V.M. DELYAGIN, D.B. KHANAVOVA, A. URASBAGAMBETOV

Federal Scientific and Clinical Centre of Pediatric Hematology, Oncology and Immunology named after Dmitry Rogachev, 1 Samori Maschel St., Moscow, Russian Federation, 117997

Delyagin V.M. — D. Med. Sc., Professor, Head of the Department of Functional Diagnostics, Head of the Department of Clinical Physiology, tel. (495) 287-65-70, e-mail: delyagin-doktor@yandex.ru

Khanavova D.B. — postgraduate student, tel. (495) 287-65-70, e-mail: gogurchun@mail.ru

Urasbagambetov A. — Cand. Med. Sc., Researcher of the Department of Clinical Physiology, tel. (495) 287-65-70, e-mail: delyagin-doktor@yandex.ru

Considerably more than half of the cases of malignant tumors in children are diagnosed at III-IV stages. The main reason is lack of oncology trained pediatricians that requires further improvement of postgraduate education and organizational measures. The incidence of malignant neoplasms (MN) of bones in Dagestan is 0.4-0.9 in different years, in adolescents — 1.2-1.86 per 100 000 children and is similar to that in the Moscow region and all-Russian figures. The most common volumetric bone lesions are— exostosis and fibrocystic dysplasia among the benign tumors, and Ewing sarcoma and osteosarcoma among malignant tumors. The spectrum of bones MN is determined by age and, in some cases, gender of the patient. The common signs are bone deformities, local stubborn pain, pathological fractures. Differential diagnosis with arthritis, osteomyelitis, post-traumatic changes is required. The postgraduate education of pediatricians and methodical work of oncologists must be improve.

Key words: children, tumors, bones, diagnosis.

 

 

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