Libyan International Journal of Oncology

Mesenchymal Spindle Cell Tumer: A Case Report

Mohamed Abdelhalim Elfagieh, Mohamed Ahmed Elfagieh, Moutaz Algweidy — Thu, 13 Mar 2025 00:00:00 +0000

Mesenchymal spindle cell tumor is very rare and has been reported to account for Less than 1% of all tumor’s hospital admissions. Spindle cell tumors are classified according to their origin into congenital, neurogenesis, osseous, or miscellaneous tumors. We are presenting a case of mesenchymal spindle cell tumor to raise awareness of this seldom found tumor. A 40-year-old male was admitted to the local hospital. Presented with recurrent huge left elbow swelling associated with reduced mobility in the affected area, fatigability, malaise, and increase progressively. By examination, it was fixed to the muscle, not tender, and stretched the skin. The complete investigation was within normal. CT scan showing recurrent left elbow sarcoma and no pulmonary, hepatic, or osseous deposits. Wide Local excision was done, and an elliptical incision with complete excision of the mass was done with distal scarification of the radial nerve because it was involved inside the tumor. The mass was sent to histopathology and showed microscopically spindle cells neoplasm composition of fusiform spindle cells with atypia having in district borders arranged haphazardly in short, ill-defined fascicles with infrequent mitosis. The patient received adjuvant chemotherapy and radiotherapy. The patient was followed every 6 months. Without appropriate treatment, soft tissue sarcoma may lead to consequences like metastasis or recurrence that cause significant problems to the patient

Hyalinizing Clear Cell Carcinoma of Soft Palate and Nasopharynx treated with wide local excision

Thu, 13 Mar 2025 00:00:00 +0000

Usually found near the base of the tongue and palate, hyalinizing clear cell carcinoma manifests as a painless submucosal swelling. This uncommon tumor has frequently been mistaken for other, more prevalent tumours with clear cytoplasm, like mucoepidermoid carcinoma, acinic cell carcinoma, or clear cell oncocytoma. According to reports, hyalinizing clear cell carcinoma is a low-grade malignant tumour that frequently spreads to the cervical region. There is no treatment strategy because it is so uncommon. Wide local excision is the preferred treatment, and neck dissection, radiation therapy, or both are used to treat the condition. However, because of the too-low incidence or underreporting and absence of long-term follow-up, there is no definitive result. Our case emphasizes the challenges associated with diagnosing such uncommon cases and the necessity of a long period of post-excision follow-up to assess treatment’s outcome.

Spectrum of Surgically Treated Thyroid Diseases at National Cancer Institute of Misurata, Libya, from Jan 2014 to Jan 2018: Special Emphasis on Thyroid Cancer

Hassan Mletan, Ramadan Elamyal, Khalid Ben Salah, Abdalla Juwid, Amani Ramadan — Wed, 12 Mar 2025 00:00:00 +0000

The principal diseases of the thyroid gland are goiter (diffused or nodular), hypo or hyperthyroidism, thyroiditis, and neoplasms. The incidence and prevalence of these thyroid diseases in a given community are variable depending on various factors. This study aims to provide data about the pattern of thyroid diseases in our institution. A special emphasis on thyroid cancer cases will be addressed. Retrospective analysis of data of all thyroidectomy cases over four years (Jan 2014- Jan 2018) operated on in the National Cancer Institute, Misurata, Libya. Patients with preoperative hypoparathyroidism, chronic kidney disease, or a history of dysphonia were excluded. Age, gender, clinical information, complications, and cytology results were studied. Data were collected from medical records. A total of 222 cases were collected. Females accounted for 68% and males for 32% of the cases. Most patients were in their 3rd and 4th decades of life and lived in urban areas, and the patient's ages range from 30 to 65 years. Fine needle aspiration (FNA) was done in 100 cases and showed benign findings in 83% and malignant findings in 5% of cases. Hypocalcemia (9%), hoarseness of voice (10%), bleeding (3.1%), and vocal cord injury (1.8%) were the common complications encountered. In the present cohort, thyroid malignancy accounts for 5% of thyroid disease. Hypocalcemia was the most common post-thyroidectomy complication, and voice changes, seroma, hematoma, and tracheal injury are rare complications. We need more multicentric studies to investigate the national pattern of thyroid diseases in Libya.

Cancer Prevalence in Libya: A Systematic Literature Review

Ahmed Atia, Nisrin Essam, Maysa Fathi, Nasib Abdullah, Rayan Ahmed — Mon, 03 Mar 2025 00:00:00 +0000

For local epidemiological data, cancer registries and cancer incidence are crucial. There is a dearth of data regarding incidence rates and distribution in Libya. As a result, this study presents the results of a review of available data on cancer prevalence in Libya over the last 16 years (from 2006 to 2022) to aid understanding of the current cancer prevalence situation in this portion of the continent. Articles related to the topic were researched using databases and search engines such as PubMed, Google Scholar, and ResearchGate. These articles were selected based on predetermined inclusion and exclusion criteria. The type of cancer from the total number of patients for each reported study was used. Studies published in the last 16 years, representing reports of 6158 cancer cases in 7 studies, showed that the final selected articles were published in the year of 2006 to 2015 (n=4, 57.14%) and a high number in east area (n=5, 71.4%), with the small number in west area (2, 14.28%). The total number of cancer cases in the east was (n=4958, 79.86%), in which the most common cancer type in the east region was breast cancer (n=1203, 24.26%), followed by lung cancer (n=738, 14.9%), and colorectal cancer (n=716, 14.4%). Whereas, in the western region was (n=1250, 20.14%), and the common cancer type was breast cancer (n=237, 18.96%), followed by colorectal cancer (n=223, 17.8%), and lung cancer (n=200, 16%). In both of them, the most common cancer type was breast cancer (n=1440, 23.2%), followed by lung cancer (n=938, 15.1%), and colorectal cancer (n=939, 15.1%). This report provides a clue on the most common type of cancer in Libya. An educational program is very important to the public to spread awareness of the risk of cancer to limit the prevalence and provide early management for this type of disease.