When paediatric oncologist Michael Stevens talks Â‘grades' with parents, he is as likely to be
discussing their child's schooling as their cancer. If young patients are to have a future, you must
look at their life as a whole, he says. He wants greater support for survivors and more research
to predict which patients can safely be spared the most aggressive protocols.
Selected reports edited by Janet Fricker
Paediatric oncologists have a well-deserved reputation for collaborating and treating patients within trial protocols, but there are limits to what they can achieve alone.
A retrospective cohort study has shown that pancreatic radiation is a risk factor for diabetes in survivors of paediatric cancer. This validates and refines prior epidemiological observations of diabetes after radiation to the abdomen and total-body irradiation, and will result inmodification of surveillance recommendations in national survivor guidelines.