Epidemiological Features of Childhood Acute Leukemia at MAHAK’s Pediatric Cancer Treatment and Research Center (MPCTRC), Tehran, Iran
Abstract
Aims: MAHAK’s Pediatric Cancer Treatment and Research Center (MPCTRC) is one of the main national referral centers for childhood malignancies. Due to large number of referrals, data compiled at this center can consider as reference for any issues related to national health strategies and policies in order to facilitate and optimize medical services for pediatric malignancies. This report provides data regarding epidemiology of ALL and AML in children who referred to our center for diagnosis and treatment.Methods: The enrolled patients were 216 eligible children suffering from ALL and AML who have been referred to MPTRC since 2007 to 2011. Basic epidemiological information recorded as a checklist for each individual patient.Results: Out of patients, 79.62% had ALL and 20.38% had AML. In the ALL 98(57%) and In the AML 28(63.6%) were males. The mean age in the ALL group was 5.5±0.92 years and in the AML group 6±0.96 years. Familial incidences of malignancies recorded in 28 patients with ALL (16.3%) and in 5 patients with AML (11.6 %). In ALL group seven (4%) and in AML group three (6.8%) had underline disease. Parental consanguinity was evident in (n=41, 19 %) of both groups. Conclusion: According to our data both ALL and AML have the same frequency as compared with data from developing countries. Considering the cure rate of 60-80 % in patients with ALL and AML, these data may serve the health authorities for more effective environmental and preventive measurements, purposeful for facilitating up-to date diagnostic and treatment modalities, psychological support programs for respective family members and educational purposes.Prevention, C. f. d. c. a. (2011). "Leukemia." from <http://www.cdc.gov/CDCHome>
Smith, M. A., L. A. G. Ries, et al. LEUKEMIA. I. I, National Cancer Institute.
Mousavi, S. M., M. M. Gouya, et al. (2009). "Cancer incidence and mortality in Iran." Annals of Oncology 20(3): 556–563.
Alebouyeh, M. (2003). "CURRENT STATUS OF PEDIATRIC ONCOLOGY IN IRAN." Arch Iranian Med 6(3): 160-162.
Gorodezky, C. (2003). "Environmental Factors contributing to the development of childhood leukemia in children with Down's syndrome." Leukemia 17: 1905-1907.
Gurney, J. G. and M. L. Bondy (2006). Epidemiology of Childhood Cancer Principles & Practice of Pediatric Oncology, 5th Edition P. A. Pizzo and D. G. Poplack, Lippincott Williams & Wilkins 1-10.
Lanzkowsky, P., M.B., et al. (2011). Leukemia Manual of Pediatric Hematology and Oncology, Elsevier.
Conter V, R. C., C. R. Sala A, et al. (2004 ). Acute Lymphoblastic Leukemia Orphanet Encyclopedia Monza, Italy Clinica Pediatrica Università di Milano Bicocca 106.
Foundation, L. (2011). "Acute Myeloid Leukemia (AML)." from www.leukaemia.org.au <http://www.leukaemia.org.au>.
Deschler, B. and M. Lübbert (2006). "Acute Myeloid Leukemia: Epidemiology and Etiology." CANCER 107(1): 2099-2107.
Appelbaum, F. R., H. Gundacker, et al. (2011). "Age and acute myeloid leukemia." blood 107(9): 3481-3485.
Pui, C.-H., J. M. Boyett, et al. (1999). "Sex differences in prognosis for children with Acute Lymphoblastic Leukemia." Journal of Clinical Oncology 17(3): 818-824.
Hjalgrim, L. L., K. Rostgaard, et al. (2003). "Age- and Sex-Specific incidence of childhood leukemia by immunophenotype in the Nordic countries " Journal of the National Cancer Institute 95(20): 1539-1544.
Kheifets, L. and R. Shimkhada (2005). "Childhood Leukemia and EMF: Review of the Epidemiologic Evidence." Bioelectromagnetics Supplement 7: S51-S59.
Pérez-Saldivar, M. L., A. Fajardo-Gutiérrez, et al. (2011). "Childhood acute leukemias are frequent in Mexico City: descriptive epidemiology. " BMC Cancer 11: 355-366.
Gaynon, P. S., R. P. Qu, et al. (1997). "survival after relapse in childhood Acute Lymphoblastic Leukemia (impact of site and time to first relapse-the children's cancer group experience)." American Cancer Society 82(7): 1387-1395.
Wen, W.-Q., X.-O. Shu, et al. (1997). "Family history of cancer and autoimmune disease and risk of leukemia in infancy: a report from the children's cancer group (Unites States and Canada)." Cancer Causes and control 9: 161-171.
Perrillat, F., J. Clavel, et al. (2001). "Family Cancer history and risk of childhood acute leukemia (France)." Cancer Causes and Control 12: 935-941.
Xie, Y., S. M. Davies, et al. (2003). "Trends in Leukemia Incidence and Survival in the United States (1973–1998)." CANCER 97(9): 2229-2235.
Azarm, T., Jahani, et al. (2005). "Central Nervous System Relapse in Acute Lymphoblastic Leukemia (Study on 160 cases)." IJHOBMT 2(5): 15-18.
Files | ||
Issue | Vol 7 No 1 (2015) | |
Section | Original Articles | |
Keywords | ||
ALL AML epidemiology Iran malignancy |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |