With the fall in mortality from infectious diseases, the* impact of
childhood cancer in the Western World has increased to become the
second commonest cause of death in the age group 1-14 years, being
surpassed only by accidents. However, even in those countries in
which paediatric cancer is attracting increasing interest, the
disease is relatively uncommon, and the number of cases seen by any
one physician, even in a large general hospital, is often limited
to one or two a year. The widely held view by parents and even by
many doctors that cancer in childhood is usually untreatable and
inevitably fatal is no longer tenable. With improvement in the
therapeutic response or in the actual survival rates of children
with such lesions as Wilms' tumour, brain tumours,
rhabdomyosarcomas, Ewing's sarcoma, retinoblastoma, lym phoma and
even leukaemia, there is a real hope of achieving a substantial
reduction in the mortality of childhood cancer. Paediatric oncology
is, in fact, providing a vigorous stimulus to the much wider field
of cancer treatment and research, and is demonstrating the
advantages of a multi-disciplinary cooperation in the management of
this disease.
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