Cancers in Childhood (Chapter 225)
Lisa Hackney, MD, Jennifer Greene Welch, MD, Cindy L. Schwartz, MD, MPH, 2016. "Cancers in Childhood (Chapter 225)", American Academy of Pediatrics Textbook of Pediatric Care, Thomas K. McInerny, MD, FAAP, Henry M. Adam, MD, FAAP, Deborah E. Campbell, MD, FAAP, Thomas G. DeWitt, MD, FAAP, Jane Meschan Foy, MD, FAAP, Deepak M. Kamat, MD, PhD, FAAP, Rebecca Baum, MD, FAAP, Kelly J. Kelleher, MD, MPH, FAAP
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Advances in the treatment of solid tumors of childhood during the past 20 years have ensured the long-term survival of approximately three-fourths of children with these diagnoses. The pediatrician who discovers a solid tumor may not—and need not— know the best treatment available. However, early referral of such a child to the appropriate specialist, a pediatric oncologist, greatly affects the likelihood and the quality of survival. Whenever possible, children with solid tumors should be offered enrollment on clinical trials to treat their cancer, such as those offered through the Children’s Oncology Group (COG) cooperative mechanism.
Initial evaluation by the primary...