Features of the treatment of tumors in children
Oncology / / August 12, 2017
features associated with the treatment of tumors in children are numerous.This is largely due to the inherent nature of the tumor.Often, developing even in utero or in the neonatal period, when the relationship did not work out the right bodies, not strong enough connection between them, are not completely formed ligamentous system, and tissue surrounding the organs, loose, swelling violates customary, usual for the doctor arrangement organs.You can watch the various options for the location of the tumor affected organs.Often kidney tumor can be located in the pelvis, or a healthy kidney can be displaced tumor in the pelvis.Observed such liver bias that an adult is hard to imagine: the liver is so high to raise the diaphragm that seem located in the chest cavity;tumor deployed so that it is difficult to determine, and the projection part.
situation is aggravated by the fact that often the tumor combined with developmental disabilities, even more difficult and complicates the situation a doctor.It is no
Often tumors in children reach a considerable size.At the same time oncological rules dictate a radical removal of the tumor.Surgery was performed in young, weakened children.Not rarely have to remove not only a diseased organ, but also affected by tumor process adjacent organs and tissue - removal of the kidney tumor with spleen, removal of kidney tumors with the tail of the pancreas, with resection of the intestine, etc. Especially great are in young children..surgery on the liver (often hemihepatectomy).The severity of trauma and surgical intervention should be considered in the conduct of postoperative period and nursing of children.
Young children are extremely sensitive to blood loss, sometimes even negligible.Blood transfusion, especially when a large blood loss, is not always enough help.At the same time, operations in the retroperitoneal space, on the liver, blood loss to some extent inevitable.The situation is aggravated by the fact that often are accompanied by retroperitoneal tumor pathological network of varicose veins (reaching large sizes), or neoplastic process involved great vessels (aorta, inferior vena Vienna, renal vessels, etc.).By virtue of disorders associated with tumor process, in some cases, there may be increased bleeding tissue.It should be borne in mind that often the child is already anemic before surgery due to his existing tumors.
During the treatment of the child with a tumor should take into account the high sensitivity of the child's body to ionizing radiation.Most tumors in children: leukemia, Hodgkin's disease, lymphosarcoma, nephroblastoma, neuroblastoma, retinoblastoma (eye tumor) - in contrast to adults, are extremely sensitive to radiation treatment.In some malignant tumors in children only radiation treatment leads to the disappearance of the tumor (and sometimes complete recovery), in other cases, radiation therapy is an effective part of the comprehensive treatment.But you should always remember that, as a powerful healing factor, radiation therapy can cause in children different unwanted effects or even damage.Irradiation can cause serious consequences in children, if not to take into account the fact that the radiologist has to deal with a rapidly growing and at the same time not fully formed organism.Already in the course of treatment in some cases there is a sharp oppression blood, and therefore sometimes have to interrupt treatment.Radiation treatment is often accompanied by a decrease in appetite, nausea and sometimes vomiting.There may be damage to the skin.In the literature, published reports of long-term effects of radiation therapy, observed in some children.It describes the changes in the nervous system, kidneys and lungs.Frequent adverse effects of irradiation when in this area fall bone growth zone, which leads to bone deformation, shortening of limbs, scoliosis and other unpleasant results.
most common tumors in children, in contrast to tumors in adults, are highly sensitive to the antitumor drug treatment.Drug treatment was so powerful factor, which allowed to achieve success in the modern treatment of malignant neoplasms in children.It is so effective in tumors in children that for some of them can be used as an independent.But in most cases it is used as an effective component of complex treatment, which includes surgery and radiation therapies.
The special features of tumors in children should include the possibility of a more rapid assessment of treatment outcome than in adults.Beside studies in pediatric oncology, convincingly proved that you can evaluate the results of treatment after only 2 years after the end of treatment.If the child is conducted after the treatment on the tumor within 2 years had no recurrence of the disease, and he did not appear tumor metastasis, it should be recognized almost recovered.