Togo B, Traoré F, Togo A P, Traoré C B, Dumke K, Diawara M, Diakité A A, Sylla M, Traoré-Dicko F, Traoré B, Sidibé T
Service of Pediatrics Gabriel Touré Teaching Hospital, Bamako BP 267, Mali.
Adv Hematol. 2011;2011:327237. doi: 10.1155/2011/327237. Epub 2011 Feb 10.
Introduction. The aim of this retrospective, unicentric study over 5 years is to describe the epidemiologic, pathologic, clinic and therapeutic aspects of children treated for Hodgkin lymphoma in our paediatric oncology unit. Patients and Methods. From January 2005 to December 2009, all children under 18 years of age, with Hodgkin lymphoma were included in this study. The treatment protocol was the GFAOP (Groupe Franco-Africain d'Oncologie Pédiatrique) Hodgkin lymphoma treatment protocol. Results. During the study period, 217 cancer cases were diagnosed in our centre. Of these cases, 7 were Hodgkin Lymphoma (LH) (0.04%). The mean age was 11.7 years. The sex-ratio was 6/1. 4% (5/7) of patients were stage IIB and 28.6% (2/7) stage IIIB of Ann-Arbor classification. There were 3 cases (42.8%) of sclero-nodular subtype, 2 cases (28.6%) of lymphocyte-rich classical HL subtype, 1 case (14.3%) of mixed cellularity and 1 case (14.3%) of lymphocyte depleted subtype. With a median followup of 37 months, 5 patients (71.4%) are alive, and 2 patients (28.6%) died. Conclusion. Broader multicentric studies are needed for more accurate data on this malignancy.
引言。这项为期5年的回顾性单中心研究旨在描述在我们儿科肿瘤病房接受霍奇金淋巴瘤治疗的儿童的流行病学、病理学、临床和治疗方面的情况。
患者与方法。2005年1月至2009年12月,所有18岁以下患有霍奇金淋巴瘤的儿童均纳入本研究。治疗方案为GFAOP(法非儿科肿瘤学组)霍奇金淋巴瘤治疗方案。
结果。在研究期间,我们中心共诊断出217例癌症病例。其中,7例为霍奇金淋巴瘤(HL)(0.04%)。平均年龄为11.7岁。男女比例为6/1。根据Ann-Arbor分期,4%(5/7)的患者为IIB期,28.6%(2/7)为IIIB期。有3例(42.8%)为硬化结节亚型,2例(28.6%)为富于淋巴细胞的经典HL亚型,1例(14.3%)为混合细胞型,1例(14.3%)为淋巴细胞消减型。中位随访37个月,5例患者(71.4%)存活,2例患者(28.6%)死亡。
结论。需要开展更广泛的多中心研究以获取关于这种恶性肿瘤的更准确数据。