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Introduction to steroids

Steroids are prescribed for children and young people with cancer as either part of their treatment or more rarely as a supportive measure.

Amputee management

If a child or young person has undergone an amputation as part of their treatment for cancer there will be a wider multi-disciplinary team (MDT) involved in their care than for most other childhood cancers. Ideally, they will have been referred to physiotherapy and occupational therapy (OT) before their surgery.

Limb sparing surgery

A child or young person (CYP) with a primary bone tumour, predominantly 60% osteosarcoma and 34% Ewing sarcomas[1], will normally need an operation to remove the primary tumour to gain local disease control.

Stem cell transplant

Haemopoietic stem cell transplantation (HSCT) is newer terminology for what used to be known as bone marrow transplantation. It is a more accurate description of the procedure.

Blood product support

Children or young people with cancer may require blood product support throughout their journey. This may be due to the effects of chemotherapy or radiotherapy or as a consequence of the disease process itself.

Chemotherapy induced peripheral neuropathy

Peripheral neuropathy is a condition we are most likely to see in children or adolescents who are having treatment for cancers that involve multiple doses of vincristine (a neurotoxic agent) such as acute lymphoblastic leukaemia (ALL).

Chemotherapy induced nausea and vomiting

Nausea and vomiting (emesis) can be two of the most debilitating side-effects of chemotherapy and they can cause considerable distress to the child or adolescent and their family.

Constipation

Constipation may be caused by a number of factors including poor dietary/fluid intake, infection, perianal pain and drugs or combinations of drugs.