Mud Minke S, Kremer Leontien C M, Sieswerda Elske, van der Pal Heleen J H
Academisch Medisch Centrum, Afd. Kinderoncologie, Amsterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2012;156(9):A4199.
Survival of childhood cancer has improved resulting in an increasing number of survivors who are at high risk of developing treatment-related health problems. The authors emphasize the need for specialized care for survivors of childhood cancer by describing three patients who all developed late effects of treatment. The first patient, a 32-year-old female, who had several late effects caused by treatment for nephroblastoma; the second a 39-year-old female, who developed breast cancer after thoracic irradiation for metastatic nephroblastoma; the third a 45-year-old female diagnosed with a meningioma caused by cranial irradiation for acute lymphoblastic leukaemia. In the Netherlands medical care for survivors is clustered at special outpatient clinics (in Dutch: Langetermijneffecten na kinderkanker (Long-term effects after childhood cancer; LATER)-outpatient clinics). In 2010 a guideline was published with recommendations for optimal follow-up and care for survivors of childhood cancer.
儿童癌症患者的生存率有所提高，导致越来越多的幸存者面临出现与治疗相关健康问题的高风险。作者通过描述三名均出现治疗晚期效应的患者，强调了为儿童癌症幸存者提供专科护理的必要性。第一名患者是一名32岁女性，因肾母细胞瘤治疗产生了多种晚期效应；第二名是一名39岁女性，因转移性肾母细胞瘤接受胸部放疗后患上乳腺癌；第三名是一名45岁女性，因急性淋巴细胞白血病接受颅脑放疗后被诊断出患有脑膜瘤。在荷兰，针对幸存者的医疗护理集中在特殊的门诊诊所（荷兰语：Langetermijneffecten na kinderkanker（儿童癌症后的长期效应；LATER）门诊诊所）。2010年发布了一项指南，其中包含针对儿童癌症幸存者进行最佳随访和护理的建议。
