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Childhood cancer despite being not very frequent as compared to adult cancers is still one of the most emotionally difficult diagnoses to be made by the family. However, in the recent decades, there have been major developments in medical science that have resulted in a great increase in the survival rates. Let us know all about childhood cancers in detail from an expert.
According to Dr Vibhor Sharma, Sr Consultant & Head - BMT & Medical Oncology (Unit II), Asian Hospital, "Most childhood cancers are not only curable but most of them are treatable and can be cured, especially when they are early diagnosed and under proper multidisciplinary care. Factors like the nature of the cancer, the stage at which the cancer has been identified, the overall health of the child as well as the responsiveness to the treatment determine the survival outcomes."
To comprehend the curability, it is important to note that childhood cancer does not act the same way as the adult cancer. Pediatric cancers including leukemia, lymphoma, brain tumors, neuroblastoma, Wilms tumor and bone cancers are usually as a result of the formation of cells other than being as a result of lifestyle or environmental exposures.
Due to their high-level of resilience and low chronic illness rates, children tend to take up intensive therapies more than adults. Indicatively, some of the most prevalent childhood cancers such as acute lymphoblastic leukemia have a survival rate that is more than 85% in most environments with the current treatment regimens.
The treatment plans are very personalised and well thought. Many childhood cancers continue to be treated with chemotherapy, which involves drugs that would attack cancerous cells that multiply at a rapid rate. The drugs can be orally, intravenously, or through direct injection into the spinal fluid according to the needs of a disease.
Radiation therapy is occasionally employed, especially in the treatment of brain tumors or lymphomas, although it is used sparingly so as to reduce the long-term developmental side effects. Surgery is also important in the case of solid tumors such as Wilms tumor or osteosarcoma whereby excision of the tumor greatly enhances the outcome.
The recent years witnessed the promising developments of targeted therapy and immunotherapy. Specific genetic or molecular characteristics in cancer cells are targeted in targeted therapies, and they usually produce minimal side effects in comparison to the regular chemotherapy.
CAR-T cell therapy, a type of immunotherapy used in some cases of leukemia, uses the body immune system to combat cancer and has achieved impressive results in some of these cases. High-risk or relapsed cancers can also be advised bone marrow or stem cell transplantation to replenish the healthy blood-forming cells following intensive treatment.
The world is currently improving its survival statistics through the earlier diagnosis, the supportive care, and the development of precision medicine. However, there are still some difficulties in providing equal treatment access, especially in developing countries whereby timely diagnosis or poor access may influence the outcomes.
The earlier medical evaluation can be enabled by creation of awareness among parents on early signs of alarm, including persistent fever or unexplained weight loss, unusual lumps, prolonged fatigue, or frequent infections.
The survivors also require long-term follow-up care. Though a good number of children experience full remission, certain treatments can impose late development on growth, fertility, or cardiac rate, or cognitive abilities. Frequent observation will assist in dealing with these issues at an early stage and promote the quality of life. Both the child and family also require psychological assistance as an important component of the holistic care of cancer.
Disclaimer: Dear readers, this article provides general information and advice only. It is not at all professional medical advice. Therefore, always consult your doctor or a healthcare specialist for more information. TheHealthSite.com does not claim responsibility for this information.