Abstract
Pediatric tumors are least prioritized but serious problems. Multidisciplinary management improves survival. Incidences, types and follow up results on Nepalese pediatric tumors have not yet been studied. To highlight our center's experiences on pediatric tumors management and follow up is aimed. All pediatric surgical tumors admitted in pediatric surgery unit from 2065-2070 BS werer studied. Patients evaluated with or without chemo/radiotherapy pre or post surgery. Total of 22 cases from age four months to 13 years were studied. Tumor detection shown highest in age group below 3 years, followed by 5-10 years. Mean age was 54 months. Most common problem (22.7%) was Sacrococcygeal teratoma (histologically matured). 13% Nephroblastoma, 9% ovarian tumor, 9% Neuroblastoma and various others each were 4.45%. Majority underwent surgical excision of tumors. Three cases pre surgery and 5 post-surgery, received chemotherapy. Rest had only excision of tumor mass. Follow up were from three weeks to five years period. During this period, two patients expired (one due to complication of second cycle of chemotherapy and second one died with severe aspiration after second laparotomy for intestinal obstruction one year after initial Nephroblastoma excision.) One patient lost for follow up after excision of stage V Nephroblastoma and first cycle of chemotherapy. Management of pediatric tumors is complicated. Thus it needs better multidisciplinary centre of excellence for satisfactory results. Management is directed according to incidence, types, standard management protocol, which is not studied yet in Nepal. Research on pediatric tumors is virgin area. Large scale studies need to conduct in detail and a center of excellence is essential to provide better services.
Highlights
Pediatric tumors are least prioritized but serious problems
Rest had only excision of tumor mass
Total excision of tumors was provided for more than 50% (12) cases and chemotherapy after excision of OCUU YCU RTQXKFGF VQ sXG ECUGU 1PN[ QPG ECUG JCU provided chemotherapy alone
Summary
Pediatric tumors are least prioritized but serious problems. Incidences, types and follow up results on Nepalese pediatric tumors have not yet been studied. To highlight our center’s experiences on pediatric tumors management and follow up is aimed. Children are not little adults because tumor pathogenesis, histological characters, behavior and their responses to drugs in children are different.[1,2,3,4,5] Pediatric tumors are said to be relatively lower in incidence, approximately 3% in less than 15. Pokharel et al Managerial experiences on Pediatric surgical tumors in Tribhuvan University Teaching Hospital years population.[2] least priority has given for complete management on these problems. Survival rate has improved tremendously than last 40 - 50 years from 20 % to at present 94 %.2,6 In Nepal the incidence of pediatric tumors are increasing along with increased population growth (1.35 % in 2012 census).[7]
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