Pattern and Clinical Profiles of Paediatric Abdominal Tumors at Khartoum and Ribat University Hospital
Background Objectives: The aim of this study was to determine the mode of presentations, clinical profile and the sensitivity of imaging in the abdominal tumours in paediatric and types of tumours. Methods: This was a prospective and retrospective cross sectional study conducted in Khartoum Teaching Hospital and Ribat University Hospital in the period between April 2012 to April 2014. Variables studied included clinical presentations, imaging used for work up, types of abdominal tumours with regional distributions, and duration of symptoms. Results: fifty-eight patients enrolled, males, 55.2 %( n=32), and females, 44.8 %( n=26), ages group range between (28 days-13 years) with mean 4.6 years. 51.7% from the center of Sudan, 27.6% from West, 15.5% from Gezira, and 5.2% from North. Most of them presented with abdominal mass and pain 89.7 %( n=52), fever 74.1% (n=43), anemia 77.6 %( n=45), four (6.9%) of them presented as acute abdomen (intussusceptions), two presented with mass and jaundice. Six presented with urine retention (10.3%). The duration of symptoms (15days – 3 months). The imaging used were, CT&US with sensitivity, 80.3% & 67.3%, respectively. Histologically: 91.1% malignant tumours, the rest were benign and two cases; (abdominal TB). WT 31%(n=18), lymphoma 27.6%(n=16), neuroblastoma 12.1%(n=7), HB & teratoma 6.9%(n=4) for each, neuroectodermal 3.4%(n=2), adinocarcinoma, fibro sarcoma, rhabdomy-osarcoma and peutz-jegher 1.7%(n=1) for each. Two cases 3.4% were abdominal TB. About nineteen pati-ents (32.8%) died shortly after starting workup (late presentation). Conclusion: Abdominal mass in paediatric is serious conditions. Good evaluation, awareness with symptoms and signs with reliable imaging and histological investigations; are a corner stone for the early diagnosis and improvement of outcome.
