Bachir Bouiadjra et al Journal of Drug Delivery & Therapeutics. 2020; 10(4):168-174
ISSN: 2250-1177 [168] CODEN (USA): JDDTAO
Available online on 15.07.2020 at http://jddtonline.info
Journal of Drug Delivery and Therapeutics
Open Access to Pharmaceutical and Medical Research
© 2011-20, publisher and licensee JDDT, This is an Open Access article which permits
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Open Access Research Article
Hematologic malignancies in children: Epidemiological aspects in the
pediatric oncology department of Oran Anti-Cancerous center, Algeria
(2009-2013)
Chahrazed Bachir Bouiadjra
1
*, Oum Kaltoum Seddiki
1
, Mustapha Diaf
2
1
Department of Biology, Faculty of Science of Nature and Life, Djillali LIABES University of Sidi Bel Abbes (UDL-SBA), Algeria
2
Laboratory of Health & Environment, Department of Biology, Djillali LIABES University of Sidi Bel Abbes (UDL-SBA), Algeria
ABSTRACT
The incidence of the hematological malignacies, cancers of blood and lymphoid organs, has been in continuous increase for the last 20 years. I n
Algeria, few data on hematologic malignancies are available in the absence of a population register. The aim of this work is to describe the
epidemiological aspect of hematologic malignancies in children from northwestern Algeria.
This study was carried out in 366 patients, with hematological malignancies, aged from 1 month to 15 years, over a period of 5 years (2009-
2013). The study was carried out in the Anti-Cancerous Centre of Oran, Algeria.
We noted a predominance of male gender comparing to the females with a sex ratio M/F of 1.2. A male predominance was found for all
pathologies (sex ratio of 1.08 for acute lymphoid leukemia, ALL) except for acute myeloid leukemia, AML where a female predominance was
observed with a sex ratio F/M of 1.21. 0-3 years age group is the most affected by these haemopathies with 34.2%, however, patients older than
10 years are the least affected. The most frequent malignant haemopathies was the ALL with 60.9%, followed by the AML with 16.9%. The
mortality rate in all the studied patients is about 8.2%. The mortality rate in patients with chronic myeloid leukemia (CML) was about 20%,
which is significantly higher compared to those recorded in patients with ALL and LH (5.4% and 5%, respectively).
This study highlights the need for broader strategies for better understanding of all epidemiological aspects of childhood hematological
malignancies and for adopting case management and prevention policies.
Keywords: Hematologic malignancies, epidemiological characteristics, children, acute lymphoblastic leukemia, Oran anti cancerous centre.
Article Info: Received 21 April 2020; Review Completed 26 June 2020; Accepted 03 July 2020; Available online 15 July 2020
Cite this article as:
Bachir Bouiadjra C, Seddiki OK, Diaf M, Hematologic malignancies in children: Epidemiological aspects in the pediatric
oncology department of Oran Anti-Cancerous center, Algeria (2009-2013), Journal of Drug Delivery and Therapeutics.
2020; 10(4):168-174 http://dx.doi.org/10.22270/jddt.v10i4.4248
*Address for Correspondence:
Chahrazed Bachir Bouiadjra, Department of Biology, Faculty of Science of Nature and Life, Djillali LIABES University of Sidi Bel Abbes (UDL-
SBA), Algeria.
INTRODUCTION
Hematological malignancies, neoplasms account for about
40% of cancers in children under the age of 15 years, and
developed from the bone marrow hematopoietic cells and
lymphatic system. This kind of hematological malignancy
develops at the expense of lymphoid lines precursors, with a
strong preponderance of B-lymphoid line.
1
Leukemia is the most prevalent pediatric cancer. The acute
lymphoid leukemia (ALL) accounts for about 80% of the
cases (75% of them are B-ALL), whereas the acute myeloid
leukemia (AML), which is traditionally encountered in adults,
accounts for only 20% of cases.
2
Usually, the chronic
lymphoid leukemia (CLL) is not found in children, however,
the chronic myeloid leukemia (CML) is extremely rare.
3-4
The
upsurge of Hodgkin's lymphoma (HL) incidence is associated
with the age of children.
5
On the other hand, the non-
Hodgkin's lymphoma (NHL) is very rare before the first year
of life. The Burkitt lymphomas involving mature B-cells
represent the half of the NHL and represent the most
common histological type in children aged 3 to 8 years;
nonetheless, their impact decreases in older children. The T
and B lymphoblastic lymphomas represent 17% and 5% of
cases, respectively.
6