Paediatric Oncology CWMH 2016

Oncology Paediatric Suva Paeds Oncology is 5 room 10 bed ward Manned by 1 Consultant and 1 Registrar 6 R/Ns women/Man power Inpatient and Out patient care is carried out here Taken on care of Haematology cases now Regional cases

Oncology Patients Haematology Cases: 12 Remission: 14 Aplastic Anaemia 1 ITP 3 Thalassemia 4 Hemophillia 4 Palliative Patients: 4 Neuroblastoma- 1 Brain Tumour- 1 ALL-2 Remission: 14 ALL- 4 APML-1 Hepatoblastoma- 3 Craniopharyngioma- 1 Brain Tumour-1 Teratoma-2 Wilms Tumour- 1 Burkitts Lymphoma-1

Patients On Chemo ALL-7 Lymphoma-1

2013 Oncology Patients Diagnosis Age Patient Comments Chemo Yes/No   Patient Diagnosis Age Chemo Yes/No Completed Yes/No Comments 1 ALL 1yr Yes Completed in 2016 now in remission 2 3 yrs Completed in 2016 but Relapsed and died 3 4 ?ALL 3yrs No Quite Sick Chemo died 5 AML 5 yrs Treated as ALL Results came back as AML 6 2013 TLS 7 11yr no Diagnosed from Vunidawa 8 JMML 11/12 Palliation died 9 8/12 yes Returned from India On palliation died 10 APML 8 yrs 11 Burkitts Lymphoma Completed Chemo Relapsed died 12 5yrs Preface only died TLS

2013 Oncology Patients Patient Diagnosis Age Chemo Yes/No Completed   Patient Diagnosis Age Chemo Yes/No Completed Comments 13 Retinoblastoma 2yrs 2013 yes CNS Met put on palliation 14 2yr no Sent back to Kiribati on Palliation 15 Neuroblastoma 5yrs Metastasis palliation Died 16 1 yr Yes No Suspcted TB never completed treatment. 17 LCH 1y 10/12 In Remission 18 Wilms Tumour 8yrs NZ for radiation Relapsed died 19 Wilms tumour 1y Died TLS 20 Non Germinomatous Germ cell tumour 12 Completed in 2015 now in remission 21 Medullablastoma 6yrs Kiribati case died in theatre 22 Hepatoblastoma 7/12 Completed and in remission 23 Germ cell tumour In remission 24 PNET Palliation

2014 Patients Patient Diagnosis Age Chemo Yes/No Completed Comments 1   Patient Diagnosis Age Chemo Yes/No Completed Comments 1 ALL 4/52 No no Palliation died 2 2y 9/12 yes Ongoing On Maintenance 3 AML 10yrs Palliation Died 4 ?AML 8 5 Wilms Tumour 5y NZ sent back liver met 6 1y 2/12 Yes NZ for surgery 7 Yolk sack tumour 2yrs In remission Retinoblastoma In Remission 9 Posterior Fossa Tumor 5yrs VP Shunt Insertion on Palliation 10 Hepatoblastoma 10/12 NZ for resection now in remission 13 Abdominal mass 1yr Palliation 14 Osteosarcoma Lung Met palliation Died

2015 Patients ALL ?ALL AML JMML Burkitts Lymphoma Wilms Tumour   Patient Name Diagnosis Age Chemo Yes/No Completed Comments 1 ALL 11 Yes No NZ – India refused chemo 2 5 Ongoing On Maintenance 3 5yrs On Maintenance, Overwhelming sepsis Died 4 ?ALL 3yrs Trans out to Vanuatu on palliation 2yrs Relapsed Died 6 AML Died in PICU 7 JMML Palliation died 8 Burkitts Lymphoma Abandoned treatment 9 4yrs TLS 10 Wilms Tumour 12yrs TLS died 3y 5/12 NZ sent back after Lung radiation 12 Hepatoblastoma 1y 8/12 Resection of mass in NZ In Remission 13 7/12 In Remission 14 PFT-Pilocytic Astrocytoma Tumour Debulking On Palliation 15 Brain Tumour 8yrs Resected now on palliation 16 PFT 7 yrs 17 7yrs Palliation 18 ?Round Cell Died

2016 Patients Patient Name Diagnosis Age Chemo Yes/No Completed   Patient Name Diagnosis Age Chemo Yes/No Completed Comments 1 ALL 13yrs Yes No JW refused BTF Died 2 3 Ongoing 14 On Delayed Intensification 4 10yrs On Interim Maintenance 5 8yrs Did not respond to chemo Died 6 On interim Maintenance 7 Lymphoma 4yrs On Consolidation 8 13 Abandoned chemo Died 9 Burkitts Lymphoma 3yrs In Remission 10 Died TLS 11 Hodgkins Lymphoma 12 Osteosarcoma 16 Referred from Ortho for palliation Died Intraventricular Tumour 9yrs Palliation Died

Leukaemia Cases

ALL Survival 2016

Burkitts Lymphoma Survival

Wilms Tumour Survival

Hepatoblastoma Survival No cases for 2016

Retinoblastoma Survival

Thank You Vinaka