Audit of pediatric hematology-oncology outpatients in Kuala Lumpur.

The aims of this study were to determine the types of cancers and hematological disorders in patients attending a pediatric hematology-oncology clinic. This was a prospective study at the Pediatric Institute, General Hospital Kuala Lumpur, Malaysia from June 2005-November 2006. During the 18-month s...

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Bibliographic Details
Main Authors: Menon, Bina Sharine, Eni , Juraida, Mohd Ibrahim, Hishamshah, Mohamed, Mahfuzah, Ho, Caroline, Raja Khuzaiah,
Format: Article
Language:English
Published: Seameo Regional Tropical Medicine & Public Health Network 2008
Online Access:http://psasir.upm.edu.my/id/eprint/13332/1/Audit%20of%20pediatric%20hematology.pdf
http://psasir.upm.edu.my/id/eprint/13332/
http://www.tm.mahidol.ac.th/seameo/journal_39_4_2008.html
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Summary:The aims of this study were to determine the types of cancers and hematological disorders in patients attending a pediatric hematology-oncology clinic. This was a prospective study at the Pediatric Institute, General Hospital Kuala Lumpur, Malaysia from June 2005-November 2006. During the 18-month study 803 patients attended the clinic, 730 had oncological problems and 73 had hematological problems. The age range was from 2 months to 28 years (median 6 years). The patients were Malay (66%), Chinese (23%), Indian (10%) and other races (1%). Of the oncological patients, 51% had either leukemia (n=293) or lymphoma (n=77).The other most common diagnoses were retinoblastoma, followed by Wilm's tumor and germ cell tumors. Six patients (0.8%) developed a second malignant neoplasm. Of the hematological patients, 60% had platelet disorders, most commonly chronic immune thrombocytopenic purpura. Twenty-four per cent had bone marrow failure and 16% had red cell disorders.