Site Links
Reference
About this site
Section Links
on this page
Survivor Issues
Thankfully, the majority of children diagnosed with cancer will survive. However, survivorship can come with a price in the form of long-term medical, psychosocial, and/or neurocognitive problems due to chemotherapy, radiation, or surgery.
Important NEJM survivorship articles:
The New England Journal of Medicine graciously gave permission to the Ped-Onc Resource Center to link to full text versions of two important October 2006 articles. Click on each title to go to the specific article.
Chronic Health Conditions in Adult Survivors of Childhood Cancer. Kevin C. Oeffinger, M.D., Ann C. Mertens, Ph.D., Charles A. Sklar, M.D., Toana Kawashima, M.S., Melissa M. Hudson, M.D., Anna T. Meadows, M.D., Debra L. Friedman, M.D., Neyssa Marina, M.D., Wendy Hobbie, C.P.N.P., Nina S. Kadan-Lottick, M.D., Cindy L. Schwartz, M.D., Wendy Leisenring, Sc.D., Leslie L. Robison, Ph.D., for the Childhood Cancer Survivor Study, NEJM Volume 355:1572-1582, October 12, 2006, Number 15.
The Two-Edged Sword of Curing Childhood Cancer. Philip Rosoff, NEJM. Volume 355:1522-1523, October 12, 2006, Number 15.
Best resources
Web sites and printed materials for survivors' and for their parents.
Online Articles
We have gathered quite a few articles that are published online on general survivors' late effects issues (specific late effects are listed below):
- Surviving surviving Angie, a 30-something survivor of Metastatic Ewings Sarcoma, keeps a readable and informative blog on the issues of long-term survivorship.
Blog(s)
Currently, only one:
Bibliography of Journal Articles on Late Effects
On this site: Bibliography: Late Effects
Follow-up Programs for Survivors of Childhood Cancer
Children who have been treated for cancer should be seen by specialists in late effects of childhood cancer. A good article on this topic is on the Candlelighters web site: Comprehensive Follow-Up Programs: A Necessity not a Luxury. We keep a list of late effects clinics (thanks to Nancy Keene) on this site:
Cognitive Late Effects of Treatment, and Education
A section that contains both original material and links to articles on cognitive late effects of treatment for childhood cancer:
Specific Late Effects
The links below take you to original material on this ped-onc site (or good articles elsewhere) that cover selected specific late effects.
- cardiotoxicity, or effects of chemo and radiation on the heart
- avascular necrosis
- leukoencephalopathy
- sports-pads protection (for survivors with only one kidney)
- late effects to the teeth
- obesity - a good collection of journal articles in the survivors' bibliography.
- asplenia (if you do not have a spleen)
- Bone Health after Childhood Cancer Spring 2002 Candlelighers Newsletter.
- osteonecrosis (Candlelighters) and St Judes
- thyroid
- Late Effects to the Thyroid Gland (on the Candlelighters site)
- The Journal of Clinical Endocrinology & Metabolism site: Diagnosis of Hidden Central Hypothyroidism in Survivors of Childhood Cancer
- fertility
- ReproTech is a cryostorage facility for human reproductive tissue. One-third of their business is Fertility Preservation for cancer patients. They participate in Sharing Hope (now with LIVESTRONG), but also administer their own financial assistance program, www.vernaspurse.org. They have established a Fertility Preservation Network, www.fertilitypreservation.com, comprised of top fertility centers around the US. In addition, they have a www.spermbankingbyair.com kit which may be used by men in more remote areas to bank their sperm.
- Fertile Hope is a nonprofit organization dedicated to helping cancer patients faced with infertility
- Fertile Hope, Lance Armstrong Foundation, and Cryogenic Laboratories, Inc., offer the Live:On kit for sperm preservation for cancer patients.
- The Center for Young Women's Health Children's Hospital Boston - Reproductive Questions and Answers for Cancer Survivors: A Guide for Teens
- CA Online: Preserving Fertility After Cancer. Beth Simon, MD, Stephanie Joi Lee, MD, Ann Hart Partridge, MD and Carolyn D. Runowicz, MD, CA Cancer J Clin 2005; 55:211-228. (Sept 2005 paper of the month on Cure4Kids.)
- 'Fertility Preservation for Young Patients with Cancer: who is at risk and what can be offered?' written by Dr. Hamish and colleagues and published in Lancet Oncology, 6:262, 2005.
I recommend that you go to the COG survivorship guidelines for information on the topics below (and others). Each is a pdf document about 4 pages long.
Selected Health Links offered on survivorshipguidelines.org:
- Female and Male Health Issues
- Hearing Problems after Childhood Cancer
- Kidney Health and Single Kidney Health
- Liver Health
- Avascular Necrosis
- Splenic Precautions
- Eye Problems after Childhood Cancer
- Growth Hormone Deficiency
- Thyroid Problems after Childhood Cancer
- Central Adrenal Insufficiency
- Scoliosis and Kyphosis after Childhood Cancer
- Breast Cancer after Treatment for Childhood Cancer
- Reducing the Risk of Second Cancers
On the Candlelighters site:
- Hepatitis C in survivors of childhood cancer
- The Americans With Disabilities Act by Mary Helmreich in the Fall 1999 Newsletter
- Second Malignancies? by Nancy Keene and Kevin Oeffinger M.D. in the Spring 2000 Newsletter
College Scholarships
One of the most extensive listing of scholarships for survivors of childhood cancer:
Online Support Groups
Ped-Onc Survivors The PED-ONC SURVIVORS listserv discusses all aspects of survivorship. This discussion group provides an opportunity for parents and family members of childhood/adolescent cancer survivors to share ideas, information and support. Parents, siblings and survivors of childhood/adolescent cancer face unique challenges. The effects and consequences of a life threatening illness on family, siblings and marriage are many. Some parents may find that these concerns do not abate post-treatment. Parents and survivors may face social challenges (school, insurance and eventually employment), some will have emotional challenges (depression and anxiety post treatment), and some parents will be concerned about late effects and ongoing health problems related to treatment. This discussion group addresses the unique needs of parents, the family and survivors.
4YOUth. This list is for preteens, teens, and young adults who had cancer. Posts to the list are private and confidential i.e., they will not be publicly available outside the list as it is essential that the kids feel safe in posting. In order to subscribe, go to the 4YOUth link and click on "Join the list". If you have any questions, please contact the administrators at 4YOUth-request@acor.org.
Long-Term Survivors Long-Term Survivors Long-term survivors of cancer face unique problems. Most will face social challenges (insurance and employment), some will have emotional challenges, and some will have ongoing health problems related to treatment. This discussion group addresses the unique needs of this group.
General Disclaimer
These pages are intended for informational purposes only and are not intended to render medical advice. The information provided on Ped Onc Resource Center should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you suspect your child has a health problem, you should consult your health care provider.
contact webmaster/ped-onc home/last updated 5/09