title: Primary cutaneous malignancies in sub-Saharan Africa.
abstract: Cutaneous malignancies are the most common malignancies in Whites; traditionally considered rare among Blacks, their occurrence in sub-Saharan Africa is yet to be fully characterized.Data on specimens submitted between 1992 and April 2008 on all histologically proven primary cutaneous malignancies were collected from the Pathology Department, including patient age, sex, anatomic site of malignancy, and histologic diagnosis. There were 1900 patients with primary cutaneous malignancies, aged between 8 months and 110 years, with a mean age of 49 years. There were 14 different types of malignancies found, with squamous cell carcinoma representing 45% of the total. A number of the rarer types have not been reported previously, from this region.Cutaneous malignancies in Africa present a number of management challenges including the following: difficulties in early diagnosis in the dark skin, late presentation, access to treatment, and the ability to pay for the appropriate treatment. The current human immunodeficiency virus/acquired immune deficiency syndrome scourge on the continent may lead a significant increase in cutaneous malignancies, posing even bigger challenges.
authors.affiliation: Plastic, Reconstructive and Hand Surgery Unit, AIC Kijabe Hospital, Kijabe, Kenya, Africa. nthumba@gmail.com
authors.forename: Peter M
authors.initials: PM
authors.lastname: Nthumba
authors.forename: Pedro C
authors.initials: PC
authors.lastname: Cavadas
authors.forename: Luis
authors.initials: L
authors.lastname: Landin
mesh_terms: D000293:Adolescent; D000328:Adult; D017954:Africa South of the Sahara / Q000453:epidemiology; D000368:Aged; D000369:Aged, 80 and over; D044383:Black People / Q000706:statistics & numerical data*; D002280:Basal Cell Carcinoma / Q000453:epidemiology; D002294:Carcinoma, Squamous Cell / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008545:Melanoma / Q000453:epidemiology; D008875:Middle Aged; D011159:Population Surveillance; D012189:Retrospective Studies; D012307:Risk Factors; D012878:Skin Neoplasms / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology*; D012879:Skin Physiological Phenomena; D012880:Skin Pigmentation; D055815:Young Adult