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Pediatric CNS Tumors pp 335–353Cite as

Late Effects of Treatment and Palliative Care

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Part of the book series: Pediatric Oncology ((PEDIATRICO))

Identifying late effects of treatment and integrating palliative care when appropriate, are increasingly recognized as important elements of childhood tumor management. Patients with CNS tumors are at high risk for mortality, and survivors have high morbidity rates related to the late effects of treatment. While intensified therapy has improved survival in patients with pediatric brain tumors (Packer et al. 1999, 2003), it has also increased the long-term consequences. Survivors may develop a spectrum of late effects ranging from subtle memory loss and cosmetic anomalies to severe neurological disabilities and recurrent neoplasms. While seemingly quite different, both palliative and late-effects care focus on improving quality of life for patients, and need to be integrated into the overall care plan.

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Authors and Affiliations

  1. Division of Pediatric Hematology and Oncology, Kaiser Permanente Santa Clara, 710 Lawrence Expressway, Dept #190, Santa Clara, CA, 95051

    Denah Taggart

  2. Department of Pediatrics Division of Hematology and Oncology, University of California San Francisco, 505 Parnassus Avenue, San Francisco, CA, 94143-0106, USA

    Robert Goldsby

  3. Departments of Pediatrics and Neurological Surgery Division of Hematology and Oncology, University of California San Francisco, 505 Parnassus Avenue, San Francisco, CA, 94143-0106, USA

    Anuradha Banerjee

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  1. Denah Taggart
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  2. Robert Goldsby
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  3. Anuradha Banerjee
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Correspondence to Denah Taggart .

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Editors and Affiliations

  1. Departments of Neurological Surgery and Pediatrics, Division of Pediatric Neurosurgery, University of California San Francisco, 505 Parnassus Avenue, Rm M779, San Francisco, CA, 94143-0112, USA

    Nalin Gupta

  2. Departments of Pediatrics and Neurological Surgery, Division of Hematology and Oncology, University of California San Francisco, 505 Parnassus Avenue, San Francisco, CA, 94143-0106, USA

    Anuradha Banerjee

  3. Departments of Radiation Oncology and Neurological Surgery, Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, 1600 Divisadero Street, San Francisco, CA, 94115-1708, USA

    Daphne Haas-Kogan

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Taggart, D., Goldsby, R., Banerjee, A. (2010). Late Effects of Treatment and Palliative Care. In: Gupta, N., Banerjee, A., Haas-Kogan, D. (eds) Pediatric CNS Tumors. Pediatric Oncology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-87979-4_17

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