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 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.
Menon
Bina Sharine
BS
Department of Pediatrics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, General Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur, Malaysia. drmenon2003@hotmail.com
Juraida
Eni
E
Ibrahim
Hishamshah
H
Mohamed
Mahfuzah
M
Ho
Caroline
C
Khuzaiah
Raja
R
D000293:Adolescent; D000328:Adult; D002173:Cancer Care Facilities; D002648:Child; D002675:Child, Preschool; D005260:Female; D019337:Hematologic Neoplasms / Q000453:epidemiology*; D006801:Humans; D007223:Infant; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D009369:Neoplasms / Q000453:epidemiology*; D011446:Prospective Studies; D055815:Young Adult