Pediatric abdominal non-Hodgkin's lymphoma: diagnosis through surgical and non-surgical procedures
Journal Title: Jornal de Pediatria - Year 2019, Vol 95, Issue 1
Abstract
Objective To describe the success rate and the complications after procedures to diagnose abdominal non-Hodgkin's lymphoma in children and adolescents. Methods A retrospective cross-sectional study was conducted with a population consisting of children and adolescents with abdominal non-Hodgkin's lymphoma diagnosed between September 1994 and December 2012. The sample comprised of 100 patients who underwent 113 diagnostic procedures, including urgent surgery (n=21), elective surgery (n=36), and non-surgical diagnosis (n=56). Results The most frequent procedures were laparotomy (46.9%) and ultrasound-guided core biopsy (25.6%). The rate of diagnostic success was 95.2% for urgent surgeries; 100% for elective surgeries and 82.1% for non-surgical procedures (p<0.05). The rates of complication during the three diagnosis procedures considered were significant (p<0.001; 95.2% of the urgent surgeries, 83.8% of the elective surgeries, and 10.7% of the non-surgical procedures). The length of time before resuming a full diet and starting chemotherapy was significantly reduced for patients who underwent non-surgical procedures when compared with the other procedures (p<0.001). Conclusion Non-surgical procedures for the diagnosis of pediatric abdominal non-Hodgkin's lymphoma are an effective option with low morbidity rate, allowing an earlier resumption of a full diet and chemotherapy initiation. Furthermore, non-surgical procedures should also be considered for obtaining tumor samples from patients with extensive disease.
Authors and Affiliations
Arthur Aguiar
Keywords
Related Articles
- EP ID EP494287
- DOI 10.1016/j.jped.2017.10.012
- Views 80
- Downloads 0
Weaning practices of mothers in eastern Turkey
Objective The study aimed to determine the practices used by breastfeeding mothers to wean their children from the breast. Method This qualitative–quantitative research was conducted with mothers whose children were reg...
Neonatal screening: 9% of children with filter paper thyroid-stimulating hormone levels between 5 and 10μIU/mL have congenital hypothyroidism
Objectives To determine the prevalence of congenital hypothyroidism in children with filter-paper blood-spot TSH (b-TSH) between 5 and 10μIU/mL in the neonatal screening. Methods This was a retrospective study including...
Adolescents’ physical activity is associated with previous and current physical activity practice by their parents
Objective The purpose of this study was to determine whether parents’ current and previous physical activity practice is associated with adolescents’ physical activity. Methods The sample was composed of 1231 adolescent...
Comparison of two dose regimens of ibuprofen for the closure of patent ductus arteriosus in preterm newborns
Objective To compare the efficacy of intravenous ibuprofen at high (20-10-10mg/kg/dose) and low doses (10-5-5mg/kg/dose) the closure of patent ductus arteriosus in preterm newborns. Methods A cohort study with historica...
Growth and development and their environmental and biological determinants
Objective To investigate child growth, cognitive/language development, and their environmental and biological determinants. Methods This was a cross-sectional, predictive correlation study with all 92 children aged 24–3...