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Pattern of childhood cancer in University College Hospital, Ibadan during 1991-2010 and comparison with the previous
Insights
Childhood cancer cases in Ibadan, Nigeria have declined, with retinoblastoma now more common than Burkitt lymphoma. This study analyzed cancer patterns in children under 15 years.
Area of Science:
- Pediatric Oncology
- Epidemiology
- Cancer Research
Background:
- Childhood cancer is a significant global health concern, affecting children under 15.
- Incidence and mortality rates for pediatric cancers vary worldwide.
Purpose of the Study:
- To delineate the epidemiological patterns of childhood cancer in Ibadan, Nigeria.
- To compare current findings with historical data from Ibadan and international studies.
Main Methods:
- Retrospective analysis of histologically/cytologically confirmed pediatric cancer cases (<15 years) diagnosed at University College Hospital, Ibadan (1991-2010).
- Classification of neoplasms using the International Classification of Childhood Cancer, third edition (ICCC-3).
Main Results:
- A total of 625 cases were identified, with lymphomas (22.4%) being the most frequent, followed by retinoblastomas (21%).
- A notable decrease in the proportion of lymphomas, particularly Burkitt lymphoma, was observed compared to previous periods.
- Retinoblastoma has emerged as the most common individual childhood cancer in this cohort.
Conclusions:
- A decline in childhood cancer cases at the University College Hospital, Ibadan over the past two decades.
- This decline may be attributed to the development of additional specialized cancer treatment centers in the region.
- Shifting cancer landscape in Ibadan with retinoblastoma surpassing Burkitt lymphoma in incidence.
Background:
Cancer is an important cause of morbidity and mortality worldwide in children under 15 years of age, with the incidence and mortality rate varying from 40 to 155 per million children.
Aim:
To describe the pattern of childhood cancer in Ibadan, Nigeria.
Objective:
To compare the findings of this study with those of previous studies in Ibadan and internationally.
Methods:
A retrospective review of histologically and cytologically confirmed cases of cancer in children aged <15 years diagnosed at University College Hospital (UCH), Ibadan between January 1991 and December 2010 was undertaken. The cases were categorised using the International Classification of Childhood Cancer, third edition (ICCC-3).
Results:
There were 625 cases comprising 360 (57·6%) males with a modal age of 3 years. The most common neoplasms were lymphomas (140, 22·4%), of which 90% were non-Hodgkin lymphomas, with Burkitt lymphoma constituting the majority of cases (73). Other common neoplasms were retinoblastomas (21%), soft tissue sarcomas (14·9%), leukaemias (10·2%) and CNS tumours (6·9%). Lymphomas, bone tumours, malignant hepatic tumours and other malignant epithelial neoplasms had the highest mean and modal ages, while retinoblastomas, neuroblastomas, germ cell tumours and renal tumours had the lowest mean and modal ages. During 1960-72 there were 1326 cases and during 1973-90 there were 1881 cases and the proportion of lymphomas was 58·9% and 45·4%, respectively. The present study demonstrated a marked decline in the number of cases and proportion of lymphomas (22·4%), particularly Burkitt lymphomas.
Conclusion:
During the last 20 years, there has been a decline in the number of cases of childhood cancer seen at UCH, Ibadan. This may be due to the establishment of additional specialist centres in the sub-region. Owing to a persistent decline in the frequency of Burkitt lymphoma, retinoblastoma is now the most common individual childhood cancer seen at Ibadan.
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