Public awareness of the warning signs of childhood cancer is vital.
Currently, between 800 to a 1 000 SA children are diagnosed with cancer annually. However, it’s estimated that half of the children with cancer in South Africa, are never diagnosed.
Lack of Awareness of Signs & Facts Childhood Cancer
This is due to a lack of knowledge regarding the disease and how it presents in children. As a result, many children are diagnosed too late, when the cancer is already in an advanced stage, thus diminishing the possibility of successful treatment.
Cancer stigma and myths are rife, especially among certain local ethnic groups. These result in not wanting to acknowledge that a child may have cancer, because of the risk of being shunned or believing that cancer treatment won’t be effective, because the cause is not medical, but supernatural. Myths surrounding childhood cancer need to be debunked to ensure that children are referred to specialists without delay.
SA Survival Rates Could be Higher
According to the South African Medical Journal¹ the overall survival rates for childhood cancer in South Africa remain low, when compared to international data. Greater awareness of the warning signs of childhood cancer can encourage earlier diagnosis and lead to improved outcomes for all ethnic groups.
Many childhood cancers are treatable with high treatment success rates between 70% and 80% in well-resourced countries, while approximately 80% of children with cancer in Africa die without access to adequate care.
Whilst South Africa has an established oncology healthcare service, the infrastructure is overburdened, the cancer awareness in the primary healthcare service is poor, and widespread service delivery challenges exist.
A 2014 research paper carried in Stones, David K., et al. entitled “Childhood cancer survival rates in two South African units”, quotes South African overall survival rates at 52.1%. ¹
Childhood vs Adult Cancer
The causes of cancer in adults are also usually attributable to lifestyle choices, whereas in children, genetic and environmental factors play a dominant role.
It is important to note that there is a vast difference between childhood cancers and adult cancers, because children are still subject to growth spurts within a short period of time, which may result in the cancer spreading faster and more aggressively. This implies that treatment or advice that may work for adults, will not necessarily work for children.
Cancers in children tend to be different from those found in adults, with most of them often occurring in the developing cells such as bone marrow, blood, kidneys and nervous system tissues.
According to the recent South African Children’s Cancer Study Group (SACCSG) registry statistics, for 2009 to 2013, the five foremost childhood cancers in South Africa are:
- lymphoma (tumours that begin in the lymph glands)
- brain tumours
- nephroblastomas or Wilms tumours – cancer of the kidneys
- soft tissue sarcomas (tumours that begin in the connective tissue)
Fact Sheets – Types of Childhood Cancer:
- Astrocytoma (NCR 2014) Childhood
- Brain & Central Nervous System (NCR 2014) Childhood / Adult
- Desmoid Tumour (NCR 2014 n/a) Childhood
- Desmoplastic Small Round Cell Tumour (NCR 2014 n/a) Childhood / Juvenile
- Ependymoma (NCR 2014 n/a) Childhood
- Ewing Sarcoma (NCR 2014 n/a) Childhood
- Fibrosarcoma (NCR 2014 n/a) Childhood
- Gliomas (NCR 2014) Childhood
- Hepatoblastoma (NCR 2014 n/a) Childhood
- Kidney Clear-Cell Sarcoma (NCR 2014 n/a) Childhood
- Kidney Tumours & Wilms Tumour (NCR 2014) Childhood
- Leukaemia – Acute Lymphoblastic – (NCR 2014 n/a) Childhood
- Leukaemia – Chronic Lymphoblastic – (NCR 2014 n/a) Childhood
- Leukaemia – Acute Myeloid – (NCR 2014 n/a) Childhood
- Leukaemia – Chronic Myeloid (NCR 2014 n/a) Childhood
- Leukaemia – Megakaryoblastic (NCR 2014)
- Leukaemia – Myelomonocytic – (NCR 2014 n/a) Juvenile
- Lymphoma – Burkitt’s – (NCR 2014 n/a) Childhood
- Lymphoma – Hodgkin’s – (NCR 2012 n/a) Childhood
- Lymphoma – Non-Hodgkin’s – (NCR 2014 n/a) Childhood
- Medulloblastoma (NCR 2014) Childhood
- Neuroblastoma (NCR 2014) Childhood
- Osteosarcoma (NCR 2014) Childhood
- Pleomorphic Xanthoastrocytoma (NCR 2014) Juvenile
- Retinoblastoma (NCR 2014 n/a) Childhood
- Rhabdomyosarcoma (NCR 2014 n/a) Childhood
- Soft Tissue Sarcoma (NCR 2014 n/a) Childhood
- Synovial Sarcoma (NCR 2014) Childhood / Juvenile
- Testicular Endodermal Sinus Tumour (NCR 2014 n/a) Childhood / Adult
* Spitz Naevi (usually present in toddlers and children) and can mistakenly be thought to be malignant melanoma because of the close resemblance…
* National Cancer Registry (NCR)