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Pattern of rhabdomyosarcoma in Nigerian children
Ismaila A Adigun1, Ganiyu A Rahman, Mikhaila O Buhari
1Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria. ismailaadigun@yahoo.com
Insights
Rhabdomyosarcoma is a significant childhood cancer in Black Africans, comprising 9.5% of soft-tissue sarcomas. Early detection of persistent masses in children is crucial to improve outcomes.
Area of Science:
- Pediatric Oncology
- Surgical Pathology
- Epidemiology
Background:
- Soft-tissue sarcomas are rare cancers, representing 6.5% of childhood malignancies and a leading cause of cancer death in children under 15.
- This study investigates the prevalence and distribution patterns of rhabdomyosarcoma in a Black African pediatric population.
Purpose of the Study:
- To determine the prevalence and epidemiological characteristics of rhabdomyosarcoma in children within a Black African population.
- To analyze the distribution patterns of rhabdomyosarcoma in this demographic.
Main Methods:
- A retrospective review of 232 soft-tissue sarcoma cases managed between 1985 and 2006.
- Analysis of clinical records, operation notes, and histopathology reports, with detailed examination of rhabdomyosarcoma cases.
Main Results:
- Rhabdomyosarcoma accounted for 9.5% of all soft-tissue sarcomas managed.
- Over half (54.5%) of rhabdomyosarcoma patients were under 20 years of age.
- Peak incidence for all soft-tissue sarcomas occurred between the third and sixth decades of life.
Conclusions:
- Delayed presentation and advanced stages of rhabdomyosarcoma are common in children.
- Educating parents on persistent masses (>4 weeks) is vital for early detection and improved prognosis.
Background:
Soft-tissue sarcomas are uncommon tumors that are infrequently seen in most surgical practices. They represent 6.5% of all cancers in children < 15 years of age and are the fifth leading cause of cancer death in that age group. This study was conducted to show the prevalence and pattern of distribution of rhabdomyosarcoma among children in a black African population.
Methods:
We retrospectively reviewed 232 cases of soft-tissue sarcomas that were managed for a period of 22 years (1985-2006). Materials were obtained from the clinical records, operation notes and histopathology reports of the patients. The records of patients with rhabdomyosarcoma were analyzed in details.
Results:
The result showed the age peak incidence for the total soft-tissue sarcomas occurring between the third and sixth decades of life. Rhabdomyosarcoma constitutes 9.5% of the total number of patients managed, and 54.5% of these patients are age < 20 years.
Conclusion:
We conclude that parents must be educated about the need to look out for any mass on their children that persists for > 4 weeks so as to reduce the delayed and advanced stage of presentation.
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