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General Medicine

Cancer Therapy Late Effects, Pediatric

Trish Murphy, RN, MSN and Robert I. Raphael, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

The majority of children diagnosed with cancer will reach adulthood. Childhood cancer survivors require unique medical follow-up. Risks of late effects depend on the treatments recei...

DIAGNOSIS

HISTORY

It is essential for the primary care physician to obtain a thorough cancer treatment summary, including the following: 

  • Date of diagnosis/age at diagnosis

  • Type of cancer, stage, histolo...

TREATMENT

Treatment depends on specific long-term effects; see discussion for organ system-specific ongoing care and screening. 

ONGOING CARE

The following section reviews organ systems at risk (alphabetically), risk factors to consider and recommending screening 

  • General issues

    • Regular visits with primary care provider and oncol...

ADDITIONAL READING

  • Armstrong GT, Liu Q, Yasui Y, et al. Late mortality among 5-year survivors of childhood cancer: a summary from the Childhood Cancer Survivor Study. J Clin Oncol.  2009;27(14):2...

CODES

ICD9

  • 909.5 Late effect of adverse effect of drug, medicinal or biological substance

  • V10 Personal history of malignant neoplasm

  • V87.41 Personal history of antineoplastic chemotherapy

  • 909.2 Late effec...

FAQ

  • Q: Who is considered a cancer “survivor”?

  • A: Anyone from time of cancer diagnosis until end of life. Many long-term follow-up clinics specialize in patients who are 2 years post-cancer therapy.

  • Q: W...

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