Wilson IB Onuigbo*
Department of Pathology, Medical Foundation & Clinic, Nigeria
*Corresponding author: Wilson IB Onuigbo, Department of Pathology, Medical Foundation & Clinic, Enugu, 400001, Email:firstname.lastname@example.org
Submission: April 07, 2018;Published: May 29, 2018
ISSN 2578-0360 Volume2 Issue2
A report from South Africa emphasized the occurrence of squamous cell carcinoma among the Black albinos. Elsewhere, with a colleague, the case was presented of an albino having in one facial microscope slide as many as 3 different carcinomas. Here, the eyelids are singled out to demonstrate the pattern found personally among albinos of the Ibo ethnic group. While squamous cell carcinoma preponderated, adenocystic, undifferentiated and basal cell cases featured.
Keywords: Skin; Albino; cancer; Eye lids; Nigeria
From South Africa, Lekalakala’s associates argued strongly the case for squamous cell carcinoma developing in Black albinos in sub-Sahara Africa . Elsewhere, with a colleague, we exemplified the case in which one microscope slide exposed the presence in an albino’s face of squamous cell carcinoma, adenocystic carcinoma, and basal cell carcinoma . Accordingly, just as a Blantyre group chanced on an albino woman aged 27 years whose affliction included the eye lid , let me expatiate on a dozen patients with such lid .
Following the lead of a Birmingham (UK) group, which postulated that the establishment of a histopathology data pool facilitates epidemiological analysis , let me utilize such an Institution established by the Government of the then Eastern Region of Nigeria at Enugu. In particular, I was the pioneer pathologist from 1970. Perhaps, the tabular approach will suffice since I kept personal copies of every case.
At a glance, the age range was 16 to 60 years (mean 36 years); males preponderated in the ratio of 2:1, and so did the right side. Similarly, the upper eye lid was more often afflicted. On the whole, much as the squamous cell were more numerous, adenocystic carcinoma, undifferentiated carcinoma, basisquamous, and basal cell carcinoma featured(Table 1).
Table 1:Epidemiological data on albino eyelid lesions.
A report, which dealt with the incidence of eyelid basal cell carcinoma in England 2000-2010, concerned as many as 33,610 recorded cases . Surely, this is a far cry in contrast with the local single example in an albino! By way of comparison, it was emphasized that squamous cell carcinoma in the eyelid in USA , “occurs most commonly in elderly, fair-complexioned individuals.” This is reminiscent of the local experience among the albinos.
A general impression is the one made from the background of Kenya , thus: “Therefore, appropriate physical protection, avoiding any trauma when carrying sharp, heavy or rough instruments by the shoulder and hands, and finally urgent and quality treatment for any lesion even a small erosion and ulcer, especially on exposed areas in albinos, are recommended.” However, I am persuaded that these steps are not enough . In sum, my arguments differed . In this context, I gave the example of the famous government intervention in the UK which ended the chimney sweepers scrotal cancer by altogether abolishing the trade! In other words, if the Government of Nigeria or elsewhere offers indoor employment to albinos statutorily, albino skin cancer will become a thing of the past!
© 2018 Wilson IB Onuigbo. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and build upon your work non-commercially.