Research Article | | Peer-Reviewed

Surgical Treatment of Skin Cancers of the Head and Neck at the DONKA Surgical Oncology Unit

Received: 5 September 2023    Accepted: 12 October 2023    Published: 28 October 2023
Views:       Downloads:
Abstract

Objective: To improve the surgical treatment of head and neck skin cancers. Materials and methods: This was a retrospective descriptive cohort study examining the sociodemographic, anatomopathological, therapeutic and evolutionary aspects of patients with head and neck skin cancer. Results: 148 patients (65.2%) were histologically confirmed and 43 (29.1%) underwent surgery. The mean age was 33 ± 16 years. The average time to treatment was 6 months. There were 10 (22.0%) stage III cases. The most typical histological type was squamous cell carcinoma (97.7%), of which 18 cases (41.9%) had a tumor size > 4 cm. Wide resection was performed in 88.4% of cases and surgical wound closure was achieved by flap grafting in 55.8% of cases. Healing was normal in 53.5% of cases. After a mean follow-up of 16 ± 22 months, overall survival at 12 months was 44%. 13 patients (30.2%) are still alive. Conclusions: This study shows that only a small number of head and neck skin cancer patients are operated on in the oncology department of Conakry University Hospital. Ongoing training of healthcare professionals and dermatological surveillance for primary and secondary prevention of skin cancer in people with albinism may help to improve outcomes for people with skin cancer and improve the quality of care for head and neck skin cancer.

Published in International Journal of Clinical Dermatology (Volume 6, Issue 2)
DOI 10.11648/j.ijcd.20230602.13
Page(s) 24-28
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Surgery, Cancer, Skin, Head, Neck

References
[1] Malalaniaina A, Lovasoa T, Mamisoa RI, Malala R, Soavina RL, Florine R, et al. Skin cancers in Madagascar: Where do we stand? Pan Afr Med J. 2019; 34: 1-8.
[2] Traore B, Keita M, Condé M, Keita M, Diane S, Cissé M, et al. Anatomo-clinical characteristics of skin cancers in the surgical oncology unit of Conakry University Hospital. Rev CAMES SANTE. 2016; 4 (2): 78-82.
[3] Szewczyk M, Pazdrouvski J, Golusinskin P, Danczak-Pazdrowska A, Marszalek S and Golusinski W. Analysis of selected risk factors for nodal metastases in head and neck cutaneous squamous cell carcinoma. Eur Arch Otorhinolaryngol. 2015; 272; 3009-3012.
[4] Traore B, Lamah L. Outcomes of Surgical Treatment of Skin Cancer at Surgical Oncology Unit of Donka, Conakry University Hospital. JCT. 2017; 08 (12): 1086-94.
[5] Winquist E, Agbassi C, Meyers M B, Yoo J, Chan K W. Abstract Systemic therapy in the curative treatment of head and neck squamous cell cancer: systematic review. Otolaryngology-Head and Neck Surgery. 2017; 46: 19-29.
[6] Kadakia S, Chan D, Mourad M, Ducic Y. The Prognostic Value of Age, Sex and Subsite in Cutaneous Head and Neck Melanoma; A Clinical Review of recent Literature. Cancer prevention. 2016; 9 (3): 5079-5082.
[7] Sun Q, Prasad R, Rosenthal E, and Kaliyar SK. Grape seed proanthocyanidins inhibit the invasive potential of head and neck cutaneous squamous cell carcinoma cells by targeting EGFR expression and epithelial-to-mesenchymal transition. Complementary and Alternative. 2011; 11: 123-134.
[8] Jean-Hilaire S, Jean-Marie L, Dan L, Luc T, Luca B. Dermatology and sexually transmitted infection. 6th edition, Paris: Elsevier Masson; 2017, 1288.
[9] Saka B, Souley Z, Kombaté K, Mouhari M, Toure A, Akakpo S Et al. Les Cancers cutanés au Togo: 223 observations; Med Trop. 2016; 70: 169-171.
[10] Asuquo M, Ebughe G. Frequently encountered skin cancers at Calabar Teaching Hospital, Calabar, Southern Nigeria. Int J Dermatol. 2012; 51: 36-40.
[11] Mouttet-Audouard R, Gras L, Connet B and Lartigau E. Radiotherapy of head and neck tumours in irradiated areas. Bulletin du Cancer. 2011; 98 (12): 1477-1488.
[12] Chiheb S, El Moutaoui L, Moustaghfir I, BenchikhiH. Cutaneous cancers: epidemiology, clinical and histological aspects. Service de Dermatologie, CHU Ibn Rochd de Casablanca. Journal Marocain des Sciences Médicales. 2009; 16 (3): 57-64.
[13] Menye M, Nkoro GA, Lebogo KH, Kouotou EA. Skin cancer: epidemiological, clinical, and histological aspects in albinos and non-albinos in Yaoundé, Cameroon. Our Dermatol Online. 2023; 14 (2): 170-176.
[14] Hadan D. Distribution of skin cancers of the head and neck according to anatomical subunit. Eur Arch Otorhinolaryngol. 2022; 279: 1461-6.
[15] Fayek IS, Rifaat MA, Mohammed DB. Management and Clinico-Pathologic Aspects of Non-Melanoma Skin Cancer of the Head and Neck: A Retrospective Institutional Based Study at the Egyptian National Cancer Institute. JCT. 2019; 10: 846-62.
[16] Grossi Marconi D, da Costa Resende B, Rauber E, de Cassia Soares P, Fernandes JM, Mehta N, et al. Head and Neck Non-Melanoma Skin Cancer Treated By Superficial X-Ray Therapy: An Analysis of 1021 Cases. PLoSONE. 2016; 11: 156-544.
[17] Ouedraogo MS, Zongo N, Ouedraogo NA, Tapsoba GP, Korsaga/Somé NN, Nyamba YB, et al. Black skin cancers in tropical Africa. Annals of dermatology and venereology. 2015; 142 (12); 389-390.
[18] Loriot Y, Mordant P. Cancérologie. Issy-les-Moulineaux: Elsevier-Masson; 2011.
[19] Dean N R, Snecny L, Magouson J S, William R, Robinson D, Desmond R A Et al. Outcomes of Recurrent Head and Neck Cutaneous Squamous Cell Carcinoma; Skin Cancer. 2011; 97: 2492-9724.
[20] Helgadottir H, Olsson H, Tucker MA, Yang XR, Höiom V, Goldstein AM. Phenocopies in melanoma-prone families with germ-line CDKN2A mutations. Genet Med. 2018; 20 (9): 1087-1090.
[21] Kelder W, MD, PhD, Ardalan E, MBBS [Hons}, FRACS et al. Cutaneous Head and Neck Squamous Cell Carcinoma with Regional Metastases: The Prognostic Importance of Soft Tissue Metastases and Extranodal Spread. Surgical Oncology. 2012, 19 (1) 274-27.
[22] Vasconcelos L, Melo J C, Miot H A, Marques M E A and Abbade L F. Invasive head and neck cutaneous squamous cell carcinoma clinical and histopathological characteristics frequency of local recurrence and metastasis. A Bras Dermatol. 2014, 89 (4) 562-568.
Cite This Article
  • APA Style

    Bah Malick, Keita Mamady, Toure Alhassane Ismael, Cisse Kalil, Souare Mamadou Bobo, et al. (2023). Surgical Treatment of Skin Cancers of the Head and Neck at the DONKA Surgical Oncology Unit . International Journal of Clinical Dermatology, 6(2), 24-28. https://doi.org/10.11648/j.ijcd.20230602.13

    Copy | Download

    ACS Style

    Bah Malick; Keita Mamady; Toure Alhassane Ismael; Cisse Kalil; Souare Mamadou Bobo, et al. Surgical Treatment of Skin Cancers of the Head and Neck at the DONKA Surgical Oncology Unit . Int. J. Clin. Dermatol. 2023, 6(2), 24-28. doi: 10.11648/j.ijcd.20230602.13

    Copy | Download

    AMA Style

    Bah Malick, Keita Mamady, Toure Alhassane Ismael, Cisse Kalil, Souare Mamadou Bobo, et al. Surgical Treatment of Skin Cancers of the Head and Neck at the DONKA Surgical Oncology Unit . Int J Clin Dermatol. 2023;6(2):24-28. doi: 10.11648/j.ijcd.20230602.13

    Copy | Download

  • @article{10.11648/j.ijcd.20230602.13,
      author = {Bah Malick and Keita Mamady and Toure Alhassane Ismael and Cisse Kalil and Souare Mamadou Bobo and Conde Ibrahima Kalil and Traore Bangaly},
      title = {Surgical Treatment of Skin Cancers of the Head and Neck at the DONKA Surgical Oncology Unit
    
    	
    },
      journal = {International Journal of Clinical Dermatology},
      volume = {6},
      number = {2},
      pages = {24-28},
      doi = {10.11648/j.ijcd.20230602.13},
      url = {https://doi.org/10.11648/j.ijcd.20230602.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcd.20230602.13},
      abstract = {Objective: To improve the surgical treatment of head and neck skin cancers. Materials and methods: This was a retrospective descriptive cohort study examining the sociodemographic, anatomopathological, therapeutic and evolutionary aspects of patients with head and neck skin cancer. Results: 148 patients (65.2%) were histologically confirmed and 43 (29.1%) underwent surgery. The mean age was 33 ± 16 years. The average time to treatment was 6 months. There were 10 (22.0%) stage III cases. The most typical histological type was squamous cell carcinoma (97.7%), of which 18 cases (41.9%) had a tumor size > 4 cm. Wide resection was performed in 88.4% of cases and surgical wound closure was achieved by flap grafting in 55.8% of cases. Healing was normal in 53.5% of cases. After a mean follow-up of 16 ± 22 months, overall survival at 12 months was 44%. 13 patients (30.2%) are still alive. Conclusions: This study shows that only a small number of head and neck skin cancer patients are operated on in the oncology department of Conakry University Hospital. Ongoing training of healthcare professionals and dermatological surveillance for primary and secondary prevention of skin cancer in people with albinism may help to improve outcomes for people with skin cancer and improve the quality of care for head and neck skin cancer.
    },
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Surgical Treatment of Skin Cancers of the Head and Neck at the DONKA Surgical Oncology Unit
    
    	
    
    AU  - Bah Malick
    AU  - Keita Mamady
    AU  - Toure Alhassane Ismael
    AU  - Cisse Kalil
    AU  - Souare Mamadou Bobo
    AU  - Conde Ibrahima Kalil
    AU  - Traore Bangaly
    Y1  - 2023/10/28
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijcd.20230602.13
    DO  - 10.11648/j.ijcd.20230602.13
    T2  - International Journal of Clinical Dermatology
    JF  - International Journal of Clinical Dermatology
    JO  - International Journal of Clinical Dermatology
    SP  - 24
    EP  - 28
    PB  - Science Publishing Group
    SN  - 2995-1305
    UR  - https://doi.org/10.11648/j.ijcd.20230602.13
    AB  - Objective: To improve the surgical treatment of head and neck skin cancers. Materials and methods: This was a retrospective descriptive cohort study examining the sociodemographic, anatomopathological, therapeutic and evolutionary aspects of patients with head and neck skin cancer. Results: 148 patients (65.2%) were histologically confirmed and 43 (29.1%) underwent surgery. The mean age was 33 ± 16 years. The average time to treatment was 6 months. There were 10 (22.0%) stage III cases. The most typical histological type was squamous cell carcinoma (97.7%), of which 18 cases (41.9%) had a tumor size > 4 cm. Wide resection was performed in 88.4% of cases and surgical wound closure was achieved by flap grafting in 55.8% of cases. Healing was normal in 53.5% of cases. After a mean follow-up of 16 ± 22 months, overall survival at 12 months was 44%. 13 patients (30.2%) are still alive. Conclusions: This study shows that only a small number of head and neck skin cancer patients are operated on in the oncology department of Conakry University Hospital. Ongoing training of healthcare professionals and dermatological surveillance for primary and secondary prevention of skin cancer in people with albinism may help to improve outcomes for people with skin cancer and improve the quality of care for head and neck skin cancer.
    
    VL  - 6
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Surgical Oncology Unit at Donka National Hospital, Conakry University Hospital, Conakry, Guinea

  • Surgical Oncology Unit at Donka National Hospital, Conakry University Hospital, Conakry, Guinea

  • Surgical Oncology Unit at Donka National Hospital, Conakry University Hospital, Conakry, Guinea

  • Surgical Oncology Unit at Donka National Hospital, Conakry University Hospital, Conakry, Guinea

  • Surgical Oncology Unit at Donka National Hospital, Conakry University Hospital, Conakry, Guinea

  • Surgical Oncology Unit at Donka National Hospital, Conakry University Hospital, Conakry, Guinea

  • Surgical Oncology Unit at Donka National Hospital, Conakry University Hospital, Conakry, Guinea

  • Sections