Paediatrics: Surgery

Surgery

Surgical interventions for solid tumours include the following.

·Biopsy only: chemotherapy and/or radiotherapy may be curative without further surgery, e.g. HL, NHL, RMS, GCTs.

·Resection, primary or following chemotherapy. Completeness of excision influences subsequent adjunctive treatment, e.g. bone tumours, Wilms’ tumour, hepatoblastoma, and most CNS tumours.

Management of the acute abdomen in neutropenic patients.

·Raised ICP and spinal cord compression.

Tunnelled central venous lines for chemotherapy.