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Head and Neck Lymphomas in Jos University Teaching Hospital Nigeria: A Five Year Review

Received: 8 September 2022    Accepted: 24 October 2022    Published: 20 March 2023
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Abstract

Introduction: Lymphomas are heterogeneous group of lymphoid tissues traditionally categorized as either Hodgkin’s Lymphoma (HL) or Non-Hodgkin’s Lymphoma (NHL). The head and neck region is rich in lymphoid tissues, thus a fertile anatomic site for the development of lymphoid proliferative diseases like lymphomas. In the head and neck, malignant lymphomas account for 5% of all malignant neoplasm; Non-Hodgkin’s Lymphoma (NHL) is the most common accounting for 75%. The clinical behaviour and manifestations of Lymphomas in the head and neck lack specific characteristics that would enable attribution to a specific lymphoma entity without biopsy and histological evidence. Materials and Methods: It is a 5 year retrospective study of confirmed histopathological analysis of head and neck lymphomas from 1st January 2017 to31st December 2021. Case notes of all histopathologically confirmed head and neck lymphomas were retrieved from the medical records department and also theatre records as supportive data were analysed for age, sex, histological diagnosis, tumour site, duration of symptoms before presentation and treatment modality; and then discussed. Results:-The total number of patients seen during the period under review was 1678, 16 patients had histopathologically confirmed lymphomas out of 388 patients with head and neck tumours, thus prevalence of 0.1% and 4.1% of all head and neck tumours. Male to Female ratio of 5:1, age range of 4 to 62 years, mean age of 29 years. Most common tumour site is the cervical region-315; the most frequently seen histological type is the Non Hodgkin’s lymphoma (NHL) and the most common duration of symptom before presentation is over 1 year-50%. All patients had chemotherapy as a treatment modality. Conclusion: This study reveals the management challenges of the head and neck lymphomas are due to late presentation, financial constraints and ignorance. Health awareness and adequate Health Insurance Policy are needed to cope or mitigate these problems.

Published in International Journal of Clinical Oncology and Cancer Research (Volume 8, Issue 1)
DOI 10.11648/j.ijcocr.20230801.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Lymphoma, Non -Hodgkin’s, Hodgkin’s, Head and Neck Region

References
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[3] Mawardi H, Cutler C, Treister N. Medical management update: non-Hodgkin’s lymphoma. Oral Surg Oral med Oral Pathol Oral Radiol Oral. J Endod. 2009; 107 (1): 19–33.
[4] Swerdlow SH, Campo E, Harris NL, et al. WHO classification of tumours of haematopoietic and lymphoid tissues. In: Bosman FT, Jaffe ES, Lakhani SR, Ohgaki H, editors. World Health Organization classification of Tumours. Lyon. France: IARC; 2008.
[5] Swerdlow ST, Campo E, Pileri SA, Harris NL, Stein H, Siebert R, et al. The 2016 revision of the World Health Organization classification of lymphoid neoplasms. Blood. 2016; 127 (20): 2375–90.
[6] Arber DA, Orazi A, Hasserjian R, Thiele J, Borowitz MJ, Le Beau MM, et al. The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia. Blood. 2016; 127 (20): 2391–405.
[7] Harris NL, Jaffe ES, Stein H, et al. A revised European American classification of lymphoid neoplasm: a proposal from the international lymphoma study group. Blood. 1994; 84: 1361–92.
[8] Jaffe ES, Harris NL, Diebold J, et al. World Health Organization classification of neoplastic diseases of the hematopoietic and lymphoid tissues. A progress report. Am J Clin Pathol. 1999; 111 (Suppl): 8–12.
[9] Weber AL, Rahemtullah A, Ferry JA. Hodgkin and non-Hodgkin lymphoma of the head and neck: clinical, pathologic, and imaging evaluation. Neuroimaging Clin N Am. 2003; 13: 371–92.
[10] Sohani AR, Hasserjian RP. Diagnosis of Burkitt lymphoma and related high-grad B-cell neoplasms. Surg Pathol Clin. 2010; 3 (4): 1035–59.
[11] Toader C, Toader M, Stoica A, Pop G, Oprea A, et al. Tonsillar lymphoma masquerading as obstructive sleep apnea -pediatric case report. Rom J Morphol Embryol. 2016; 57 (2 Suppl): 885–91.
[12] Oluwasola AO, John AO, Jesse AO, Gabriel OO, et al. A Fifteen-year Review of Lymphomas in a Nigerian Tertiary Healthcare Centre. Journal of Health Population and Nutrition. 2011. 29 (4): 310-316.
[13] Shamloo N, Ghannadan A, Jafari M, Ahmadi S, Mortazavi H, Baharvand M. Head and lymphoma in an Iranian population. Iran J Otorhinolarygol. 2017. 94: 262-267.
[14] Alli N, Meer S. Head and neck lymphomas: A 20 year review in an oral pathology unit. Oral Oncol. 2017. 67: 17-23.
[15] Roh JL, Huh J, Moon HN. Lymphomas of the head and neck in the paediatric population. Int J Pediatr Otorhinolaryngol. 71 (9): 1471-7.
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    Nimkur Lohpon Tonga, Obebe Francis Ameh, Okoye Chukwuma, John Emmanuel. (2023). Head and Neck Lymphomas in Jos University Teaching Hospital Nigeria: A Five Year Review. International Journal of Clinical Oncology and Cancer Research, 8(1), 1-4. https://doi.org/10.11648/j.ijcocr.20230801.11

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    ACS Style

    Nimkur Lohpon Tonga; Obebe Francis Ameh; Okoye Chukwuma; John Emmanuel. Head and Neck Lymphomas in Jos University Teaching Hospital Nigeria: A Five Year Review. Int. J. Clin. Oncol. Cancer Res. 2023, 8(1), 1-4. doi: 10.11648/j.ijcocr.20230801.11

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    AMA Style

    Nimkur Lohpon Tonga, Obebe Francis Ameh, Okoye Chukwuma, John Emmanuel. Head and Neck Lymphomas in Jos University Teaching Hospital Nigeria: A Five Year Review. Int J Clin Oncol Cancer Res. 2023;8(1):1-4. doi: 10.11648/j.ijcocr.20230801.11

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  • @article{10.11648/j.ijcocr.20230801.11,
      author = {Nimkur Lohpon Tonga and Obebe Francis Ameh and Okoye Chukwuma and John Emmanuel},
      title = {Head and Neck Lymphomas in Jos University Teaching Hospital Nigeria: A Five Year Review},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {8},
      number = {1},
      pages = {1-4},
      doi = {10.11648/j.ijcocr.20230801.11},
      url = {https://doi.org/10.11648/j.ijcocr.20230801.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20230801.11},
      abstract = {Introduction: Lymphomas are heterogeneous group of lymphoid tissues traditionally categorized as either Hodgkin’s Lymphoma (HL) or Non-Hodgkin’s Lymphoma (NHL). The head and neck region is rich in lymphoid tissues, thus a fertile anatomic site for the development of lymphoid proliferative diseases like lymphomas. In the head and neck, malignant lymphomas account for 5% of all malignant neoplasm; Non-Hodgkin’s Lymphoma (NHL) is the most common accounting for 75%. The clinical behaviour and manifestations of Lymphomas in the head and neck lack specific characteristics that would enable attribution to a specific lymphoma entity without biopsy and histological evidence. Materials and Methods: It is a 5 year retrospective study of confirmed histopathological analysis of head and neck lymphomas from 1st January 2017 to31st December 2021. Case notes of all histopathologically confirmed head and neck lymphomas were retrieved from the medical records department and also theatre records as supportive data were analysed for age, sex, histological diagnosis, tumour site, duration of symptoms before presentation and treatment modality; and then discussed. Results:-The total number of patients seen during the period under review was 1678, 16 patients had histopathologically confirmed lymphomas out of 388 patients with head and neck tumours, thus prevalence of 0.1% and 4.1% of all head and neck tumours. Male to Female ratio of 5:1, age range of 4 to 62 years, mean age of 29 years. Most common tumour site is the cervical region-315; the most frequently seen histological type is the Non Hodgkin’s lymphoma (NHL) and the most common duration of symptom before presentation is over 1 year-50%. All patients had chemotherapy as a treatment modality. Conclusion: This study reveals the management challenges of the head and neck lymphomas are due to late presentation, financial constraints and ignorance. Health awareness and adequate Health Insurance Policy are needed to cope or mitigate these problems.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Head and Neck Lymphomas in Jos University Teaching Hospital Nigeria: A Five Year Review
    AU  - Nimkur Lohpon Tonga
    AU  - Obebe Francis Ameh
    AU  - Okoye Chukwuma
    AU  - John Emmanuel
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    DO  - 10.11648/j.ijcocr.20230801.11
    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
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    EP  - 4
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/j.ijcocr.20230801.11
    AB  - Introduction: Lymphomas are heterogeneous group of lymphoid tissues traditionally categorized as either Hodgkin’s Lymphoma (HL) or Non-Hodgkin’s Lymphoma (NHL). The head and neck region is rich in lymphoid tissues, thus a fertile anatomic site for the development of lymphoid proliferative diseases like lymphomas. In the head and neck, malignant lymphomas account for 5% of all malignant neoplasm; Non-Hodgkin’s Lymphoma (NHL) is the most common accounting for 75%. The clinical behaviour and manifestations of Lymphomas in the head and neck lack specific characteristics that would enable attribution to a specific lymphoma entity without biopsy and histological evidence. Materials and Methods: It is a 5 year retrospective study of confirmed histopathological analysis of head and neck lymphomas from 1st January 2017 to31st December 2021. Case notes of all histopathologically confirmed head and neck lymphomas were retrieved from the medical records department and also theatre records as supportive data were analysed for age, sex, histological diagnosis, tumour site, duration of symptoms before presentation and treatment modality; and then discussed. Results:-The total number of patients seen during the period under review was 1678, 16 patients had histopathologically confirmed lymphomas out of 388 patients with head and neck tumours, thus prevalence of 0.1% and 4.1% of all head and neck tumours. Male to Female ratio of 5:1, age range of 4 to 62 years, mean age of 29 years. Most common tumour site is the cervical region-315; the most frequently seen histological type is the Non Hodgkin’s lymphoma (NHL) and the most common duration of symptom before presentation is over 1 year-50%. All patients had chemotherapy as a treatment modality. Conclusion: This study reveals the management challenges of the head and neck lymphomas are due to late presentation, financial constraints and ignorance. Health awareness and adequate Health Insurance Policy are needed to cope or mitigate these problems.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Department of Otorhinolaryngology, Head and Neck Surgery Jos University Teaching Hospital, Jos, Nigeria

  • Department of Otorhinolaryngology, Head and Neck Surgery Jos University Teaching Hospital, Jos, Nigeria

  • Department of Otorhinolaryngology, Head and Neck Surgery Jos University Teaching Hospital, Jos, Nigeria

  • Department of Surgery, Ear, Nose and Throat (Otorhinolaryngology) Unit Federal Medical Centre Keffi, Keffi, Nigeria

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