WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Sapira M. K. and Ekeke O. N.

ABSTRACT

Background: In spite of sordid experiences of patients with primary scrotal cancer in Nigeria, little has been published about the disease in the country. Aim: To present clinico-pathological features and outcome of the disease in South Southern Nigeria. Materials and Methods: Consecutive patients that presented to the University of Port Harcourt Teaching Hospital (UPTH), Nigeria, with scrotal lesions between April 2004 and June 2018 were evaluated clinically and with relevant investigations including histology of incisional biopsies of the lesions. Data collected, which included histological reports, treatment methods and clinical photographs, were analyzed with simple statistics. Results: Five of a total of 7 patients seen during the period had confirmed histological diagnosis. Their ages ranged from 59 to 70 years (mean, 64.6 years). The patients presented for treatment with an average delay of 3.8 years after noticing an initial scrotal lesion. One patient (HIV- positive) presented with eccrine porocarcinoma (stage D) and 4 others stages C to D squamous cell carcinoma, all of the left hemi-scrotum. Each patient was treated with wide tumour excision, a method enhanced by centripetal scrotal distribution of the disease. One patient died 4 weeks after operation. The rest were lost to follow-up within 14 weeks of operation. Conclusion: Features were found similar to findings in patients with advanced scrotal squamous cell carcinoma elsewhere. There was no predilection for particular occupations and no additional synchronous primary malignancies were found. Prognosis was poor due to delayed presentation.

[Full Text Article] [Download Certificate]