An 8-YEAR analysis of bone tumours in a Caribbean island

Abstract

BackgroundAn epidemiologic analysis of bone tumours in Trinidad & Tobago.MethodsA retrospective analysis of primary and secondary bone tumours, site of origin and demographic data was conducted.Results63 bone tumours were analysed and included 27 primary benign (43%), 12 primary malignant (19%), 19 metastatic (30%) and 5 by contiguous spread (8%). The most common malignant primary tumour was the osteosarcoma (n = 7), originating from the femur in mostly males in the 11–20 age group. There was 1 chondrosarcoma, 2 fibrosarcomas and 2 plasmacytomas. Benign tumours consisted of 8 osteochondromas, 2 osteomas, 3 giant cell tumours, 3 bone cysts and 11 cases of fibrous dysplasia.ConclusionBone tumours are rare with a low incidence of 1.125 per 100,000 population annually and malignant tumours being even rarer at an incidence of 0.18 per 100,000 population annually. There is need for better documentation and data registries in Trinidad and Tobago.

Modelling count data with an excess of zero values applied to childhood bone tumour incidence in Iraq

“…In accordance with studies carried out in Africa (Mohammed et al, 2010;Ghert et al, 2019), USA (Mirabello et al, 2009) and Europe (Stiller et al, 2006), it was noted that bone tumours in childhood and adolescence were more frequent in males than females. Our results that bone tumour incidence peaks in the 15-19 years olds are also similar to findings by others (Katchy et al, 2005;Rhutso et al, 2013;Wilhelm et al, 2014;Ramdass et al, 2015;Pruksakorn et al, 2016). The incidence rates had a fluctuating pattern, generally showing an increasing annual trend, with peaks in 2010 and relatively small peak in 2011.…”

“…Globally, bone tumours in childhood and adolescence are more frequent in males than females (Stiller et al, 2006;Mirabello et al, 2009;Mohammed et al, 2010;Özkan et al, 2015;Ghert et al, 2019). The incidence of this bone tumour also peaks at 15-19 years (Katchy et al, 2005;Mirabello et al, 2009;Rhutso et al, 2013;Wilhelm et al, 2014;Ramdass et al, 2015;Pruksakorn et al, 2016).…”

Pseudo-ataxia due to Osteoid Osteoma

“…Diagnosis of OO is challenging, especially in the setting of an economically disadvantaged area in which patients often have to pay out of pocket for diagnostic examinations such as CT and MRI. 24 Other barriers faced in resource-limited communities stem from limited access to radiological services. 25 Although there have been improvements since 1990, the Caribbean country where this patient resides is below the fifth decile in terms of healthcare access according to a quality index study performed in 2017.…”

Pseudo-ataxia due to Osteoid Osteoma

“…Diagnosis of OO is challenging, especially in the setting of an economically disadvantaged area in which patients often have to pay out of pocket for diagnostic examinations such as CT and MRI 24. Other barriers faced in resource-limited communities stem from limited access to radiological services 25.…”