000			03544nam a22003257a 4500
001			CUHAS/MMED/6000211/T/16
003			CUHAS/MMED/6000211/T/16
005			20240418145407.0
008			210821b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_b P. O Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_bFax: +255 28 298 3386:
028			_bEmail: vc@bugando.ac.tz :
028			_b www.bugando.ac.tz
035			_aCUHAS/MMED/6000211/T/16
040			_bEnglish _cddc
041			_aEnglish
100			_a Alex Donasiano _d[Male] _922744 _eCUHAS/MMED/6000211/T/16
245			_aStage at Presentation and Associated Factors Late Diagnosis of Head and Neck Malignancies at Bugando Medical Centre Mwanza Tanzania
260			_aMwanza, Tanzania: _b Catholic University of Health and Allied Sciences [CUHAS - Bugando] : _c2019
300			_axiii; 52 Pages
300			_aIncludes Index
520			_aAbstract: Background: Head and neck cancer are among the most cancer occurring worldwide with management challenge due to late stage at presentation. Its epidemiology and characteristics are changing from anatomical to biological due to its viral etiological. This study was done to determine the stage at presentation and associated factors for late diagnosis of head and neck malignancies at Bugando Medical Center Mwanza Tanzania. Method: This was analytical cross section prospective study involving all patients confirmed to have head and neck malignances at Bugando Medical Center from February to June 2019. Results: A total number of 60 patient (M:F=1.4:1) were studied. The median age was 56 years with symptoms ranging from 1 to 104 weeks at their first consultation. At Bugando Medical Centre, we found, oropharyngealmalignants as the leading (n=18, 30%), larynx (n=15, 31.82%), sinonasal (n=9, 15%), nasopharyngeal and salivary gland each has (n=5, 8.33%), thyroid (n=3, 5%) hypopharyngeal (n=2, 3.33%) and other (n=2, 3.33%). Of those presented with advanced stage, majority had oropharyngeal cancer (n=14, 31.81%), and those with early stage majority had cancer of larynx (n=5, 31.25%). Late stage was observed more among patients coming from rural area (p=0.048) and those using local medicine (p=0.001). Low level of education, and those attended dispensary for their first consultation had advanced stage of disease at presentation. It showed that dispensary was the preferred center for first consultation of the majority Conclusion: Major cause of delay presentation of head and neck cancer at Bugando Medical Center was attributed by patients themselves whereas health care had small contribution. The main reasons observed were rural settlement, local medication and low level of education. Recommendations; Training has to be conducted at health care provider in dispensaries and health center on how to suspect patients with Head and Neck Cancer at early stage and refer them direct to tertiary hospital without passing through series of referrals. Patient’s sensitization/ education to increase awareness of Head and Neck Cancer. Early reporting to health care facility once having any swelling in the body, and establish pathology and oncology treatment center to the referral hospitals.
654			_xSurgery (Otorhinolaryngology, Head and Neck)
700			_aJaphet M. Gilyoma _922731
700			_aRambau, Peter _920966
700			_aLikonda, Beda _922745
942			_2ddc _cMP
999			_c18458 _d18458