Surgical pathology in sub-Saharan Africa--volunteering in Malawi.

Détails

ID Serval
serval:BIB_CBE5D1ED5E2F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Surgical pathology in sub-Saharan Africa--volunteering in Malawi.
Périodique
Virchows Archiv
Auteur(s)
Berezowska S., Tomoka T., Kamiza S., Milner D.A., Langer R.
ISSN
1432-2307 (Electronic)
ISSN-L
0945-6317
Statut éditorial
Publié
Date de publication
04/2012
Peer-reviewed
Oui
Volume
460
Numéro
4
Pages
363-370
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The breadth of material found in surgical pathology services in African countries differs from the common spectrum of "the West". We report our experience of a voluntary work in the pathology departments of Blantyre and Lilongwe, Malawi. During a 6-week period, 405 cases (378 histology and 27 cytology cases) were processed. The vast majority showed significant pathological findings (n = 369; 91.1 %): 175 cases (47.4 %) were non-tumoral conditions with predominance of inflammatory lesions, e.g., schistosomiasis (n = 11) and tuberculosis (n = 11). There were 39 (10.6 %) benign tumors or tumor-like lesions. Intraepithelial neoplasia of the cervix uteri dominated among premalignant conditions (n = 15; 4.1 %). The large group of malignancies (n = 140; 37.9 %) comprised 11 pediatric tumors (e.g., rhabdomyosarcoma, small blue round cell tumors) and 129 adult tumors. Among women (n = 76), squamous cell carcinomas (SCCs) of the cervix uteri predominated (n = 25; 32.9 %), followed by breast carcinomas (n = 12; 15.8 %) and esophageal SCC (n = 9; 11.8 %). Males (n = 53) most often showed SCC of the esophagus (n = 9; 17.0 %) and of the urinary bladder (n = 7; 13.2 %). Lymphomas (n = 7) and Kaposi's sarcomas (n = 6) were less frequent. Differences compared to the western world include the character of the conditions in general, the spectrum of inflammatory lesions, and the young age of adult tumor patients (median 45 years; range 18-87 years). Providing pathology service in a low-resource country may be handicapped by lack of personnel, inadequate material resources, or insufficient infrastructure. Rotating volunteers offer a bridge for capacity building of both personnel and the local medical service; in addition, the volunteer's horizons are broadened professionally and personally.
Mots-clé
Adolescent, Adult, Breast Neoplasms/pathology, Carcinoma in Situ/pathology, Carcinoma, Squamous Cell/pathology, Cervix Uteri/pathology, Child, Esophageal Neoplasms, Female, Humans, Malawi, Male, Pathology, Surgical, Schistosomiasis/pathology, Urinary Bladder Neoplasms/pathology, Uterine Cervical Neoplasms/pathology, Volunteers
Pubmed
Web of science
Création de la notice
29/06/2020 12:18
Dernière modification de la notice
30/06/2020 6:26
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