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- 1ENT Department and Cervical-Facial Surgery (CSF), National University Hospital of Fann, Senegal
- 2ENT Department and Cervical-Facial Surgery (CSF), Saint Louis Regional Hospital, Senegal
- 3ENT Department and Cervical-Facial Surgery (CSF) service, Ziguinchor Peace Hospital, Senegal
- 4ENT Department and Cervical-Facial Surgery (CSF), Diamniadio Children’s Hospital, Senegal
*Corresponding author:
Ahmed Houra, ENT Department and Cervical-Facial Surgery (CSF), National University Hospital of Fann,
Senegal
Received: February 12, 2020; Published: February 26, 2020
DOI: 10.32474/SJO.2020.04.000179
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Summary
Introduction: Laryngeal cancer is the second most common cancer of the head and neck. It is a predominantly male cancer, its
occurrence in women is rare. The purpose of this work is to present the results of the analysis of 20 cases of women with laryngeal
cancer.
Material and Method: Between 2009 and 2018, 20 patients were treated for laryngeal cancer in our department. We studied
the socio-demographic characteristics of this population and determined the risk factors that may have influenced the occurrence
of laryngeal cancer in these women.
Results: This study involves 20 women with an average age of 51.2 years. In 70% of the cases they are housewives, in 15% of
the shopkeepers, and in 5% of the matrons. A notion of exposure to smoking was found in 15% of cases. Exposure to wood smoke
was found in 80% with an average exposure time of 30 years. The major symptom was dysphonia, present in 100% of patients at
the time of diagnosis. It was associated in 80% with laryngeal dyspnea, in 30% with dysphagia, in 40% with reflex otalgia. Laryngeal
endoscopy revealed a budding and hemorrhagic tumor in 47.51% of cases. A total of 55% of the patients had stage 4 cancer; distant
metastasis was found in 3 patients. Treatment consisted of total laryngectomy in 60% of cases, and organ preservation in 1 case.
The evolution was marked in 10% by recurrence and 40% by death.
Conclusion: Although in our study exposure to wood smoke appears to be a significant risk factor for the occurrence of this
cancer, further study would confirm the exact role of this factor and improve the prognosis.
Keywords: Cancer; woman; larynx; wood smoke
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