%0 Journal Article %T Pattern of head and neck malignant tumours in a Nigerian teaching hospital ¨C A ten year review %A YB Amusa %A JK Olabanji %A VO Akinpelu %A SO Olateju %A EA Agbakwuru %A N Ndukwe %A OA Fatusi %A OS Ojo %J West African Journal of Medicine %D 2004 %I %X Background: In Nigeria record of incidence and pattern of Head and Neck malignancies is scanty. In our Hospital, there had been no prior published report on this subject. Objective: To study the pattern of occurrence of Head and Neck malignancies treated in Obafemi Awolowo university Hospitals Complex, Ile Ife, Nigeria. Methods: medical records of patients with histopathologically confirmed head and neck malignancies over a 10 year period (1989 - 1998) were analyzed. Main results: Three hundred and thirteen (313) cases, made up of 184 (59%) males and 129 (41%) females were found. The most common sites for head and neck malignancies were found to be in the oral cavity (36.8%), the neck (26.8%), the thyroid (13.7%), and the esophagus (5.1%). The paranasal sinuses and the ear were the least affected anatomical sites with one (0.3%) of cases each. The histopathological tumour types found in this work were lymphoma (40.26%), squamous cell carcinoma (25.23%), sarcoma (2.6%), while many other minor histopathological variants accounted for 31.9%. Lymphoma was the most common in children, while carcinoma was found in, and forms the most common histopathological variant of head and neck malignancies in the older age group. Principal conclusions: There is a high incidence of childhood head and neck malignancies found in this study in contrast to the Western literature where the highest incidence is found in the older age group and the elderly. Jaw malignancies constituted the most common malignancies of the oral cavity. Lymphoma and thyroid malignancies are relatively common in our center. Key Words: Head and neck malignancies, Histopathological variants, Incidence, Nigeria. R¨¦sum¨¦ Introduction: Au Nigeria, le dossier de l'incidence et la tendance des virulences de t¨ºte et de cou est insuffisant. Dans notre h pital, Il n' y en avait aucun rapport pr¨¦c¨¦dent publi¨¦ sur ce sujet. Objectif: Etudier la tendance d'occurence des virulences de t¨ºte et de cou au centre hospitalier universitaire d'Obafemi Awolowo, Ile-Ife, Nigeria. Methode: Les dossiers m¨¦dicaux des patients histopathologiquement confirm¨¦ atteints des virulence de la t¨ºte et du cou au cours d'une p¨¦riode de 10 ans. (1989 - 1998) ont ¨¦t¨¦ ¨¦valu¨¦s. R¨¦sultats ¨¦ssentiels: Trois cent trieze cas compos¨¦ de 184 soit 59% du sexe masculin et 129 soit 41% du sexe f¨¦minin ont ¨¦t¨¦ ¨¦tudi¨¦s. Les si¨¨ges les plus courants des virulences de t¨ºte et du cou ¨¦taient dans la cavit¨¦ orale (36,8%), le cou (26,8%) la thyroide 13,7%, et l'oesophage (5,1%). Le sinus paranasal et l'oreille ¨¦taient les si¨¦ges anatomiques les moins touch¨¦s avec 0,3% dans chaque cas. Les types de tumeur histopathologiques trouv¨¦s dans cette comprend lymphome (40,26%), carcinome cellule squame 25,23%, sarcome 2,6%, tandisque des autres variantes histopathologiques inf¨¦rieures constituent 31,9%. Lymphome ¨¦tait plus courant chez des enfants, tandis que carcinome ¨¦tait trouv¨¦ chez le groupe des adultes, et constitue une variante histopathologique des %U http://www.ajol.info/index.php/wajm/article/view/28141