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Spectrum of Pediatric Cancers in Mozambique: An Analysis of Hospital and Population-Based Data

Title
Spectrum of Pediatric Cancers in Mozambique: An Analysis of Hospital and Population-Based Data
Type
Article in International Scientific Journal
Year
2014
Authors
Carreira, H
(Author)
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Lorenzoni, C
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Carrilho, C
(Author)
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Ferro, J
(Author)
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Sultane, T
(Author)
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Garcia, C
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Amod, F
(Author)
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Augusto, O
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Silva Matos, C
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La Vecchia, C
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Lunet N
(Author)
FMUP
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Journal
Vol. 31
Pages: 498-508
ISSN: 0888-0018
Publisher: Taylor & Francis
Other information
Authenticus ID: P-009-SD5
Abstract (EN): The existing data provide little detail about the epidemiology of pediatric cancers in Mozambique. We aimed at characterizing the spectrum of pediatric cancers (0-14 years) diagnosed in Mozambique in two different calendar periods. Data were obtained from the Pathology Department of the Maputo Central Hospital (DP-HCM) (1999-2000 and 2009-2010), which receives virtually all samples for histopathological diagnosis in Maputo, with the exception of leukemia, and from the population-based Cancer Registry of Beira (2009-2010). In 1999-2000, the DP-HCM diagnosed 61 cancers. Burkitt lymphoma, malignant bone tumors, and rhabdomyosarcomas accounted for 24.6%, 11.5%, and 9.8% of all cases, respectively. In 2009-2010, the number of cancers increased to 150, reflecting a two-to threefold increase in the proportion of Kaposi sarcomas, non-Hodgkin lymphomas, nephroblastomas, and neuroblastomas. In 2009-2010, the Cancer Registry of Beira registered 34 cases, corresponding to an incidence rate of 9.7/100,000 inhabitants in this age group; Kaposi sarcomas, lymphomas, retinoblastomas, and nephroblastomas accounted for 29.4%, 23.5%, 8.8%, and 8.8% of all cases, respectively. These data show that pediatric cancers account for an appreciable burden in Mozambique, probably reflecting a high frequency of HIV-associated cancers and improved access to diagnosis, and highlight the potential for improving surveillance in this low resource setting.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 11
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