Advances in the treatment of pediatric solid tumors: A 50-year perspective

Michael P LaQuaglia1, Justin T Gerstle1

  • 1Pediatric Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Journal of Surgical Oncology
|September 10, 2022
PubMed

Insights

Pediatric solid tumors have seen significant treatment advances over 50 years. Key improvements in diagnosis and care have enhanced survival rates for childhood cancers like neuroblastoma and Wilms tumor.

Area of Science:

  • Pediatric Oncology
  • Cancer Research
  • Molecular Pathology

Background:

  • Over 10,000 children (0-14) and 5,000 adolescents (15-19) are diagnosed with cancer annually in the U.S.
  • Pediatric solid tumors represent a significant portion of childhood cancers.
  • Specific types include neuroblastoma, Wilms tumor, rhabdomyosarcoma, and hepatoblastoma.

Purpose of the Study:

  • To review the advancements in the diagnosis and treatment of pediatric solid tumors over the past 50 years.
  • To highlight improvements in survival rates for common pediatric solid tumors.
  • To note the identification of a molecular driver in fibrolamellar hepatocellular carcinoma.

Main Methods:

  • Review of historical data and advancements in pediatric oncology over the last five decades.
  • Analysis of progress in imaging, molecular pathology, and staging.
  • Evaluation of multidisciplinary treatment approaches and surgical techniques.

Main Results:

  • Significant progress has been made in imaging, molecular pathology, and risk assessment for pediatric solid tumors.
  • Multidisciplinary treatment strategies have led to improved survival rates.
  • The molecular driver for fibrolamellar hepatocellular carcinoma has been identified.

Conclusions:

  • Substantial progress in pediatric oncology has improved outcomes for children and adolescents with solid tumors.
  • Continued research in molecular pathology is crucial for further advancements.
  • The identified molecular driver for fibrolamellar hepatocellular carcinoma opens new avenues for targeted therapies.

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