Malignant disease in children is fortunately relatively rare. Nevertheless, in children over the age of 1 year, it still remains the second commonest disease causing death in the developed world. In Russia the pediatric oncology is much more open to the western countries, then it was before. Childhood cancers vary by type of histology, site of disease origin, race, sex, and age. The purpose of report [1] was to evaluate malignant neoplastic morbidity, nosologic structure and comparing the refined absolute number of cases with the official statistics in pediatric population of the Stavropol Territory, Russia.

Our results indicate that comparing the refined absolute number of cases with the official statistics revealed that many children with cancer were unregistered and account for about 30%. The first reason has to do with the unregistration same children, when they entered in unspecialized oncopediatric departments. Registration form for children with cancer was not registered in a Stavropol Oncological Center. The next reason – admission for making a diagnosis and treatment children in Pediatrics Oncological Institutes and Oncological Centers (Moscow, St. Peterburg). Same parents after return from center clinical was not registered child with cancer in a Stavropol Oncological Center. The third reason is absence of filling signal form in Stavropol Oncological Center on child, deceased from cancer.

Our findings indicates that the only each fifth diseased child has an early stage of the disease. As elsewhere in the world, leukaemia (principally acute lymphocytic), brain tumours and lymphomas comprise two-thirds of all childhood neoplasms. Our results indicate that the cancer incidence in children of Stavropol Territory corresponds world incidence rates.

In conclusion, diagnostics and treatment of children with malignant neoplasm’s in Stavropol Territory is performed by several treatment and diagnostic establishments of different specialization profile. Such decentralized oncopediatric care leads makes it impossible to do the full registration of children with oncological disorders. We believe that the establishment of specialized oncopediatric departments in the regional oncological dispensaries is the only way change the present situation.

In review [2] showed modern surgical strategies in selected areas of pediatric oncology. The newer energy sources have contributed to less blood and thus fewer complications following major resections. Robotic, endoscopy and stereotactic surgery have been the major advances in the treatment of pediatric tumours. There is more dependence on the use of chemotherapy, newer protocols with less toxic drugs and for shorter duration.

In the article [3] gives the case report of 1-year patient with damaging of Wilms’ tumor (Stage IV). According to the current staging and treatment SIOP 9 protocol, patient received the preoperative chemotherapy. Harmonic Focus Scalpel provided reliable and safe option for Wilms’ tumor resection in the child, lesser operative time and good postoperative recovery.


1. Minaev S.V. Incidence of childhood cancer in Stavropol territory, Russia. Med. Pediatr. Oncol. 2001;37:140–141. doi:10.1002/mpo.1184

2. Shilpa Sharma; Devendra Gupta Modern surgical strategies in pediatric oncology Medical News of the North Caucasus. 2016; 11(2):228-331. doi: 10.14300/mnnc.2016.11047

3. Minaev S.V., Kirgizov I.V., Bykov N.I., Gerasimenko I.N., Kirgizov K.I., Gevandova M.G. Harmonic Focus scalpel for treatment of Wilms’ tumor in child. Medical News of the North Caucasus. 2016; 11(2):226-228. doi: 10.14300/mnnc.2016.11046


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