Table I.
Total, n | 73 |
---|---|
Male | 48 (65.8) |
HIV negative | 71 (97.3) |
Clinical stage | |
Stage I/II | 12 (16.4) |
Stage III | 36 (49.3) |
Stage IV | 25 (34.3) |
Age, years, median (IQR) | 9.2 (7.1–11.7) |
Primary site | |
Abdominal only | 34 (46.6) |
Facial only | 20 (27.4) |
Cervical only | 2 (2.7) |
Multiple sites | 15 (21.1) |
Other | 2 (2.7) |
Diagnostic specimen | |
Cytology | 55 (75.3) |
Histology | 18 (24.7) |
CSF involvement | 10/57 (17.5) |
B symptoms | 67 (91.8) |
Weight or BMI-for-age z-score <−2‡ | 25 (34.3) |
Lansky performance status ≤ 70 | 60 (82.2) |
White blood cell count, 109/l, median (IQR) | 8.6 (6.8–12.1) |
Absolute neutrophil count, 109/l, median (IQR) | 4.0 (2.8–6.7) |
Haemoglobin, g/l, median (IQR) | 102 (87–115) |
Platelet count, 109/l, median (IQR) | 421 (277–561) |
Lactate dehydrogenase, iu/l, median (IQR)╪ | 628 (366–1349) |
Lactate dehydrogenase >2x ULN | 24/66 (36.4) |
Albumin, g/l, median (IQR) | 34 (31–39) |
Values given as number (%) unless indicated otherwise. CSF, cerebrospinal fluid; ULN, upper limit of normal; IQR, interquartile range.
CSF staging was not done during a five-month period when intrathecal methotrexate could not be purchased anywhere in Malawi.
Weight was used if aged <5 years and BMI if aged 5 years according to World Health Organization (WHO 2007).
Laboratory upper limit of normal for children is 430 iu/l.