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Epidemiologic survey of infantile cancer in Iran based on the data of the largest pediatric cancer referral center (Ali- Asghar Children Hospital), 1996-2005
Journal article   Open access   Peer reviewed

Epidemiologic survey of infantile cancer in Iran based on the data of the largest pediatric cancer referral center (Ali- Asghar Children Hospital), 1996-2005

Gholamreza Bahoush-Mehdiabadi, Roshanak Habibi, Ahmad Shariftabrizi and Parvaneh Vossough
Asian Pacific journal of cancer prevention : APJCP, Vol.15(3), pp.1211-1217
2014
DOI: 10.7314/APJCP.2014.15.3.1211
PMID: 24606443
url
https://doi.org/10.7314/APJCP.2014.15.3.1211View
Published (Version of record) Open Access

Abstract

Cancer in infants younger than one year of age represents a unique problem with distinct epidemiological, clinical and genetic characteristics compared with older age groups. No report is yet available from Iran regarding epidemiological and survival rate of cancers diagnosed in this age group. The population under study comprised of patients which were diagnosed and admitted to Ali-Asghar hospital between years 1996-2005. In total, 287 infants were included in the retrospective descriptive survey. Patient files were evaluated for age of patient at the time of diagnosis, sex, geographical residence, consanguinity of parents, histological diagnosis, site of cancer involvement, type of therapy, date of last follow-up and cause of death (if applicable). The average age at the time of diagnosis was 7.2 months old. The most frequent malignancy was retinoblastoma (44%), followed by leukemia (19%) and neuroblastoma (10%), with five-year overall survival rates of 77.7%, 41% and 90%, respectively Parents of 40 infants (13.9%) had consanguinity relationships. Although we cannot make any conclusions regarding the incidence of infant cancer subtypes based on this study, survival rates for major types were similar to the developed countries, which signifies strict adherence to standards of care in Ali-Asghar hospital, the main infant cancer care centre in Iran. A Childhood Cancer Registry with high-resolution data collection and also advanced genetic testing is advocated for in-depth analysis of variation in incidence and survival.
Central Nervous System Neoplasms - epidemiology Central Nervous System Neoplasms - mortality Consanguinity Female Hospitals, Pediatric Humans Infant Infant, Newborn Iran - epidemiology Leukemia - epidemiology Leukemia - mortality Male Neoplasms - epidemiology Neoplasms - mortality Neoplasms, Germ Cell and Embryonal - epidemiology Neoplasms, Germ Cell and Embryonal - mortality Neuroblastoma - epidemiology Neuroblastoma - mortality Retinoblastoma - epidemiology Retinoblastoma - mortality Retrospective Studies Sarcoma - epidemiology Sarcoma - mortality Wilms Tumor - epidemiology Wilms Tumor - mortality

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