Schwabe D
Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main.
Z Arztl Fortbild Qualitatssich. 1997 Jun;91(3):267-75.
Malignancies in infancy and childhood represent rare diseases which in addition distribute to many different entities. Therapy is almost exclusively carried out according to protocols of cooperative multicenter studies which are performed by specialized children hospitals. The intensity of the therapy and, thus, the potential hazards require profound experience in the field. The intention of the therapy is curative in the majority of the cases. The family physician plays an important role in the early diagnosis of the disease and long-term care. The therapy itself is mostly restricted to institutions which are adequately equipped. These institutions will provide ambulatory care as well. The care in final stage causes particular challenges. A substantial part of the parents and children opt for care at home. An increasing engagement of the family physicians in this field is highly appreciated.
婴幼儿期和儿童期的恶性肿瘤属于罕见疾病，而且还分布于许多不同的类型。治疗几乎完全按照由专业儿童医院开展的多中心合作研究方案进行。治疗强度以及因此产生的潜在风险需要该领域的丰富经验。在大多数情况下，治疗目的是治愈疾病。家庭医生在疾病的早期诊断和长期护理中发挥着重要作用。治疗本身大多限于设备配备完善的机构。这些机构也会提供门诊护理。终末期护理带来特殊挑战。相当一部分家长和孩子选择在家中接受护理。非常欢迎家庭医生更多地参与这一领域。
