1. Paediatric Oncology CWMH 2016

2. 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

3. 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

4. Patients On Chemo
ALL-7
Lymphoma-1

5. 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

6. 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

7. 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

8. 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

9. 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

10. Leukaemia Cases

11. ALL Survival
2016

12. Burkitts Lymphoma Survival

13. Wilms Tumour Survival

14. Hepatoblastoma Survival
No cases for 2016

15. Retinoblastoma Survival

16. Thank You
Vinaka