Profile of New Pediatric Cancer Cases in Tertiary Hospital in Nepal – 4 Years Analysis

Sapkota S*, Giri BR*, Kunwar S**, Sah KP***

Abstract


INTRODUCTION: Newly diagnosed pediatric cancer cases are rising at national and international level and its type varies among various countries. Population based data are nominal in our country and there are very few institutional based data in this field. The objective of the study was to analyse the spectrum of pediatric
cancer cases over four years in a single institute.

METHOD: Descriptive cross sectional study was done from January 2015 to December 2018 in new cancer cases registered in Kanti Children’s Hospital pediatric oncology ward and data were analysed with SPSS Version 20. Descriptive statistics were represented as frequency, mean and median and interquartile range.




RESULT: Total 474 new cases were diagnosed from January 2015 to December 2018. Number of cases had increased with 45 cases in 2015, 101 cases in 2016, 154 cases in 2017 and highest of 174 cases in 2018. Acute Lymphoblastic Leukemia (41.6%), Retinoblastoma (12.4%), Wilm’s tumor (9.7%), Neuroblastoma (7.2%) and Non- Hogdkins Lymphoma (6.1%) were the common ones. Among these, 286 (60.3%) were male and 188 (39.7%) were female (M:F=1.5:1). The mean age of presentation was 60.91 months (SD 46.51) (male-62.17 months, (SD 46.14) & female-58.99 months, (SD 47.12) and the median age was 48 months for both sexes. Kathmandu district had the highest burden followed jointly by Siraha and Khotang.


CONCLUSION: There is increasing trend of childhood cancer and it requires strengthening of the resources in our center to deliver modern services as per the increasing needs of all such cases.


KEYWORDS: Kanti Children’s Hospital, Nepal, Pediatric Cancer

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