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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Malignant solid tumour, HIV infection and tuberculosis in children: An unholy triad
Pediatric Surgery International, Volume 25, No. 8, Year 2009
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Description
Introduction: Co-morbidities introduce confounding variables into investigational protocols and complicate both diagnosis and management of children with malignant solid tumours. Such patients who are coincidentally HIV infected and who also have pulmonary or abdominal tuberculosis pose a particular challenge. Aim: The purpose of this report is to describe the diagnostic and management difficulties encountered in a small cadre of 18 HIV-infected children with solid tumours presenting to the Department of Paediatric Surgery. Method: A retrospective descriptive study of HIV-infected children with malignant solid tumours. Results: 18 HIV-infected children were identified with a variety of primary tumours. 11 children had confirmed pulmonary or abdominal tuberculosis and in 4 the diagnosis was suspected. Neoadjuvant chemotherapy was used when possible to provide a window of opportunity to investigate co-morbidity and improve health status, inter alia, improving the patients' nutritional status. FDG-PET scanning proved unreliable in discriminating between malignant and inflammatory pathology. Overall survival was 33%. Conclusion: The coincidence of malignancy, HIV infection and tuberculosis carries a high mortality independent of the primary tumour type. © 2009 Springer-Verlag.
Authors & Co-Authors
Hadley, Grenville Peter
South Africa, Durban
University of Kwazulu-natal
Naude, F.
South Africa, Durban
Inkosi Albert Luthuli Hospital
Statistics
Citations: 18
Authors: 2
Affiliations: 2
Identifiers
Doi:
10.1007/s00383-009-2409-8
ISSN:
01790358
Research Areas
Cancer
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study