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Article
Retinoblastoma in Karachi, Pakistan
Asian Pacific Journal of Cancer Prevention
  • Yasmin Bhurgri, Aga Khan University, Karachi Cancer Registry, Sindh Medical College
  • Suhail Muzaffar, Aga Khan University
  • Rashida Ahmed, Aga Khan University
  • Nafees Ahmed, Karachi Cancer Registry
  • Hadi Bhurgri
  • Ahmed Usman, Jinnah Postgraduate Medical Centre
  • Naveen Faridi, Liaquat National Hospital
  • Jawaid Malik, Liaquat National Hospital, Ziauddin Cancer Hospital
  • Liaquat Ali G Kazi, Dow Medical College
  • Imtiaz Bashir, Zainab Punjwani Hospital
  • Naila Kayani, Aga Khan University
  • Asif Bhurgri, Karachi Cancer Registry, Sindh Medical College
  • Shahid Pervez, Aga Khan University
  • Sheema H Hasan, Aga Khan University, Sindh Medical College
  • Akber Haider Soomro, Sindh Medical College
Publication Date
4-1-2004
Document Type
Article
Abstract
The objective was to assess epidemiologic aspects of retinoblastoma development in Karachi, Pakistan. Incident ‍cases, diagnosed clinically or microscopically and registered at Karachi Cancer Registry (KCR) during 1st January ‍1998 to 31stDecember 2002 were reabstracted, rechecked and reanalyzed for this purpose. One hundred and one ‍cases of retinoblastoma were reported to KCR over the 5 years (1998-2002). Fifty-seven were residents of Karachi, ‍34 (59.6%) males and 23 (40.4%) females. The gender ratio (M:F) was 1.5. The mean age at diagnosis was 3.96 years ‍(95% CI 2.92; 4.99) and 3.85 years (95% CI 2.72; 4.98) in males and females respectively. The annual crude incidence ‍of retinoblastomas in Karachi was 4.0/100,000 and 2.4/100,000 in children under the age of 5 and 10 years respectively, ‍the corresponding age standardized rates being 5.3/100,000 and 4.8/100,000. The age groups at risk of developing ‍retinoblastoma, associated morbidity and possibility of almost 100% 5-year survival with available treatments, calls ‍for ophthalmologic screening of all infants below 1 year, and high-risk children until the age of 7 years. In order to ‍detect retinoblastoma, as early as possible, health education for parents and health providers, and improved training ‍of ophthalmologists is essential. Genetic testing for siblings and children of retinoblastoma cases and identification ‍of high-risk children would be helpful, but lacks financial feasibility in developing countries at present. Future ‍health care planning should focus on capacity building for neonatal ophthalmologic screening, handling of parents’ ‍and children’ emotional reactions and opportunities for education, occupational training and cosmetic rehabilitation ‍for surviving retinoblastoma patients.
Citation Information
Yasmin Bhurgri, Suhail Muzaffar, Rashida Ahmed, Nafees Ahmed, et al.. "Retinoblastoma in Karachi, Pakistan" Asian Pacific Journal of Cancer Prevention Vol. 5 Iss. 2 (2004) p. 159 - 163
Available at: http://works.bepress.com/shahid_pervez/20/