dc.contributor.author | Rupani, Harish | |
dc.date.accessioned | 2013-05-24T08:32:11Z | |
dc.date.available | 2013-05-24T08:32:11Z | |
dc.date.issued | 1977 | |
dc.identifier.citation | Master of medicine (surgery),University of Nairobi,1977. | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25238 | |
dc.description.abstract | The purpose of this study was to analyse jaw tumours in Kenya
Africans. This was a retrospective study of 250 cases of jaw tumours
admitted in the Head and Neck Surgery Department of the Kenyatta
National Hospital from 1972 - 1975.
The following are the conclusions:-
1. The jaw of Kenya Africans were susceptible to tumours with
a remarkable frequency; forming 3.8% of all registered tumours
in the Kenyatta National Hospital.
2. Common jaw tumours were Burkitt's Lymphoma and Sq. cell
carcinoma. Fibrous dysplasia, sarcoma and ameloblastoma
were also in significant number.
3. The various jaw tumours showed an age specificity; occurred
in equal frequencies in both sexes, except Burkitt's
Lymphoma (more common in male) and omeloblostornotmore
common in female}; and were not associated with any tribe
or race. Except for Burkitt's Lymphoma,which retained the
picture of previous years, they did not show any specific
geographical factor.
4. There is an increasing evidence of Epstein-Barr Virus as
one of the causal factors of Burkitt's Lymphoma. No
definite aetiological factors could be worked out for the
other jaw tumours.
5. Maxilla is more prone to jaw tumours especially carcinoma
and sarcoma. However, a II types of jaw tumours occurred
in both maxilla and mandible. Ameloblastoma was almost
confined to the mandible.
6. Three factors were responsible fOT cases coming in advanced
stages. The patients were poor, ignorant and sought help of
quack medicine; the peripheral medical and dental profession
lacked vigilance in detecting early cases; and it took a long time
for a patient to be referred from the periphery to the Kenyatta
National Hospital.
7. Jaw tumour metastases to the lymph nodes and distantly were
rare.
8. Radiology was helpful in diagnosis if the x -ray picture of a jaw
lesion was typical. The primary value was to demonstrate the site
and extent of the tumour. Histology was the most important method
of diagnosis.
9. The jaw tumours required surgery; radiotherapy or chemotherapy
for adequate treatment. Hence, they should be referred, without
any inadequate treatment, to a specialised unit in a well-equipped
hospitaI. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | An analysis of 250 cases as seen at the Kenyatta National Hospital, Nairobi over a period of 4 years 1972 - 1975 | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Surgery | en |