Tuberculosis (TB) remains a real public health concern in Africa; thyroid localisation of the disease is a very rare form of extrapulmonary TB. We conducted a descriptive and cross-sectional study on all histologically proved cases of thyroid TB diagnosed in Togo over the last 20 years. Eleven cases of TB of the thyroid were identified, of which nine were in women, with an average age of 29.4 ± 0.2 years. The clinical signs were the presence of a nodule in seven, an abscess in three and a swelling with cutaneous fistulisation in one. Thyroid involvement alone was found in four, associated with pleuropulmonary TB in six and mammary TB in one. Human immunodeficiency virus (HIV) co-infection was present in six. All histopathology results showed inflammatory granulomata with caseous necrosis. The clinical features are often misleading and pose a real diagnostic problem, especially with differentials of simple abscess and cancer.
<p class="abstract"><strong>Background:</strong> <span lang="EN-GB">The objective of the study was to describe the epidemiological and histopathological aspects of cancer of the upper aero digestive tract (UAT) in a reference service in Togo</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-GB">It was a retrospective study about UAT cancers diagnosed in the ENT and maxillofacial surgery department of Sylvanus Olympio Teaching Hospital of Lomé in Togo from 1st January 2005 to 31 December 2014, or a period of 10 years</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-GB">The UAT cancers represented 0.3% of consultations and 64.8% of head and neck cancers. The average age of patients was 51.3 years (± 16.5) with extremes of 3 months and 86 years. The sex ratio was 1.77. Chronic smoking was found in 26.4% of patients with 1.6% of women; that of chronic alcoholism among 43.8% of which 7.7% of women and the simultaneous alcoolotabagisme in 20.9% of patients. The UAT cancers were dominated by cancers of the oral cavity (36.2%) with particularly a female predominance (53.2%), followed by the oropharynx (18.5%) and the larynx (18.1%). The squamous cell carcinoma was predominant in UAT cancers (83.5%) followed by non-Hodgkin lymphoma (8.9%) and adenocarcinoma (2.7%)</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-GB">UAT cancers are the largest contingent of head and neck cancers in Togo. They occur most often in men from the fifties but there are a high proportion of women. Histology is dominated by squamous cell carcinoma</span><span lang="EN-IN">.</span></p>
Objective: Have a view on child's head and neck cancers in a reference centre in Togo. Methodology: It was a descriptive retrospective study about the cancers diagnosed among children under 15 years in head and neck department of Sylvanus Olympio Teaching Hospital of Lomé in Togo from 1st January 2005 to 31 December 2014. The pieces were analysed in the pathological anatomy laboratory of the same teaching Hospital. Results: The child's head and neck cancers represented 0.8 % of the whole ENT tumours and 5.5% of head and neck cancers. The average age was 8 years ± 4.7 ranging from 3 months to 15 years. The male sexe was predominant in 15 cases. The frequent location was ganglions, followed by oral cavity (gingivo-maxillary location and gingivo-mandibular location) in respectively 13 and 6 cases. The sinus, rhinopharynx, and larynx locations were found in 01 case of each cancer. In terms of histopathology, there were 21 cases of non-Hodgkin's lymphoma of which 09 cases of Burkitt's and 01 case of inferior lip neuroblastoma.
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