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Clinical Guideline

Late Effects of Treatment for Childhood Cancer PDQ®

Topic overview

NCI's evidence-based clinical reference for healthcare professionals managing long-term complications in childhood cancer survivors. Covers organ-specific toxicities, secondary malignancies, and surveillance strategies following chemotherapy, radiation, and surgical interventions.

Key Takeaways

  • Childhood cancer survivors face long-term health risks from treatment including cardiac, pulmonary, and endocrine complications.
  • Radiation therapy increases risk of secondary malignancies, with latency periods often exceeding 10-20 years post-treatment.
  • Anthracycline chemotherapy causes dose-dependent cardiotoxicity requiring lifelong cardiac surveillance in survivors.
  • Neurocognitive deficits from CNS-directed therapy may not manifest until years after treatment completion.
  • Survivorship care plans should address fertility preservation, growth monitoring, and psychosocial support needs.

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Full guideline text

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How to cite: GlobalCastMD. Late Effects of Treatment for Childhood Cancer PDQ®. GlobalCastMD Medical Library. https://library.globalcastmd.com/guideline/2369

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