Abstract

Introduction

Fibrous tumours are have been shown to occur commonly though the actual incidence is unknown since the lesions are predominantly benign and patient presentation is usually based on cosmesis. The few malignant varieties are however of great importance in health management hence this study which was aimed at determining the pattern of fibroblastic lesion in UBTH.

Materials and method

This was a retrospective study involving all anatomical pathology consultations in UBTH over twenty year period (January 1990- December 2010). The study involved records of all consultants made within the period and selection of the fibroblastic lesion and subsequent categorization according to WHO standard selected diagnosis were reviewed to confirm previous result according to current protocol.

Result

The study revealed that fibroma’s were the most common lesions constituting 52% of the recorded fibrous tumours while fibro sarcomas were the next most common. Nodular fasciitis were the least common. The mean age of fibrous tumour was 40.44 years old. While benign fibrous tumour occurred in the mid adulthood, malignant lesions presented predominantly in the elderly. The percentage prevalence of fibroblastic tumours was 0.137%
Similarly the extremities were the most common sites of presentation; most benign tumour occurred in the upper extremities unlike the malignant variety that was distributed mainly to the lower extremity.

Conclusion

Fibrous tumours are relatively common predominantly benign neoplasms which are more common in males than females. These lesions occur mainly in middle to late age intervals and are distributed to the extremities in most cases.