Epidemiology of childhood

cancer in “Dharmais” cancer

hospitalHaridini Intan S.Mahdi, Anky Tri Rini,

Edi S.Tehuteru, Siti Warida H, Iskandar, M.Aisyi

Pediatric Oncology Department, “Dharmais” Cancer Hospital

History

• There were 140 / 1 million

new cases of childhood

cancer per year, in the

world

• Children < 18 years old

• In Indonesia: 11.000 new

cases of childhood

cancer / year

YOAI 2009

…cont’d

• Jakarta: estimated

650 childhood cancer

/ year

• Mostly from low family

income

…cont’d

• Pediatric cancer ward in

Dharmais cancer

hospital, established in

2006

• 2006: 57 patients

• Mostly stage 4

• 95% comes from low

family income

Distribution of Childhood Cancer

in “Dharmais” Cancer Hospital

in 2006 – 2010 (October 2010)

Source: Childhood Cancer Registry, Dept. of Child Health, DCH

57

38

62

60

68

20082006 2007 2009 2010

Cancer Total

• Leukemia 10

• Retinoblastoma 8

• Osteosarcoma 6

• Lymphoma 6

• Ewing Sarcoma/PNET 4

• Brain tumor 3

• Neuroblastoma 3

• Nephroblastoma 2

• Others 9

Profile of Childhood Cancer in

“Dharmais” Cancer Hospital 2006

Source: Medical Record Dept. “Dharmais” Cancer Hospital

Cancer Total

• Leukemia 6

• Retinoblastoma 6

• Brain Tumor 5

• Neuroblastoma 4

• Osteosarcoma 3

• Hepatoblastoma 3

• Ewing Sarcoma 2

• Yolk Sac Tumor 2

• Others 7

Profile of Childhood Cancer in

“Dharmais” Cancer Hospital 2007

Source: Childhood Cancer Registry, Dept. of Child Health, DCH

Cancer Total

• Leukemia 16

• Lymphoma 15

• Retinoblastoma 7

• Brain Tumor 7

• Rhabdomyosarcoma 3

• Nasopharingeal Cancer 3

• Wilms’ Tumor 2

• Osteosarcoma 2

• Others 7

Profile of Childhood Cancer in

“Dharmais” Cancer Hospital 2008

Source: Childhood Cancer Registry, Dept. of Child Health, DCH

Cancer Total

• Leukemia 25

• Retinoblastoma 5

• Ca Cell Basalioma 5

• Nasopharingeal Cancer 4

• Lymphoma 4

• Rhabdomyosarcoma 3

• Brain Tumor 3

• Osteosarcoma 2

• Others 9

Profile of Childhood Cancer in

“Dharmais” Cancer Hospital 2009

Source: Childhood Cancer Registry, Dept. of Child Health, DCH

25

5 5 4 4 3 3 2 2 1

6

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Distribution of Childhood Cancer

in “Dharmais” Cancer Hospital 2009

Source: Childhood Cancer Registry, Dept. of Child Health, DCH

GIRL, 11

BOY, 49

Distribution of Childhood Cancer

in “Dharmais” Cancer Hospital

According to Sex 2009

Source: Childhood Cancer Registry, Dept. of Child Health, DCH

9

16

19

16

< 1years old 1-<5 years old 5-10 years old > 10 years old

Source: Childhood Cancer Registry, Dept. of Child Health, DCH

Distribution of Childhood Cancer

in “Dharmais” Cancer Hospital

According to Age 2009

14.30%

25.70% 25.70%

34.30%

I II III IV

Source: Childhood Cancer Registry, Dept. of Child Health, DCH

Distribution of Childhood Cancer

in “Dharmais” Cancer Hospital

According to Stage 2009

Distribution of Childhood Cancer

in “Dharmais” Cancer Hospital

According to Treatment Outcome 2009

Source: Childhood Cancer Registry, Dept. of Child Health, DCH

Die, 23

Loss, 2

Life, 35

Distribution of Childhood Cancer in “Dharmais” Cancer

Hospital According to source of fund, 2009

28.70%

23.05%

14.03%

17.54% 19.29%

SKTM JAMKESMAS PRIBADI ASKES JAMINAN

PERUSAHAAN

THANK YOU