Page 226 - Abstract Book KONIKA 18

Hemato-Oncology

P-HO-001
Diagnosis and Management of Small Intestine Hemangioma in Children:
A Case Report

Laras Puspa Nirmala, Yetty Movieta Nency
Department of Child Health, Faculty of Medicine, Universitas Diponegoro/Dr. Kariadi Hospital,
Semarang, Central Java, Indonesia

Abstract
Background Hemangioma is the most common vascular tumors in early childhood with a prevalence of 5-10%.
Hemangioma in the small intestine is a benign tumor (approximately 5% of all gastrointestinal tumors) and
rarely found in children. It may occur anywhere along the gastrointestinal tract; the most common site was
in the small intestine, followed by the large intestine. Gastrointestinal hemangioma presents with reccurent
vomitus, chronic gastrointestinal bleeding (hematemesis, melena, hematochezia), mechanical obstruction,
perforation, or intussusception. Objective To report a rare case of a 1 years old girl with small intestine
hemangioma. Case A 1 year old girl presented with recurrent vomiting, hematemesis, poor growth. The
physical examination was compatible with an obstructive ileus. The radiological examination could not
distinguish hemangioma from other tumors. Laparatomy was performed to found the cause of obstruction.
During the surgery an ileal, hemangioma was found 20 cm from Treitz ligament with 20 cm length. The
hemangioma was resected and histopathological examination revealed small intestine hemangioma. After
surgery patient was admitted to the intensive care unit for post operative recovery and nutritional monitoring.
The complaint of vomiting improved and her body weight increased rapidly from 4751 gram to 5060 gram
within 2 weeks. Conclusion Small intestine hemangioma should be considered as one of differential diagnosis
in a patient with recurrent vomiting, chronic gastrointestinal bleeding, and mechanical obstruction who
shows no improvement with conservative therapy. Surgery can be used as a diagnosis as well as treatment.
Keywords: hemangioma; gastrointestinal; ileus obstruction

P-HO-002
Quality of Life in Pediatric Cancer Patients Undergoing Chemotherapy
in Harapan Kita Children and Women Hospital

Akhil Deepak Vatvani, Dina Garniasih, Fajar Subroto, Nia Astarina
Department of Child Health, Hematology Oncology Division, PKIAN RSAB Harapan Kita, Jakarta, Indonesia

Abstract
Background Survival rates of cancer patients have increased. Hence, now the focus is also in improving the
quality of life (QoL) of cancer patients. Children with cancer face unusual challenges during chemotherapy
which may affect their QoL and psychological health. Objective To evaluate the QoL of cancer patients
undergoing chemotherapy. Methods This is a cross sectional study that took place in the national referral
children hospital in Jakarta from June-August 2021. Patients included were cancer patients from the inpatient
ward undergoing chemotherapy. QoL was assessed using Pediatric Quality of Life Inventory (PedsQL) Cancer
Module questionnaire consisting of 8 dimensions. The data was analyzed using descriptive statistics. Results
A total of 36 patients were included, out of which 19 (52.8%) were female. Mean age of the patients were
7.87 (SD 4.1) years. Mean duration from data collection to initial diagnosis of cancer was 10.3 (SD 9.8)
months. Most patients were ALL (58.3%). Mean scores of the pain and hurt, nausea, procedural anxiety,
treatment anxiety, worry, cognitive problems, perceived personal appearance and communications were
79, 69, 37, 79.9, 88.6, 84.8, 68.8 and 81.3 respectively. Total overall quality of life mean score was 73.7.
Conclusion Most patients had low score in the procedural anxiety dimension. Special attention should be
given to improve QoL.

Keywords: cancer; chemotherapy; quality of life

178 KONIKA XVIII Abstract Book