[PEDIATRIC ONCOLOGY, HEMATOLOGY AND BONE MARROW TRANSPLANTATION - PAST PRESENT AND FUTURE FOR PATIENTS].

Harefuah Pub Date : 2023-01-01
Shifra Ash
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Abstract

Introduction: The treatment of children with oncological and hematological diseases and bone marrow transplantations is under the same roof in the departments and units in Israel. The dramatic improvement in recent decades is a result of the biological understanding of the diseases, new biological and immunological medications, technological progress, database registration, joining large international groups and clinical trials in medical treatment as well as improvements in radiation therapy, surgery and supportive care. In this booklet, we present review articles on the progress in some of the common diseases in hematology and oncology for children, emphasizing the molecular tests that can be used to determine the diagnosis, introducing precision medicine implementing innovative biological and immunotherapeutic drugs and in order to shed light on the diagnosis of congenital genetic disease exposing cancer development. We also update on the work being conducted in the various departments in these fields. As more than 84% of all children diagnosed with cancer will experience long-term survival or cure, the significant challenges remaining for the treatment teams today include treating the recurrence of disease, as well as reducing the long-term side effects in order to improve the quality of life of the survivors.

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[小儿肿瘤学、血液学和骨髓移植-患者的过去、现在和未来]。
导言:以色列各部门和单位对患有肿瘤和血液疾病的儿童的治疗与骨髓移植是在同一屋檐下进行的。近几十年来,由于对疾病的生物学认识、新的生物和免疫药物、技术进步、数据库注册、加入大型国际团体和医疗临床试验以及放射治疗、手术和支持性护理的改进,取得了显著的改善。在这本小册子中,我们介绍了一些儿童血液学和肿瘤学常见病的进展,重点介绍了可用于诊断的分子测试,介绍了精确医学,实施了创新的生物和免疫治疗药物,并阐明了揭示癌症发展的先天性遗传性疾病的诊断。我们也更新各部门在这些领域所进行的工作。由于超过84%的被诊断患有癌症的儿童将经历长期生存或治愈,目前治疗团队面临的重大挑战包括治疗疾病的复发,以及减少长期副作用,以提高幸存者的生活质量。
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