ABSTRACT
The unsatisfactory high rate of recurrence following the traditional approach for the radiotherapy of keloid scars in Nigeria, led to the design of this study which employed a short course post operative radiotherapy regime. Two hundred and forty four patients with four hundred and fifty four (454) keloidal scars treated with superficial X-ray therapy within 72 hours following surgical excision at the Lagos University Teaching Hospital Lagos, Nigeria, between January, 1984 and December, 1988 were analyzed. The commonest site treated was the ear lobe (36.8%). Radiation dose ranged between 5-6Gy in single sessions and 12-15Gy in 3 fractions over 5 days. A complete response rate of 93% at 24 months was achieved. The treatment was well tolerated with no serious complications reported to date.
Subject(s)
Keloid/radiotherapy , Postoperative Care/methods , Combined Modality Therapy , Follow-Up Studies , Humans , Keloid/epidemiology , Nigeria/epidemiology , Radiotherapy Dosage , Recurrence , Treatment OutcomeABSTRACT
Two cases of adenomatoid odontogenic tumour affecting the jaws of two young Nigerian Africans are described. One was diagnosed clinically as a cyst, the other as an ossifying fibroma, but their true nature was later unmasked by histopathological studies. Although considered rare, the adenomatoid odontogenic tumour should be borne in mind in the differential diagnosis of radiolucent lesions of the jaws since an incorrect diagnosis may lead to mutilating surgery whereas the lesion is amenable to a conservative surgical approach. It is also important to examine histologically all excised specimens from the jaws even in the so-called 'obvious cases.
