Diallo M*, Diadie S, Diatta B.A, Ndiaye M, Diop A, Dieng M.T
Department of Dermatology, Aristide LeDantec University Hospital, Dakar, Senegal
Received: 26 July, 2017; Accepted: 22 August, 2017; Published: 23 August, 2017
Dr Moussa DIALLO, Department of Dermatology, Teaching Hospital Aristide LeDantec, Dakar, Senegal, BP 6821, Dakar-Etoile, Senegal, Tel: 00 (221) 77 762 90 90; E-mail:
Diallo M, Diadie S, Diatta BA, Ndiaye M, Diop A, et al. (2017) Skin cancers of the face in an African Black population. Arch Otolaryngol Rhinol 3(3): 095-097. DOI: 10.17352/2455-1759.000056
© 2017 Diallo M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Skin cancers; Squamous cell carcinoma; Face; Black African
Introduction: The aim of this study was to evaluate the frequency and clinico-anatomical features of facial skin cancers in an African Black population.
Patients and methods: It was a retrospective, descriptive study of all cases of skin cancer localized on the face, seen in our department over a 21-year period.
Results: We collected 253 cases of cutaneous cancers, among which 48 cases (19%) were localized on the face. The mean age of the patients was 50 years, with a sex ratio (M/F) of 1.19. Squamous cell carcinoma (SCC) was the most common (54.2%), followed by primary cutaneous lymphomas (18.75%), Basal Cell Carcinoma (BCC) (14, 6%) and Darier-Ferrand dermatofibrosarcoma (4.2%). Melanoma, rhabdomyosarcoma, adnexal carcinoma and angiosarcoma were each observed in 1 case respectively (2%).
Conclusion: In sub-Saharan Africa, the localization of skin cancer on the face is rare, dominated by SCC, which often occurs on precancerous skin lesions, especially actinic cheilitis and genodermatosis. The BCC and melanoma are exceptionally rare on the face.
The localization of skin cancers on the face is a major concern for the dermatologist. Indeed, because of its intense solar exposure, about 80% of skin cancers sit selectively in this region, although it only represents 9% of the body surface area [1,2]. On the other hand, the management of cancers in this highly visible region requires a compromise between clinical and aesthetic results . Despite their frequency, very few studies have focused on malignant tumors on the face throughout the world and, to our knowledge, none in sub-Saharan Africa [1,4,5]. The purpose of this study was, therefore, to report the frequency and -clinico-anatomical features of skin cancers on the face in a black African population.
Patients and Methods
We conducted a retrospective, descriptive study in Aristide LeDantec University Hospital in Dakar, Senegal, including patients from 1996-2016 (21 years). The medical records of patients with biopsy-proven facial skin cancer were checked. Kaposi‘s sarcoma was excluded.
We collected 253 skin cancers, among which 48 cases (19%) were on the face, corresponding to a hospital prevalence of 0.6% and a frequency of 2.4 cases / year. The average age of a patient with facial skin cancer was 50 years [ranged from 4 to 85 years] and the majority (56.5%) were over 50 years of age. The sex ratio (M/F) was 1.19.
Facial cancers were dominated by Squamous Cell Carcinomas (SCC), observed in 26 cases (54.2%). It was followed respectively by Primary Cutaneous Lymphoma (PCL) (9 cases, 18.75%), Basal Cell Carcinoma (BCC) (7 cases, 14.6%), Darrier Ferrand dermatofibrosarcoma (DFS) (2 cases, 4.2%). Rhabdomyosarcoma, adnexal carcinoma, melanoma and angiosarcoma were observed in 1 case each (2%) (Figure 1).