmitis is still a dreaded complication and knowledge of the normal bacterial flora on the ocular surface and adnexae is paramount in the management of these cases. Aims and Objectives: To investigate the most frequently found ocular bacteria flora in patients scheduled for routine cataract surgery at the Ahmadu Bello University Teaching Hospital Shika Zaria, Northern Nigeria and to determine their antimicrobial susceptibility pattern. Materials and Methods: This was a cross-sectional descriptive study carried out between December 2010 and February 2012 in subjects scheduled to undergo routine cataract surgery. The lower conjunctival fornix was swabbed with a sterile swab. The samples were inoculated onto enriched and selective culture media. Antimicrobial susceptibility testing was done using the modified Kirby Bauer standardized disc-diffusion method. Data were entered and analyzed using SPSS version 20.0. Results: One hundred and fifty-seven eyes of 157 patients were sampled. The patients were between the ages of 16–96 years with a mean age of 58.8 ± 14.5 years. Positive bacterial culture was found in 35% (n = 55) of the patients. The predominant bacteria cultured was Staphylococcus epidermidis 49.1%. There was resistance to tetracycline (32.7%) and gentamycin (1.8%). All the isolates were sensitive to tobramycin and ciprofloxacin. A statistically significant relationship was found between age and culture status (P = 0.008). Conclusion: Coagulase negative Staphylococcus (S. epidermidis) was the most common commensal found in the conjunctival sacs of patients undergoing cataract surgery, and most of the isolates were susceptible to commonly used antibiotics.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"56 1","pages":"5 - 9"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90574702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.4103/1595-1103.182478
Kortor Joseph Namgwa, Agbir Terkura, Y. William, Mue Daniel, Elachi I Cornilius
Background: Chronic low back pain (CLBP) is a common orthopedic condition that co-exists with depression. The combination of these two contrast ailments is often associated with poorer treatment response and increase health care cost. Objectives: To determine the prevalence of depression in patients with CLBP and study the effects of sociodemographic factors. Materials and Methods: This is a cross-sectional study of adult patients with CLBP seen at BSUTH Makurdi from April 2014 to September 2014. Patients were assessed for depression using hospital anxiety depression scale (HADS). Data obtained were analyzed using SPSS version 16. Results: One hundred and fourteen patients were recruited for the study, consisting of 48 males and 66 females. Age ranged from 23 to 75 years, with mean age of 44.7 years. Of 114 patients, 45 patients were found positive for depression using HADS. The rate of depression in these patients was 39.5%. The highest rate of depression was seen in 30–39 years age group. Conclusion: The prevalence of depression in patients with CLBP was observed to be 39.5% which is comparable to the reports of previous studies in the developed countries.
背景:慢性腰痛(CLBP)是一种常见的与抑郁症共存的骨科疾病。这两种对比疾病的结合通常与较差的治疗反应和增加的医疗保健费用有关。目的:了解CLBP患者抑郁的患病率，并研究社会人口因素对其的影响。材料和方法:这是一项针对2014年4月至2014年9月在BSUTH Makurdi就诊的成年CLBP患者的横断面研究。采用医院焦虑抑郁量表(HADS)对患者进行抑郁评估。获得的数据使用SPSS version 16进行分析。结果:研究招募了114例患者，其中男性48例，女性66例。年龄23 ~ 75岁，平均44.7岁。114例患者中，45例患者使用HADS检测出抑郁阳性。患者抑郁率为39.5%。抑郁症发病率最高的是30-39岁年龄组。结论:CLBP患者抑郁患病率为39.5%，与发达国家既往研究报告相当。
{"title":"Depression in patients with chronic low back pain: A hospital-based study","authors":"Kortor Joseph Namgwa, Agbir Terkura, Y. William, Mue Daniel, Elachi I Cornilius","doi":"10.4103/1595-1103.182478","DOIUrl":"https://doi.org/10.4103/1595-1103.182478","url":null,"abstract":"Background: Chronic low back pain (CLBP) is a common orthopedic condition that co-exists with depression. The combination of these two contrast ailments is often associated with poorer treatment response and increase health care cost. Objectives: To determine the prevalence of depression in patients with CLBP and study the effects of sociodemographic factors. Materials and Methods: This is a cross-sectional study of adult patients with CLBP seen at BSUTH Makurdi from April 2014 to September 2014. Patients were assessed for depression using hospital anxiety depression scale (HADS). Data obtained were analyzed using SPSS version 16. Results: One hundred and fourteen patients were recruited for the study, consisting of 48 males and 66 females. Age ranged from 23 to 75 years, with mean age of 44.7 years. Of 114 patients, 45 patients were found positive for depression using HADS. The rate of depression in these patients was 39.5%. The highest rate of depression was seen in 30–39 years age group. Conclusion: The prevalence of depression in patients with CLBP was observed to be 39.5% which is comparable to the reports of previous studies in the developed countries.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"95 1","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88413926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.4103/1595-1103.166884
H. Umaru, Chukwuemeka Christian Madubueze, Abdulrazak Alada, C. Onu
Background: Limb amputation is a common live saving surgical procedure in orthopedics and trauma practice that is associated with profound psychological, social and economic consequences on patients and his family. Current reports from some parts of Nigeria suggest that diabetic complications are taking the lead as cause for limb amputations in place of trauma the traditionally known etiological factor in the country. Objectives: To review the indications for amputations in our center and to compare our findings with published information, in view of its effect on the individual and the society and to suggest preventive measures. Materials and Methods: An 8 years retrospective study of extremity amputations performed in our hospital. Data on age, gender, indication for amputation, level of amputation, and outcome of surgery were extracted from the patients' case files and the operation register. Data were analyzed using SPSS version 16 and result presented in diagrammatic and tabular form. Results: The records of 106 patients were analyzed, there were 73 males and 33 females (ratio of 2.2:1), the age ranged from 8 to 92 years with a mean age and (standard deviation) 43.76 (±18.69) years. Diabetic foot gangrene was the most common indication for limb amputation in 46 (43.3%) patients compared to trauma 22 (20.8%). Below knee amputation was the most frequent level of amputation 50 (47.2%). The most frequent complication encountered was surgical site infection in 30 (28.3%). Conclusion: Diabetic foot gangrene was the leading indication for amputation in this study. Intense public enlightenment on prevention, early detection and effective treatment of diabetes and its complications will reduce the incidence of amputations in our environment.
{"title":"Limb amputations in Nigeria: The National hospital abuja experience","authors":"H. Umaru, Chukwuemeka Christian Madubueze, Abdulrazak Alada, C. Onu","doi":"10.4103/1595-1103.166884","DOIUrl":"https://doi.org/10.4103/1595-1103.166884","url":null,"abstract":"Background: Limb amputation is a common live saving surgical procedure in orthopedics and trauma practice that is associated with profound psychological, social and economic consequences on patients and his family. Current reports from some parts of Nigeria suggest that diabetic complications are taking the lead as cause for limb amputations in place of trauma the traditionally known etiological factor in the country. Objectives: To review the indications for amputations in our center and to compare our findings with published information, in view of its effect on the individual and the society and to suggest preventive measures. Materials and Methods: An 8 years retrospective study of extremity amputations performed in our hospital. Data on age, gender, indication for amputation, level of amputation, and outcome of surgery were extracted from the patients' case files and the operation register. Data were analyzed using SPSS version 16 and result presented in diagrammatic and tabular form. Results: The records of 106 patients were analyzed, there were 73 males and 33 females (ratio of 2.2:1), the age ranged from 8 to 92 years with a mean age and (standard deviation) 43.76 (±18.69) years. Diabetic foot gangrene was the most common indication for limb amputation in 46 (43.3%) patients compared to trauma 22 (20.8%). Below knee amputation was the most frequent level of amputation 50 (47.2%). The most frequent complication encountered was surgical site infection in 30 (28.3%). Conclusion: Diabetic foot gangrene was the leading indication for amputation in this study. Intense public enlightenment on prevention, early detection and effective treatment of diabetes and its complications will reduce the incidence of amputations in our environment.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"4 1","pages":"11 - 14"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80969846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.4103/1595-1103.166882
B. Fomete, J. Ogbeifun
Introduction: Soft tissue sarcomas (STSs) are solid malignancies mostly of mesodermal origin whose rarity and variety present formidable challenges in characterization and treatment. According to Pisters and Brennan, STS make up <1% of all oral malignancies. Like other tumors, they can occur at any anatomical site and at any age. The extremities and trunk are favored sites for occurrence and only about 5–10% of STS occur in the head and neck region. STS have varied cell origin, but all STS are considered as a group because of the similarities in their clinical features, natural history, treatment, and disease outcome. Patients and Methods: Medical records of patients with histopathologically diagnosed malignant oral and maxillofacial tumors between January 2003 and December 2013 were retrospectively reviewed at the Maxillofacial Unit, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Results: There were more male than female in a ratio of 1.28:1.The age range from 7 months to 70 years with a mean of 29.3 years and 37.8% being <20 and about 62.2% being above 20 years. Rhabdomyosarcoma was the most common lesion (39%) followed by fibrosarcoma (15.6%), malignant fibrous histiocytoma (7.8%). The most common site was the mandible followed by the cheek, palate, and maxilla. Some patients had both mandible and cheek involved while other had both palate and maxilla involved. The most frequent mode of treatment was surgery followed by radio and chemotherapy. A few patients declined therapy. Conclusion: STS remains a challenge in our center due to late presentation and affordability of treatment by our patients. Another contributing factor is the believe that cancer cannot be treated with orthodox medicine.
{"title":"Soft tissue sarcoma of the orofacial region: Our experience with 64 cases","authors":"B. Fomete, J. Ogbeifun","doi":"10.4103/1595-1103.166882","DOIUrl":"https://doi.org/10.4103/1595-1103.166882","url":null,"abstract":"Introduction: Soft tissue sarcomas (STSs) are solid malignancies mostly of mesodermal origin whose rarity and variety present formidable challenges in characterization and treatment. According to Pisters and Brennan, STS make up <1% of all oral malignancies. Like other tumors, they can occur at any anatomical site and at any age. The extremities and trunk are favored sites for occurrence and only about 5–10% of STS occur in the head and neck region. STS have varied cell origin, but all STS are considered as a group because of the similarities in their clinical features, natural history, treatment, and disease outcome. Patients and Methods: Medical records of patients with histopathologically diagnosed malignant oral and maxillofacial tumors between January 2003 and December 2013 were retrospectively reviewed at the Maxillofacial Unit, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Results: There were more male than female in a ratio of 1.28:1.The age range from 7 months to 70 years with a mean of 29.3 years and 37.8% being <20 and about 62.2% being above 20 years. Rhabdomyosarcoma was the most common lesion (39%) followed by fibrosarcoma (15.6%), malignant fibrous histiocytoma (7.8%). The most common site was the mandible followed by the cheek, palate, and maxilla. Some patients had both mandible and cheek involved while other had both palate and maxilla involved. The most frequent mode of treatment was surgery followed by radio and chemotherapy. A few patients declined therapy. Conclusion: STS remains a challenge in our center due to late presentation and affordability of treatment by our patients. Another contributing factor is the believe that cancer cannot be treated with orthodox medicine.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"50 1","pages":"3 - 10"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78861631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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