Pediatric Patient Care

Children have special needs when it comes to cancer treatment. Their individualized care needs to be tailored differently from adult care. Our pediatric oncologists, surgeons, and other specialists are dedicated to working with you and your child and are trained to manage your child's cancer treatment, as well as benign conditions.

Physicians and staff from the Sarcoma Program who specialize in pediatric care.

Treatment options

When your child is diagnosed with a bone or soft-tissue sarcoma, our program gives your child 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 provides on-demand, intraoperative Magnetic Resonance Imaging (MRI) and Computed Tomography (CT, “CaT scanning”) to better evaluate your child's tumor at the time of surgical resection. This service is available only at Dartmouth-Hitchcock and a few other medical centers in the world.
  • Clinical trials: depending on the diagnosis, your child may be a candidate for national trials of new chemotherapy or radiation treatment regimens.

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.

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.

Child Life Program

The Child Life 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.