Paediatric Onco Surgery

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1. Common Pediatric Cancers Treated with Surgery

A. Abdominal & Genitourinary Tumors

  1. Wilms’ Tumor (Nephroblastoma) – Kidney Cancer
    • Treatment:
      • Nephrectomy (partial or total removal of the affected kidney).
      • May be followed by chemotherapy and/or radiation therapy.
  2. Neuroblastoma – Adrenal Gland & Nerve Tissue Cancer
    • Treatment:
      • Tumor resection with chemotherapy and radiation in advanced cases.
  3. Hepatoblastoma & Hepatocellular Carcinoma (Liver Cancers)
    • Treatment:
      • Liver resection (hepatectomy) or liver transplant in severe cases.

B. Bone & Soft Tissue Tumors

  1. Osteosarcoma & Ewing’s Sarcoma (Bone Cancers)
    • Treatment:
      • Limb-sparing surgery or amputation if necessary.
      • Chemotherapy before and after surgery to shrink the tumor and prevent recurrence.
  2. Rhabdomyosarcoma (Soft Tissue Cancer in Muscles)
    • Treatment:
      • Surgical removal followed by chemotherapy and/or radiation.

C. Brain & Spinal Cord Tumors

  1. Medulloblastoma & Gliomas (Brain Tumors)
    • Treatment:
      • Neurosurgical tumor excision.
      • May require postoperative chemotherapy or radiation.
  2. Ependymoma (Spinal Cord Tumor)
    • Treatment:
      • Microsurgical removal of the tumor.
      • Radiation therapy in some cases.

D. Other Pediatric Cancers

  1. Germ Cell Tumors (Testicular, Ovarian, Sacrococcygeal Teratomas)
    • Treatment:
      • Surgical removal, sometimes combined with chemotherapy.
  2. Lymphomas (Hodgkin’s & Non-Hodgkin’s Lymphoma)
    • Treatment:
      • Surgical biopsy for diagnosis, followed by chemotherapy.
      • Sometimes removal of large, localized tumors.

2. Surgical Techniques in Pediatric Oncology

  • Minimally Invasive Surgery (MIS): Laparoscopy or robotic-assisted surgery for smaller incisions and quicker recovery.
  • Tumor Debulking Surgery: Partial removal of tumors when complete removal is not possible.
  • Limb-Sparing Surgery: Preserving limbs while removing bone cancers.
  • Neurosurgery: Precision tumor removal from the brain or spinal cord.

3. Multidisciplinary Approach & Post-Surgical Care

  • Collaboration with Pediatric Oncologists: Chemotherapy and radiation planning.
  • Rehabilitation & Physiotherapy: Especially for bone and brain tumors.
  • Long-term Monitoring & Follow-up: Preventing recurrence and managing late effects.

 

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