Epidemiology of childhood

cancer in “Dharmais” cancer

hospital
Haridini 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)
68
62
57 60

38

2006 2007 2008 2009 2010

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

 Profile of Childhood Cancer in
“Dharmais” Cancer Hospital 2006
Cancer Total
• Leukemia 10
• Retinoblastoma 8
• Osteosarcoma 6
• Lymphoma 6
• Ewing Sarcoma/PNET 4
• Brain tumor 3
• Neuroblastoma 3
• Nephroblastoma 2
• Others 9
Source: Medical Record Dept. “Dharmais” Cancer Hospital
 Profile of Childhood Cancer in
“Dharmais” Cancer Hospital 2007
Cancer Total
• Leukemia 6
• Retinoblastoma 6
• Brain Tumor 5
• Neuroblastoma 4
• Osteosarcoma 3
• Hepatoblastoma 3
• Ewing Sarcoma 2
• Yolk Sac Tumor 2
• Others 7
Source: Childhood Cancer Registry, Dept. of Child Health, DCH
 Profile of Childhood Cancer in
“Dharmais” Cancer Hospital 2008
Cancer Total
• Leukemia 16
• Lymphoma 15
• Retinoblastoma 7
• Brain Tumor 7
• Rhabdomyosarcoma 3
• Nasopharingeal Cancer 3
• Wilms’ Tumor 2
• Osteosarcoma 2
• Others 7
Source: Childhood Cancer Registry, Dept. of Child Health, DCH
 Profile of Childhood Cancer in
“Dharmais” Cancer Hospital 2009
Cancer Total
• Leukemia 25
• Retinoblastoma 5
• Ca Cell Basalioma 5
• Nasopharingeal Cancer 4
• Lymphoma 4
• Rhabdomyosarcoma 3
• Brain Tumor 3
• Osteosarcoma 2
• Others 9
Source: Childhood Cancer Registry, Dept. of Child Health, DCH
 Distribution of Childhood Cancer
in 25
“Dharmais” Cancer Hospital 2009

5 5 6
4 4 3 3 2 2 1
SB
B

as a
nx

O ma
a

or

a
ia

a
om
yo om

ra om

C
o b om
R
m

eo um
ry
K

to

er
e

eu ast
om ph
a

rc

c
uk

th
of

ep sar
sa

in
im

bl
s
Le

Na

ro
L

at
st
a
C

N
bd

H
ha
R

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

 Distribution of Childhood Cancer
in “Dharmais” Cancer Hospital
According to Sex 2009

GIRL, 11

BOY, 49

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

 Distribution of Childhood Cancer
in “Dharmais” Cancer Hospital
According to Age 2009
19

16 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 Stage 2009
34.30%

25.70% 25.70%

14.30%

I II III IV

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

 Distribution of Childhood Cancer
in “Dharmais” Cancer Hospital
According to Treatment Outcome 2009

Loss, 2

Die, 23
Life, 35

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

Distribution of Childhood Cancer in “Dharmais” Cancer
Hospital According to source of fund, 2009
28.70%

23.05%

19.29%
17.54%

14.03%

SKTM JAMKESMAS PRIBADI ASKES JAMINAN

PERUSAHAAN
THANK YOU