Análisis clínico-epidemiológico de la presentación y diagnóstico del cáncer pediátrico en

espanolIntroduccion: El cancer infantil es una de las primeras causas de muerte por enfermedad a partir del primer ano de vida. Cada ano se registran en nuestro pais nuevos casos de cancer pediatrico en ninos entre 0-15 anos. Los signos y sintomas que preceden al cancer son comunes con otras enfermedades, lo que conlleva a su sub-diagnostico, siendo asi que su diagnostico se hace de forma accidental y con frecuencia en fases avanzadas, e incluso metastasicas de la enfermedad. Objetivo: Determinar cual es la incidencia del cancer pediatrico en Cochabamba, e Identificar el tiempo transcurrido para la realizacion del Diagnostico intrahospitalario de las Neoplasias pediatricas, presentadas en: Hospital del Nino Manuel Ascencio Villarroel (HNMAV) y Centro Pediatrico Albina Patino (CPAP), durante el periodo de 2005-2010. Material y Metodos: Es una investigacion, descriptiva, retrospectiva, transversal donde la muestra estudiada se limito a pacientes internados durante el periodo 2005-2010 en el HNMAV y CPAP, con el diagnostico de cancer pediatrico. Resultados: En relacion al sexo, se encontro mas en hombres (56%) y la edad mas frecuente de diagnostico 2-5 anos, con un 38,67%. Dentro de los canceres mas frecuentemente encontrados estuvieron: Leucemia linfoblastica aguda (62%), Retinoblastoma (8,49%) y Linfoma de Hodking (4,71%). Conclusion: La incidencia de Cancer Pediatrico es 0,44% en la poblacion estudiada, en lo que respecta al tiempo transcurrido para la realizacion del Diagnostico intrahospitalario de Neoplasias pediatricas, se observo una varianza significativa en la comparacion entre los dos Centros Hospitalarios de Referencia de Cochabamba: Publico (HNMAV) Vs Privado (CPAP), siendo este ultimo el Hospital que dio con mayor presura/precocidad este Diagnostico. EnglishBackground: Childhood cancer is one of the leading causes of death by disease as from the first year of life. Each year new cases of childhood cancer are reported in children between 0 to 15 years old. The Signs and symptoms that precede cancer are common to other diseases. This leads to their sub-diagnosis. Therefore the diagnosis is made accidentally and often in advanced stages even with metastatic disease. Objective: It is to determine the incidence of pediatric cancer in Cochabamba, and to identify the time that takes the inpatient diagnosis of pediatric neoplasm, presented at: Hospital del Nino Manuel Ascencio Villarroel (HNMAV) and Centro Pediatrico Albina Patino (CPAP) during 2005 to 2010. Methods: It is a descriptive, retrospective, and cross-sectional research. The sample studied was limited to patients admitted during 2005-2010 in HNMAV and CPAP, with the diagnosis of pediatric cancer. Results: According to sex, it was found further in men (56%) and the most common age of diagnosis was 2 to 5 years old which represents the 38,67%. Among the most frequent type of cancer were found: Acute lymphoblastic leukemia (62%), Retinoblastoma (8,49%) and Hodgkin lymphoma (4,71%). Conclusion: In the population studied, the Pediatric Cancer incidence is 0,44% the results for elapsed time until the inpatient diagnosis of pediatric neoplasm were: there was a significant variance in the comparison between the two principal hospitals in Cochabamba: Public (HNMAV) versus Private (CPAP), being (CPAP) which gave more precocity in this diagnosis.