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Research | DOI: https://doi.org/10.31579/2578-8949/096
1 Dermatology-Venerology, Faculty of Health Sciences of Cotonou, University of Abomey Calavi (Benin).
2 Dermatology-Venerology, Faculty of Medicine of Parakou, University of Parakou (Benin).
*Corresponding Author: Akpadjan Fabrice, Dermatology-Venerology, Faculty of Health Sciences, University of Abomey-Calavi; 09BP: 441 Cotonou (Benin).
Citation: A Fabrice, A Hugues, D Juste, D Berenice, A Nadege, at el. (2022) Epidemiological profile of tumor dermatoses in the hospital setting in Cotonou (Benin) from 2009 to 2018. Dermatology and Dermatitis. 7(1); Doi:10.31579/2578-8949/096
Copyright: ©2022 Akpadjan Fabrice, This is an open-access article distributed under the terms of The Creative Commons. Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 20 March 2022 | Accepted: 01 April 2022 | Published: 13 April 2022
Keywords: tumoral dermatoses; benign; malignant; Cotonou (Benin)
Introduction
Tumoral dermatoses are tissue neoformations due to an excessive, abnormal, anarchic and more or less autonomous cellular proliferation at the expense of the skin and its appendages. These tumoral dermatoses can be benign or malignant. They are responsible for a high morbi-mortality.
Patients and methods
Retrospective and descriptive cross-sectional study of the records of patients seen for mucocutaneous tumors, in the Dermatology-Venereology Department of the National Hospital and University Center Hubert Koutoukou Maga (NHUC-HKM) of Cotonou, from 2009 to 2018. Epidemiological data were collected from consultation registers and then entered and analyzed with Excel, EPI-DATA and SPSS software.
Results
A total of 10,627 new patients were registered, of which 885 cases of tumor dermatoses (8.32%). Thirty-five types of tumor dermatoses were collected. The average age was 31 years; the most represented age group was 20-39 years (46.30%). The sex ratio was 1.02. Lesions were acquired in 93.30% of patients. Benign tumors represented 94.80% of the patients. They were dominated by keloids (24.60%) followed by condylomas (16.20%), warts (10.40%), molluscum contagiosum (7.60%), cysts (6.50%) and the group formed by nevi and hamartomas (6.20%). Malignant tumors were rare and represented by carcinomas (basal and squamous cell) with 1.7% and melanoma (0.50%). Kaposi's disease was observed in 2.50%.
Conclusion
This study allowed us to know the frequency and the different types of tumoral dermatoses observed in the patients followed in the dermatology-venereology department of the NHUC-HKM of Cotonou during the last ten years.
Tumoral dermatoses are tissue neoformations due to excessive, abnormal, anarchic and more or less autonomous cell proliferation at the expense of the skin and or its appendages ; they can spread at a distance with a high rate of morbidity and mortality that varies according to the cell types and their localization. Thus, each cell type contained in the different tissues of the skin is capable of transforming into benign or malignant tumors that can be acquired, hereditary or dysembryoplastic [1]. There is therefore a large number of skin tumors, the most frequent of which are benign.
Few studies have been done on this group of dermatoses in our country. The objective of the present study is to list all the tumoral dermatoses seen in a Dermatology-Venerology department in Benin and to specify the socio-demographic characteristics of these patients who suffer from them.
This was a retrospective and descriptive cross-sectional study that included all records of new patients with at least one cutaneous or mucosal tumor seen in the Dermatology-Venereology Department of the National Hospital and University Center Hubert Koutoukou Maga (NHUC-HKM) in Cotonou over a ten-year period (from January 1st, 2009 to December 31st, 2018). In a first step, the consultation registers were consulted and the patients with a diagnosis of tumor dermatoses were identified. In a second step, each file was studied and the epidemiological data were collected on a survey form then entered and analyzed with Excel, EPI-DATA and SPSS software. The anonymity of the patients was respected.
During the study period, 10,627 new patients with 885 cases of tumor dermatoses were identified, representing a hospital frequency of 8.32%. The same patient could have one or more different types of tumor dermatoses (Table I). A total of 948 tumor dermatoses were identified, grouped into 35 types.
The mean age was 31.17 ± 17.43 years; with extremes from 01 day to 92 years. The largest number of cases was in the 20-39 year age group (46.3%).
The sex ratio was 1.02. The majority of cases of skin tumors (30.50%) were observed in learners (schoolchildren-students).
The lesions were congenital in 6.70% of patients and acquired in 93.30%. Among the latter, the time to consultation ranged from 01 day to 62 years. Benign tumors represented 94.80% of all tumors identified and malignant tumors and tumors of limited malignancy 5.20%.
Tumor dermatoses | No. of cases | Percentage (%) |
Benign tumors | ||
Keloids | 233 | 24.5 |
Condylomata | 154 | 16.2 |
Warts | 101 | 10.6 |
Molluscum contagiosum | 72 | 7.6 |
Nevi and hamartomas | 59 | 6.2 |
Sebaceous cysts and sebocystomatosis | 40 | 4.2 |
Molluscum pendulum | 35 | 3.7 |
Botriomycomas | 32 | 3.4 |
Angiomas | 30 | 3.2 |
Cutaneous fibroids | 24 | 2.5 |
Other cysts | 22 | 2.3 |
Lipomas | 22 | 2.3 |
Recklinghausen's disease | 19 | 2.0 |
Syringomas | 17 | 1.8 |
Other neurofibromatoses | 8 | 0.8 |
Dermatosis papulosa nigra | 6 | 0.6 |
Mixed tumors with vascular components | 5 | 0.5 |
Horns | 3 | 0.3 |
Xanthomas | 3 | 0.3 |
Trichoepitheliomas | 2 | 0.2 |
Epidermodysplasias verruciformis | 2 | 0.2 |
Fungal mycetomas | 2 | 0.2 |
Other benign tumors | 7 | 1.7 |
Malignant and limited malignancy tumors | ||
Kaposi's disease | 24 | 2.5 |
Squamous cell carcinoma | 12 | 1.3 |
Melanoma | 5 | 0.5 |
Basal cell carcinoma | 3 | 0.3 |
Hidradenomas | 2 | 0.2 |
Unspecified carcinoma | 1 | 0.1 |
Dermatofibrosarcoma of Darier Ferrand | 1 | 0.1 |
Histiofibrosarcoma | 1 | 0.1 |
Cutaneous lymphoma | 1 | 0.1 |
Total | 948 | 100 |
Table II : distribution of the 948 tumor dermatoses recorded in patients followed in the Dermatology-Venerology Department of the NHUC-HKM of Cotonou from January 1st 2009 to December 31st 2018, according to the type of tumor
The hospital incidence of tumor dermatoses in our study (8.32%) is higher than that found by B. Seck et al. [2] (2.2%) in Dakar, Senegal in 2013 in a 1-year retrospective study. However, their frequency is high in histopathology departments. Indeed, tumoral and pseudotumoral dermatoses represented 54.2% of skin pathologies seen in the pathological anatomy laboratory in Lomé, Togo according to Darre et al. [3]. It can be deduced from this that the latter are more frequently requested for pathological anatomy examination by dermatologists because of the fear of malignant tumors in the presence of any tumoral dermatosis.
Tumor dermatoses are dominated by benign tumors (94.80%). These results are consistent with data from the African literature. Barro-Traoré et al. in Burkina Faso [4] found 96.5
This study allowed us to know the hospital frequency and the different types of tumoral dermatoses observed in patients attended in the dermatology-venereology department of the NHUC-HKM of Cotonou over the last ten years. They are dominated by benign tumors with keloids at the top. The knowledge of these tumoral dermatoses allows on the one hand to ensure their prevention as much as possible and on the other hand to provide modern means of their curative management.
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