Castle Jennifer T, Levy Brittany E, Rodeberg David A
Department of Surgery, University of Kentucky College of Medicine, 800 Rose Street, Lexington, KY 40536, USA.
Division of Pediatric Surgery, University of Kentucky College of Medicine, 800 Rose Street, Lexington, KY 40536, USA.
Surg Clin North Am. 2022 Oct;102(5):715-737. doi: 10.1016/j.suc.2022.07.006. Epub 2022 Sep 7.
Pediatric cancer patients have improved outcomes over the past several decades leading to a greater number of survivors living well into adulthood. Owing to their increased longevity, adult care providers are encountering childhood cancer survivors with greater frequency in their clinics and hospitals. Childhood cancer treatments are associated with varied and significant systemic complications that either persist or develop well into adulthood, including secondary malignancies, cardiomyopathies, and adhesive disease that can complicate even the simplest operation. This article reviews four of the most common solid abdominal tumors in the pediatric population and the long-term sequelae of their respective treatment regimens.
在过去几十年里,儿科癌症患者的治疗效果有所改善,从而使更多的幸存者能够健康地活到成年。由于他们寿命的延长,成人护理人员在其诊所和医院中更频繁地接触到儿童癌症幸存者。儿童癌症治疗会引发各种严重的全身性并发症,这些并发症会持续存在或在成年后才出现,包括继发性恶性肿瘤、心肌病以及即使是最简单的手术也可能会复杂化的粘连性疾病。本文综述了儿科人群中四种最常见的实性腹部肿瘤及其各自治疗方案的长期后遗症。