Head and Neck Cancer in Haiti: A Case Series from Hopital de L’Universite d’Etat d’Haiti

International Journal of Otolaryngology

Maxwell P. Kligerman¹  Anna H. Messner¹  Patrick Jean-Gilles²  Anahuma Alexandre²  Christina S. Kong³  Adam J. Gomez³  David K. Walmer⁴  Murray A. Mittleman⁵  Mack L. Cheney⁶ 

[1]Department of Otolaryngology/Head & Neck Surgery, Stanford University, Stanford, CA, USA

[2]Department of Otorhinolaryngology, Hopital de L’Universite d’Etat d’Haiti, Port-au-Prince, Haiti

[3]Department of Pathology, Stanford University, Stanford, CA, USA

[4]Family Health Ministries, 501-C3, Durham, NC, USA

[5]Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA

[6]Massachusetts Eye and Ear Infirmary, Harvard School of Medicine, Boston, MA, USA

DOI  :  10.1155/2018/9429287

来源: DOAJ

【 摘 要 】

This manuscript characterizes the demographics, presenting symptoms and risk factors of patients diagnosed with head and neck cancer at Hopital de L’Universite d’Etat d’Haiti (HUEH), Haiti’s single largest healthcare facility. We conducted a prospective study of patients who presented to HUEH between January and March of 2016 with a lesion of the head or neck suspicious for cancer. All patients who met eligibility criteria received a biopsy, which was interpreted by a Haitian pathologist and when the specimen was available was confirmed by a team of pathologists from Stanford University. A total of 34 participants were identified. The biopsy-confirmed diagnoses were squamous cell carcinoma (n=7), benign (n=7), large cell lymphoma (n=2), ameloblastoma (n=2), pleomorphic adenoma (n=1), and adenocarcinoma (n=1). Fourteen patients were unavailable for biopsy. Patients with head and neck cancer had a mean age of 63.4 years, were majority male (62.5%), waited on average 10.9 months to seek medical attention, and most commonly presented with T-stage 3 or higher disease (87.5%). By characterizing patterns of head and neck cancer at HUEH we hope to facilitate efforts to improve early detection, diagnosis, and management of this important public health condition.

【 授权许可】

Unknown