Current Insights into the Management of Late Chemotherapy Toxicities in Pediatric Osteosarcoma Patients
Stefanie Hecker-Nolting,1 Thorsten Langer,2 Claudia Blattmann,1 Leo Kager,3 Stefan S Bielack1,4 1Pädiatrie 5 (Onkologie, Hämatologie, Immunologie), Zentrum für Kinder-, Jugend- und Frauenmedizin, Stuttgart Cancer Center, Klinikum Stuttgart – Olgahospital, Stuttgart, Germany; 2Pädiatrische Onkologie...
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Dove Medical Press
2021
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oai:doaj.org-article:b27011ce842b42a98e58b209f1f2fdd12021-12-02T19:17:36ZCurrent Insights into the Management of Late Chemotherapy Toxicities in Pediatric Osteosarcoma Patients1179-1322https://doaj.org/article/b27011ce842b42a98e58b209f1f2fdd12021-12-01T00:00:00Zhttps://www.dovepress.com/current-insights-into-the-management-of-late-chemotherapy-toxicities-i-peer-reviewed-fulltext-article-CMARhttps://doaj.org/toc/1179-1322Stefanie Hecker-Nolting,1 Thorsten Langer,2 Claudia Blattmann,1 Leo Kager,3 Stefan S Bielack1,4 1Pädiatrie 5 (Onkologie, Hämatologie, Immunologie), Zentrum für Kinder-, Jugend- und Frauenmedizin, Stuttgart Cancer Center, Klinikum Stuttgart – Olgahospital, Stuttgart, Germany; 2Pädiatrische Onkologie und Hämatologie, Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany; 3St. Anna Kinderspital, Abteilung für Kinder- und Jugendheilkunde, Medizinische Universität Wien, Vienna, Austria; 4Abteilung für Pädiatrische Hämatologie und Onkologie, Klinik für Kinder- und Jugendmedizin – Pädiatrische Hämatologie und Onkologie, Münster, GermanyCorrespondence: Stefan S BielackPädiatrie 5 (Onkologie, Hämatologie, Immunologie) Zentrum für Kinder-, Jugend- und Frauenmedizin, Stuttgart Cancer Center, Klinikum Stuttgart – Olgahospital, Kriegsbergstr. 62, Stuttgart, 70174, GermanyTel +49 711 2787 3881Fax +49 711 2787-3882Email coss@klinikum-stuttgart.deAbstract: With ever increasing long-term, disease free survival rates, long-term toxicities of otherwise successful therapy have gained increasing importance. They can be grouped into potentially life-threatening, especially secondary malignancies and anthracycline cardiomyopathies, potentially disabling, particularly severe hearing loss and renal insufficiency, other, and rare events. Pathophysiology, frequency, and medical treatment approaches are discussed. Finally, fertility issues and quality of life issues are discussed, together with an outlook into the future. The challenge to cure as many patients as possible from osteosarcoma while enabling a life free of late effects will remain.Keywords: osteosarcoma, child, adolescent, chemotherapy, late effectsHecker-Nolting SLanger TBlattmann CKager LBielack SSDove Medical Pressarticleosteosarcomachildadolescentchemotherapylate effectsNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancer Management and Research, Vol Volume 13, Pp 8989-8998 (2021) |
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osteosarcoma child adolescent chemotherapy late effects Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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osteosarcoma child adolescent chemotherapy late effects Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Hecker-Nolting S Langer T Blattmann C Kager L Bielack SS Current Insights into the Management of Late Chemotherapy Toxicities in Pediatric Osteosarcoma Patients |
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Stefanie Hecker-Nolting,1 Thorsten Langer,2 Claudia Blattmann,1 Leo Kager,3 Stefan S Bielack1,4 1Pädiatrie 5 (Onkologie, Hämatologie, Immunologie), Zentrum für Kinder-, Jugend- und Frauenmedizin, Stuttgart Cancer Center, Klinikum Stuttgart – Olgahospital, Stuttgart, Germany; 2Pädiatrische Onkologie und Hämatologie, Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany; 3St. Anna Kinderspital, Abteilung für Kinder- und Jugendheilkunde, Medizinische Universität Wien, Vienna, Austria; 4Abteilung für Pädiatrische Hämatologie und Onkologie, Klinik für Kinder- und Jugendmedizin – Pädiatrische Hämatologie und Onkologie, Münster, GermanyCorrespondence: Stefan S BielackPädiatrie 5 (Onkologie, Hämatologie, Immunologie) Zentrum für Kinder-, Jugend- und Frauenmedizin, Stuttgart Cancer Center, Klinikum Stuttgart – Olgahospital, Kriegsbergstr. 62, Stuttgart, 70174, GermanyTel +49 711 2787 3881Fax +49 711 2787-3882Email coss@klinikum-stuttgart.deAbstract: With ever increasing long-term, disease free survival rates, long-term toxicities of otherwise successful therapy have gained increasing importance. They can be grouped into potentially life-threatening, especially secondary malignancies and anthracycline cardiomyopathies, potentially disabling, particularly severe hearing loss and renal insufficiency, other, and rare events. Pathophysiology, frequency, and medical treatment approaches are discussed. Finally, fertility issues and quality of life issues are discussed, together with an outlook into the future. The challenge to cure as many patients as possible from osteosarcoma while enabling a life free of late effects will remain.Keywords: osteosarcoma, child, adolescent, chemotherapy, late effects |
format |
article |
author |
Hecker-Nolting S Langer T Blattmann C Kager L Bielack SS |
author_facet |
Hecker-Nolting S Langer T Blattmann C Kager L Bielack SS |
author_sort |
Hecker-Nolting S |
title |
Current Insights into the Management of Late Chemotherapy Toxicities in Pediatric Osteosarcoma Patients |
title_short |
Current Insights into the Management of Late Chemotherapy Toxicities in Pediatric Osteosarcoma Patients |
title_full |
Current Insights into the Management of Late Chemotherapy Toxicities in Pediatric Osteosarcoma Patients |
title_fullStr |
Current Insights into the Management of Late Chemotherapy Toxicities in Pediatric Osteosarcoma Patients |
title_full_unstemmed |
Current Insights into the Management of Late Chemotherapy Toxicities in Pediatric Osteosarcoma Patients |
title_sort |
current insights into the management of late chemotherapy toxicities in pediatric osteosarcoma patients |
publisher |
Dove Medical Press |
publishDate |
2021 |
url |
https://doaj.org/article/b27011ce842b42a98e58b209f1f2fdd1 |
work_keys_str_mv |
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