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Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
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.
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.
Abstract:
In the United States, more than 10 000 cancers occur annually in children aged 0-14 years, and more than 5000 in adolescents aged 15-19. In the last 50 years, significant advances have been made in imaging, molecular pathology, stage and risk assessment, surgical approach, multidisciplinary treatment, and survival for pediatric solid tumors (particularly neuroblastoma, Wilms tumor, rhabdomyosarcoma, and hepatoblastoma). Moreover, the molecular driver for fibrolamellar hepatocellular carcinoma, which occurs in adolescence and young adulthood, has been identified.
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