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Pediatric Plasma Cell Neoplasms: A Population-Based Study.

Pierre Loap1, Marguerite Vignon2, Didier Bouscary2

  • 1Institut Curie, Department of Radiotherapy, Paris, France.

Clinical Lymphoma, Myeloma & Leukemia
|August 8, 2022
PubMed
Summary
This summary is machine-generated.

Pediatric plasma cell neoplasms are rare, with plasmacytomas being more common than myeloma. This study highlights unique demographic features and poorer outcomes for pediatric plasma cell myeloma.

Keywords:
Cancer epidemiologyPediatric patientsPlasma cell myelomaPlasmacytomaSEER database

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Area of Science:

  • Hematology
  • Pediatric Oncology
  • Cancer Epidemiology

Background:

  • Plasma cell neoplasms are rare in children, with limited understanding of their demographics and outcomes.
  • Existing data on pediatric plasma cell neoplasms is scarce, necessitating population-based studies.

Purpose of the Study:

  • To conduct a comprehensive analysis of pediatric plasma cell neoplasms.
  • To describe the demographic characteristics and clinical outcomes of this rare pediatric malignancy.

Main Methods:

  • Utilized the United States Surveillance, Epidemiology, and End Results (SEER) program database (2000-2018).
  • Included pediatric patients (<20 years) diagnosed with malignant plasma cell neoplasms.
  • Analyzed data on neoplasm type, demographics, site, and survival outcomes.

Main Results:

  • Incidence rate in pediatric population is 0.06 per 1,000,000 person-years.
  • Plasmacytomas (solitary extraosseous and bone) predominated over plasma cell myeloma.
  • Hispanic patients and females were disproportionately represented; head and neck region was a common site for plasmacytomas.
  • Five-year survival rates were significantly lower for pediatric plasma cell myeloma (36.5%) compared to plasmacytoma (88.2%).

Conclusions:

  • Pediatric plasma cell neoplasms are rare and distinct from adult forms.
  • Characterized by a predominance of plasmacytomas, female gender, and Hispanic origin.
  • Pediatric plasma cell myeloma carries a poor prognosis, underscoring the need for further research and targeted therapies.