STUDIES ON CUTANEOUS MALIGNANCY IN TERMS OF CLINICAL FEATURES AND DIFFERENT ANATOMICAL LOCATIONS - A TIRTIARY HOSPITAL BASED STUDY

Dr. Chayanika Kalita; Dr. Lohit Kumar Kalita; Dr. Umesh Ch. Sarma

Volume : VIII, Issue : IV, April - 2018

STUDIES ON CUTANEOUS MALIGNANCY IN TERMS OF CLINICAL FEATURES AND DIFFERENT ANATOMICAL LOCATIONS - A TIRTIARY HOSPITAL BASED STUDY

Dr. Chayanika Kalita, Dr. Lohit Kumar Kalita, Dr. Umesh Ch. Sarma

Abstract :

Background: The incidence of skin cancer has been increasing.Hence it is now more important than ever to have an accurate and early clinical diagnosis of skin cancer to pave the way for appropriate preventive measures to be taken.

Methods:This study was conducted at Gauhati Medical College & Hospital, Guwahati, Assam understand the clinical feature and different anatomical sitesofcutaneous malignancy. Atotal 150 numbers of newly diagnosed cases of cutaneous malignancy were procured from the Out Patient Department of Dermatology & STD of the institute over a period of November, 2010 to October, 2013.

Results : (1) In the study, the presenting symptoms in order of frequency wereswelling 65 (43.33%) , ulcer 34 (22.67, bleeding 22 (14.67%) , pigmentation 12 (8%) , skin changes in 8 (5.33 %), pain 6(4%), itching in 1 (0.67 and others in 2(1.33 %) patients. (2) Distribution of different types of cutaneous malignancies:In the present study 111(74%) patients were SCC { 70 (64.22%) male and 41 (27.335) female} ; Twelve (8%) patients had cutaneous malignant melanoma (MM) { 3(2%) male and 9(6%) female}. Eleven (7.33%) patients had BCC { 5(3.33%) male and 6(4%) female}; other category group consist of 16 (10.67%) { 4 (2.67%) male and 12 (8%) female}.

Conclusion :(1)The presenting symptoms wereswelling and ulcer followed by bleeding , pigmentation, skin changes pain, itching. (2)SCC, malignant melanoma, BCC are highly significant in number compare to other cutaneous malignancies. (3) Anatomical location in order of frequency may be oral cavity followed by lower limbs, penis, face, upper limbs, vulva (in female), trunk, scalp, neck, abdominal wall, perineal region, anal canal, inguinal region. A high number of skin cancer may appear over sun exposed areas. SCC has tendency to develop over burn scar. (4) In BCC favoured anatomical sites in order of frequency may be face, oral cavity, trunk, upper limb. That is most commonly over sun–exposed areas. (5) For malignant melanoma favoured anatomical sites in order of frequency may be lower limbs, oral cavity, upper limbs, trunk and abdominal wall.