Fighting Back Childhood Cancer through Paediatric Surgical Oncology

The perhaps worst situation a parent could face is the fact that their child is suffering from paediatric cancer. While as cases of childhood cancer is on the rise, paediatric oncology has been into constant developments with latest and state-of-the-art technology to fight-back the menace. Paediatric oncology generally refers to the specialized management of childhood cancer through surgery. Paediatric Surgeons these days are concentrating more on surgical management of paediatric cancers. It has, of late, evolved along with the development of multimodality therapies, new treatment protocols, alternative medication and technologies.

In Asia, where the number of detected cases of childhood cancer is almost skyrocketing, Singapore has evolved as a major hub for such paediatric oncological surgery. Well-equipped healthcare institutions, cancer clinics and brilliant doctors have undoubtedly waged a war against the menace of Paediatric Cancer. In most cases, special and customized personal care delivered by the healthcare institutes make the paediatric cancer surgeries hassle free with less delay and equipped with state of the art technologies. This modern approach of fighting childhood cancer also incorporates something very unique. Parents and caregivers are given the major role post-surgery to help the child recover fast and make sure that proper care is taken.

In children, the cancer generally originates as solid tumors that include neuroblastoma, hepatoblastoma, rhabdomyosarcoma, nonrhabdomyosarcoma soft-tissue sarcoma (NRSTS), Wilms tumor or germ cell tumor. Cancers that originate in the body’s lymphatic tissues during childhood include the lymph nodes, thymus, spleen, tonsils, adenoids, and bone marrow, as well as the lymph vessels that attach them.


Typical symptoms that arise due to presence of cancerous tissues in children are often nonspecific symptoms that include fatigue, poor appetite, itching, or hives. In some cases symptoms such as unexplained fever, night sweats, and weight loss have also been noticed.


1) Key-hole surgery via small surgical incisions is used these days instead of larger incisions. This has proved beneficial and is of minimal pain and hassle. Key hole surgeries are increasingly performed by paediatric surgeons on children since the last 2 decades. It has revolutionized surgical management by offering less tissue dissection. The benefits are generally less postoperative pain, faster recovery and shorter periods of hospitalization.

2) Biopsy of the tumors including sampling of the involved tissues for evaluating cancer.

3) Chemotherapy

4) Surgical resection of tumors


With systematic management, oncological surgeries and post-operative care, rate of cancer amongst children has seen a cumulative drop. With more and more advanced technologies being incorporated in Singapore hospitals, it has recently emerged as a cancer care hub for all of Asia and the world.

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