To put it in the simplest
way possible, cancer affects all types of bodies. Both human and non-human
animal bodies, bodies of different races, ethnicities, and cultures, and most
importantly, bodies of all ages. While some select people may in fact have
cancer-fighting cells which prevent them from acquiring the disease, for the
majority of humankind, cancerous cells can form at any point in time and in any
part of the body, including in children, sometimes as early as fetus
development. Specifically, cancer
affects about 10,000 new children under the age of 15 every year. It is the
leading cause of death for children under 15 as well, with about 1,400 deaths
occurring yearly. In general, childhood cancers are different from cancer which
affects adults for a few different reasons. Mainly, the difference has to do
with the types of cancers which afflict children over adults. There are some
cancerous cells, for instance, which materialize from early embryonic cells.
Others are merely far more prevalent in younger bodies than older ones; the
most common adult cancers include skin, breast, lung, and prostate cancers,
while childhood cancers mainly include leukemia, bone, brain, and nervous
system cancer, and eye cancers. Both groupings of cancers grow and develop in
very different ways, but for this reason, childhood cancers are also treated
easier. This is another major difference between adult tumors and tumors in
children. As a whole, children respond very well to treatment, especially in
today's world. Modern medicine have seen drastic improvements in cancer
treatment, and studies currently show that roughly 80% of childhood cancer
patients will survive five or more years past diagnosis (often more). Just 40
years ago, this number barely reached 50%, so the progress is quite evident. Childhood
Cancer Diagnosis Despite the high-success
rate of treatments, an initial childhood cancer diagnosis will
nevertheless produce an understandable amount of shock, fear, stress, anxiety,
etc. This whirlwind of emotions, though, is both expected and normal. Cancer is
a scary disease that can often have very scary consequences, and when it
afflicts a young child, the prospect of a worst-case scenario can often push a
parent or caregiver's emotions to the limit. Sometimes, a child or parent will
feel at fault, and while this is also normal, it must be understood that most
types of childhood cancer could not have been prevented. The truth is that
there will often be no reason or cause for the cancer, and trying to find one
will only place more stress upon the situation. Instead, relaying feelings like
these to others who might help in understanding, like doctors or other members
of the childhood cancer community, and finding out as much as possible about
the specific childhood cancer at hand, will help adjust to the reality of the
situation in a healthy manner. Whether or not a child is old enough to
understand the implications of the situation, information passed on to a
caregiver should similarly be passed on to them in an age-appropriate way. Dealing
With Childhood Cancer At the end of the day,
however, everyone will have their own way of dealing with childhood cancer.
After all, every case, every family, and every situation revolving around the
cancer, including finances, is unique. Dealing with the diagnosis calmly enough
so that the best solutions are configured quickly and so that the treatment
process can proceed will be crucial. There is no denying that
"normal" life, for both child and family, is going to be put on hold
for a while. Time, attention, and money--a lot of it--will all focus around the
childhood cancer patient and in making him or her better, and in most cases,
these adjustments will have to be made very quickly. No one is ever completely
prepared for dealing with such situations all at once, so again, having a core
support team available to answer important questions about the childhood cancer
and it's treatment, and to ease any doubts and feelings of fear, will only aid
in taking the necessary steps toward treatment comfortably. Types
of Childhood Cancer
Finding out as much
information about what specific cancer a child is afflicted with will be
crucial in every aspect of the treatment and healing process. Like mentioned
earlier, the types of cancers to affect children are far different than those
which affect adults. Leukemia, a group of cancers which forms in the blood-forming
cells of a child's body, is the most prevalent, accounting for about 33% of all
childhood cancers. The most common leukemia specifically, accounting for 75% of
cases, is acute lymphocytic leukemia, or ALL. Central nervous system cancers,
including those which affect the brain and spinal cord, are at a close second,
responsible for roughly 21% of childhood cancer cases. The remaining half of
cancers to afflict children include the following types: lymphomas, accounting
for 8%, which form in a child's lymph system; neuroblastomas, accounting for
8%, which form in early nerve cells; Wilms tumors, or nephroblastomas,
accounting for 5%, which are a type of kidney cancer; primary bone cancers,
accounting for 4%; rhabdomyosarcomas, accounting for 3%, which forms in the
soft tissues of a child's body; and lastly, retinoblastomas, accounting also
for 3%, which are retinal cancers of the eye. Childhood
Cancer Treatments
For almost all childhood
cancers, surgery, radiation therapy, or chemotherapy, or a combination of
either one or all of these, can be used in the treatment of a young patient.
While all will undoubtedly be scary for children, especially when side-effects
begin to show, reassuring them that it's necessary in order for them to get
healthy again will help make the process somewhat more bearable. Primarily,
surgery is used either for tumors which are confined to a specific area and
easy to remove, or, in the most severe scenario, for the removal of an entire
limb or structure of the body (enucleation or amputation). While the latter is
performed mainly for retinoblastomas and bone cancers, surgical procedures both
large and small can be used for most any purpose. Radiation therapy and
chemotherapy, on the other hand, are most commonly used, and generally, very
successful. Although each one of these childhood cancer treatments does have
it's own set of side-effects attached--ranging from nausea and fatigue, to hair
loss and an increased risk of infection--most of these are short-lived, and go away
once the treatments are completed, but again, a child needs to constantly be
reassured of this. The loss of energy and irritability from undergoing cancer
treatment is bound to be a source of confusion and sadness for the child,
especially when he or she starts missing out on regular childhood activities,
but by promoting positive energy all around the household and focusing on
activities that do no wear the child out as much will make the process easier
and faster. Late
Effects of Cancer Treatment Since cancer treatment is
administered at such a young age, though, this often means dealing with a
wide-range of effects which occur once the treatment is completed. While
sometimes the effects are mainly psychological, especially if extensive
surgery, such as amputation or enucleation, was needed, a child will mostly
have be cautious about various late-effects which can occur, most which
don't start to develop until years, or even decades, after the cancer is
successfully eradicated. While psychological issues that a childhood cancer
patient encounters, like fear, self-consciousness, or depression, can usually
be battled with a strong support system (both medical and family), late effects
prove to be far more severe. For this reason, late effects are a constant focus
of cancer research. Although essentially, every child and his or her body will
respond to treatment differently, as a whole, chemotherapy and radiation have
show a very strong link to health problems in later stages in life. In most cases, late effects
develop because healthy cells or structure of the body were damaged during
childhood cancer treatment. Naturally, higher doses of treatments have shown
higher risks of late effects. While some occur sooner, such as learning
disabilities for children who have had chemotherapy treatment directly injected
into their spinal column (IT chemo), others start to show when the body goes
through development changes. Some of the more common late effects include:
decreased growth and sexual development, cardiovascular and respiratory system
problems, hearing and/or vision changes, and problems with the mouth region,
including salivary gland damage or gum and teeth issues. Some childhood cancer
survivors, especially ones which had extensive radiation therapy, are also at
risk for second cancer development later in life. Routine, follow-up exams are
crucial for all children which have undergone cancer treatment for this very
reason. Even if no late effects show during the first few years after cancer
treatment has finished, keeping all documents and records connected with the
cancer is important in the case that they ever do begin to show. Nutrition
for Childhood Cancer Although certain effects of
cancer treatment cannot be avoided, by sustaining a healthy diet and balanced
nutrition throughout the treatment process, a child will be able to retain far
much energy, have a lower risk of infection, and tolerate treatment and it's
side effects better. Generally, cancer nutrition plans recommend that children get
anywhere from 20% to 90% more calories than a healthy child; other nutrients
will also need to be constantly resupplied, such as protein, water, fats,
carbohydrates, vitamins, and minerals. For those children which have a harder
time staying on track with cancer nutrition plans, a special daily multivitamin
will often be recommended. Other nutrition therapy options include inserting a
feeding tube into the stomach or small intestine, or parenteral nutrition,
which would supply nutrients directly into a vein.
Every stage of the childhood cancer treatment process, from diagnosis to
recovery and follow-up care, is bound to be a challenge for everyone involved.
No parent or caregiver wants to see their child in pain, and doing everything
possible to assure that that pain is minimized as much as possible can be
exhausting in itself. Adjustments will have to be made not only for the
childhood cancer patient, but for the entire family of that child, and such
changes will often come with their own set of consequences. While there is no
doubt that it will be a stressful time, finding comfort through others and
releasing emotions in a healthy way will help make the experience--no matter
how severe it may be--a far more positive one. After all, many children cope with
the cancer well, while caregivers are the ones who need that extra boost of
optimism. And sometimes, the answer is simple: by seeing the strength of a
child and translating it into more strength for the child, the fight
will only be made that much more powerful.
Ultimately, the main goal is for everyone to gain as much understanding as
possible. By keeping in mind that an entire team of pediatric specialists will
be working with a childhood cancer patient to not only ensure survival, but to
ensure that the treatment process goes as smoothly as possible, with as little
alteration to that patient's healthy body (and the processes within it) as
treatment allows, the cancer "experience" will be as positive as can
be.
Getting treatment payment information from insurance companies, banks,
government agencies, and children's aid organizations will also be very
important; the reality of the matter is that cancer treatment is very
expensive, and even all insurance monetary aid sources combined will not cover
all the costs, which can often climb up to $50,000. Additionally, regular bills
and family expenses, transportation costs, and prolonged hospital stays will
have to be taken into account too. Even in the most extreme and expensive
childhood cancer scenarios, though, loans and payment plans make it very
possible for a child to receive the needed treatment, even if financial
standing may not be ideal.