Evolution of paediatric oncology over the years: overview with a focus on sub-Saharan Africa and examples from the Kenyan experience
Kasili, E.G.
East African Medical Journal 70(6): 343-347
1993
ISSN/ISBN: 0012-835X PMID: 8261955 Document Number: 408476
Childhood cancers differ from adult cancers in the pattern and frequency of the various types; childhood malignancies may have different etiological factors of prominent genetic component and they respond to therapy better than malignancies in adults. Success in managing cancer in adults has followed breakthroughs in pediatric oncology. A historical overview is presented on a global basis of this subspeciality of pediatric oncology. Sections consider pediatric oncology units and data collection, the general management of pediatric tumors, and the treatment of pediatric malignancy in Kenya. The author specifically highlights the evolution of pediatric oncology units and their role in the progress of cancer management in children, and the epidemiology of cancer in children in sub-Saharan Africa. The etiology and care of Burkitt's lymphoma is considered as an example of the serious problems that may be encountered in managing cancer in children in sub-Saharan Africa. The experience of developing a pediatric oncology unit at Kenyatta National Hospital in Nairobi, Kenya, is also cited as an example of the challenges, constraints, and successes associated with such activities in developing countries. Finally, while much progress has been made in the field of pediatric oncology, further advances remain to be made.