EVOLUTION OF PEDIATRIC ONCOLOGY OVER THE YEARS - OVERVIEW WITH A FOCUS ON SUB-SAHARAN AFRICA AND EXAMPLES FROM THE KENYAN EXPERIENCE

In this paper on ''The Evolution of Paediatric Oncology Over the Years '', a historical perspective is outlined regarding the subspeciality o f paediatric oncology on a global basis. The evolution of paediatric o ncology units and their role in the progress of cancer management in c hildren is highlighted. It is noted that success in the management of cancer in adults has followed the footsteps of break-throughs and succ ess in paediatric oncology. The epidemiology of cancer in children in sub-Saharan Africa and the development of paediatric oncology are also highlighted. The development of a paediatric oncology unit at the Ken yatta National Hospital in Nairobi, Kenya has been focused on, pointin g out challenges, constraints and success that are associated in the i nitiation and nurturing of such units in developing countries. Lastly, Burkitt's lymphoma is singled out for discussion to illustrate proble ms that are abound in cancer management in children in sub-Saharan Afr ica.