INCIDENCE OF VARIOUS SKIN TUMOURS /TUMOUR– LIKE LESIONS IN RURAL NORTH COASTAL ANDHRA PRADESH –AN INSTITUTIONAL STUDY FOR A PERIOD OF 3 YEARS IN A TERTIARY CARE HOSPITAL.

Jagadeeswari S; Krishnakumari S

Volume : VIII, Issue : IV, April - 2019

INCIDENCE OF VARIOUS SKIN TUMOURS /TUMOUR– LIKE LESIONS IN RURAL NORTH COASTAL ANDHRA PRADESH –AN INSTITUTIONAL STUDY FOR A PERIOD OF 3 YEARS IN A TERTIARY CARE HOSPITAL.

Jagadeeswari S, Krishnakumari S

Abstract :

Background: Skin lesions consisting Benign and Malignant tumours & tutor like lesions are most common health problems in India. Tumours and tumor like lesions of Skin have overlapping clinical presentation & pose diagnostic difficulties on clinical ground alone. As such they have to undergo Histopathological examination to rule out malignancy for proper management. Especially in case of tumorlike lesions, to distinguish them from Malignancies is vital in clinical practice for successful treatment. Objective: To analyse retrospectively lesions/tumors of the skin with respect to age , sex, location ,clinical features and Histopathological findings in a tertiary referral hospital located in rural coastal Andhra Pradesh,India. Materials & Methods: The present study consisted of analysis of skin biopsies and excision specimens of 80 numbers over a period of 3 years i.e from January 2015 –December 2017. The gross and histopathological details were noted..The final diagnosis of a case was based on clinical history, relevant investigations ,gross findings and microscope examination. The findings were compared with those reported by other authors. Results: Out of 3625 surgical specimens /biopsies received in Pathology department , Govt Medical College ,Srikakulam over a 3 year period,the incidence of skin lesions /tumors found to be 80 (2.19%). The skin lesions consisted of 13(16.25%) Benign tumors, 9(11.25%) Malignant tumors and 58(72.5%) Tumor like skin lesions. More Benign tumors were observed in females,almost in all age groups and maximum malignant tumors were noticed in males ,mostly confined to 41–60 yrs age group. Head & Neck region bore maximum number (38.75%) skin tumors and Tumor like leisons compared to other sites of body.Occurrence of tumor like skin leisons were concentrated in males with M:F ratio of 2.6:1.Pilomatricoma was the commonest Benign tumor and Malignant Melanoma has emerged as the dominant malignant tumor followed by Meibomian Carcinoma.Epidermal cyst was the commonest tumorlike lesion(69%) followed by Dermoid cyst(10.34%) and Proliferating Trichilemmal cyst(5.2%). Conclusion: Benign Skin lesions more common than malignant lesions.Malignant Melanoma (MM) is the most common malignant skin tumor followed by Meibomian Carcinoma(MC) but not Squamous Cell Carcinoma (SCC) which was reportedly the most common malignant skin tumor in India.Histopathological study is very important step in the diagnosis of skin lesions/tumors,especially tumorlike skin lesions ,for their correct clinical management.