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Problems Of Managing Retinoblastoma In Jos University Teaching Hospital – A 6 Year Review Of Cases
Abstract
Aim: To review the cases of retinoblastoma patients who presented to Jos University Teaching Hospital during the 6year period, between 1997 to 2001 and to determine the problems in managing the patients.
Methods: Patients records were retrieved from the library. Information on age, sex, clinical presentation, past medical history, family history, clinical examination, laboratory results and treatment received before and after presentation. A total of 27 cases of patients were reviewed.
Results: 27 cases were reviewed out of which 20 (74%) presented with fungating mass and proptosis. Leukocoria was seen in 5 (18.52%) and only 2 (7.41%) patients presented with poor vision and redness. Late presentation was seen in 15 (55.55%) patients. This was attributed to visits to peripheral clinics by 18 (66.67%) patients and to alternative healers by 14 (51.58%). Only 8 (29.63%) patients benefited from surgery and cytotoxic drugs. The two years survival rate was 3.7%.
Conclusion – Ignorance of the disease, inadequate health education, poor financial status of most patients, late presentation to the hospital contributed to high mortality
KEY WORDS: Retinoblastoma, Problems, Management
Highland Medical Research Journal Vol.2(1) 2004: 49-52
Methods: Patients records were retrieved from the library. Information on age, sex, clinical presentation, past medical history, family history, clinical examination, laboratory results and treatment received before and after presentation. A total of 27 cases of patients were reviewed.
Results: 27 cases were reviewed out of which 20 (74%) presented with fungating mass and proptosis. Leukocoria was seen in 5 (18.52%) and only 2 (7.41%) patients presented with poor vision and redness. Late presentation was seen in 15 (55.55%) patients. This was attributed to visits to peripheral clinics by 18 (66.67%) patients and to alternative healers by 14 (51.58%). Only 8 (29.63%) patients benefited from surgery and cytotoxic drugs. The two years survival rate was 3.7%.
Conclusion – Ignorance of the disease, inadequate health education, poor financial status of most patients, late presentation to the hospital contributed to high mortality
KEY WORDS: Retinoblastoma, Problems, Management
Highland Medical Research Journal Vol.2(1) 2004: 49-52
