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Norris Cotton Cancer Center
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Pediatric Patient Care

Children have special needs, especially when it comes to cancer treatment. They require individualized care tailored to their specific conditions. Our Program has pediatric oncologists, surgeons, and other specialists trained to meet the needs of children with cancer as well as those with benign conditions.

When a child is diagnosed with a bone or soft-tissue sarcoma, our Program gives patients access to the most state-of-the-art medical and surgical treatment options including:

  • Non-invasive expandable tumor implants: For bone reconstruction of long bones in the growing child.
  • The Center for Surgical Innovation (CSI): CSI offers patients a surgical experience that is available only at Dartmouth-Hitchcock and a few other medical centers in the world. CSI provides on-demand, intraoperative Magnetic Resonance Imaging (MRI) and Computed Tomography (CT, “CaT scanning”) - to better evaluate patients‘ tumors at the time of surgical resection.
  • Clinical Trials: Depending on their diagnosis, patients treated at our center may be candidates for national trials of new chemotherapy or radiation treatment regimens.

Common pediatric bone cancers we treat:

  • Osteosarcoma: Osteosarcoma is the most common malignant bone tumor in children, it affects approximately 1,500 patients per year in the United States. Osteosarcoma is generally treated with a combination of chemotherapy and surgical resection.
  • Ewing Sarcoma (and the Ewing/PNET group of tumors): The second most common pediatric bone sarcoma. Ewing sarcoma is usually treated with a combination of chemotherapy and surgical resection.

Some pediatric soft-tissue cancers we treat:

  • Rhabdomyosarcoma: This is the most common malignant soft-tissue tumor in children; it is usually treated with a combination of chemotherapy, radiation, and surgery.
  • Synovial sarcoma: This is a rare, malignant soft-tissue tumor seen in children and adults; it is usually treated with chemotherapy, radiation, and surgery.
  • Infantile fibrosarcoma: This is a rare fibrous tumor seen in very young children.

Specific Programs at Norris Cotton Cancer Center dedicated to the care and well-being of children include:

  • Childlife Program - this program is integrated into the day-to-day care of pediatric patients and provides activities and diversion for children of all age while they are hospitalized.