Abstract
The work was carried out within the State Program (1 year of activity-2020); „Modern personalized surgery in the diagnosis and complex treatment of tumors in children” N. 20.80009.8007.06. Analyzing the statistical data during the first year of activity of the project were registered 777 children with tumors, of which 279 (35.2%) primary and 498 (64.8%) – secondary. Of the 777 children, 455 (58.5%) had benign tumors and 97 (12.4%) had malignancies, 231 (29.7%) patients underwent surgical treatment, 455 (58.5%) chemotherapeutic treatment, 13 (1.9%) radiotherapy. Since March 2020, we have been active under the SARS-CoV-2 pandemic. We have developed a special proce- dure for the prevention of coronavirus infection. The COVID-19 pandemic is a new situation, unprecedented for the whole world, with many unknowns, including for the field of Pediatric Oncology and Dental Surgery. First of all, we highlight the adult or child oncological ill patient – as an emergency patient, therefore, the child with the malignant tumor must be treated urgently. Therefore, the treatment of oncological ill patients was conditionaly devided into 3 groups. Group I – primary patients with a diagnosis of malignant tumor, histologically confirmed, who must undergo treat- ment. Postponing this treatment is more dangerous than coronavirus. The treatment should be conducted under pandemic conditions: at distance, using disinfectants, masks, visiting relatives prohibition. Group II – pediatric patients, who at the beginning of the pandemic were at the treatment stage (chemo- or radiother- apy). If the concrete situation allows, the treatment continues. Hormone injection therapy can be performed at home by the specialized team (doctor and nurse). Group III – consisting of children – patients, who have undergone treatment and currently have no signs of disease, but require monitoring. These patients must be in quarantine. Oncological ill patients are considered to have compromised immunity. In adolescent and children, immunity is rela- tively good if there are no serious diseases such as systemic diseases. The tactics must be personalized, strictly individual. During 2020 we performed 3 types of surgical interventions in pediatric oncology: typical surgeries, enlarged surger- ies, combined surgeries.
Highlights
Cea mai nouă realizare în neurooncologie este metoda de verificare a eficienței operației de înlăturare a tumorii prin tomografie computerizată și în rezonanță magnetică efectuată intraoperator, dar din cauza lipsei de aparataj respectiv și a sinecostului mare aceste investigații se pot efectua doar în clinicile mari specializate din lume
Key-words: malignant tumor, benign tumor, oro-maxillo-facial, tumors of the oral cavity, tumors of the jaws
Summary
Epidemiology of benign and malignant tumors in children in the Republic of Moldova (1 year of activity-2020). Group I – primary patients with a diagnosis of malignant tumor, histologically confirmed, who must undergo treatment. Postponing this treatment is more dangerous than coronavirus. S-a constatat, ca morbiditatea prin cancer este mai înaltă la vârsta după 60 de ani [18, 19]. Astfel în SUA morbiditatea prin cancer tiroidian constituie 3,7%000 la femei şi 1,2%000 la bărbaţi, în Danemarca – 3,7%000 şi 2,5%000 respectiv. Dificultatea diagnosticului se explică prin faptul că, în cele mai multe cazuri, cancerul tiroidian se dezvoltă pe fondul patologiilor nodular-difuze tiroidiene, care au o evoluţie lentă. Drept cauze ale unei atare situații sunt considerate: dezastrul ecologic ca rezultat al activității umane, abuzul de alcool, Tabelul 1 Incidenţa, mortalitatea și prevalenţa bolnavilor cu maladii oncologice în Republica Moldova
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