Neonatal Cancer Epidemiology and Outcome: A Retrospective Study.

J Pediatr Hematol Oncol

Department of Pediatrics, Division of Pediatric Hemato-Oncology.

Published: July 2020

AI Article Synopsis

  • The study examined the incidence and types of cancers in newborns compared to infants, focusing on diagnosis, location, outcomes, and long-term effects.
  • It analyzed 118 cases of tumors in infants under one year, noting that germ cell tumors and neuroblastoma were most common in neonates, while brain tumors were prevalent in older infants.
  • The findings indicate that while younger patients have more benign tumors, they face significant long-term toxicity from treatments, highlighting the need for improved awareness and management of neonatal tumors to enhance survival and quality of life.

Article Abstract

Objective: Our study aimed at describing neonatal cancer incidence, distribution by type, location, outcome, and long-term toxicity, by comparison with tumors occurring later in infancy.

Methods: The authors led a single-center retrospective analysis of 118 cases of tumors diagnosed in the first year of life and compared tumors' types incidence, presentation, location, and outcome according to age group at diagnosis (below or over 28 d of life).

Results: The most frequent neonatal tumor types in our series were germ cell tumors, mainly teratoma, followed by neuroblastoma and renal tumors, whereas in children below 1 year of age, brain tumors, neuroblastoma, and leukemia were the most common types. Genetic predisposition syndromes were present in 14% of these infants and antenatal sonography enabled 68% of diagnosis for tumors presenting at birth. Other patients presented with mass syndrome, hydrops, or skin lesions. Six percent of neonates with cancer died from their malignancies, and up to 18% experienced a chronic health condition as a consequence of therapy.

Conclusions: Tumor pattern differs in neonates and infants, with a higher percentage of benign tumors in children below 28 days of life. Yet, long-term therapy-related toxicity is significant in younger patients. Enhancing knowledge of neonatal tumors, their epidemiology, clinical presentation, genetic background, and prognosis should help promote better management and introduce follow-up programs to improve surviving rates and the quality of life of survivors.

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http://dx.doi.org/10.1097/MPH.0000000000001692DOI Listing

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