Overview
- Editors:
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Noboru Kobayashi
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National Children’s Hospital, Setagaya-ku, Tokyo 154, Japan
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Tai Akera
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The National Children’s Hospital Medical Research Center, Tokyo, Japan
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Shuki Mizutani
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Department of Virology, The National Children’s Medical Research Center, Setagaya-ku, Tokyo 154, Japan
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Table of contents (28 papers)
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Treatment of Childhood Leukemia
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- Shinpei Nakazawa, Akitoshi Kinoshita, Masahiro Tsuchida, Ryota Hosoya, Kozo Nishmura, Masao Yamamoto et al.
Pages 167-177
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- Robert Peter Gale, Anna Butturini, Mortimer M. Bortin
Pages 179-183
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- Shunichi Kato, Miharu Yabe, Hiromasa Yabe, Chidori Kubota, Rumi Mitsuda, Yasumasa Oh et al.
Pages 185-193
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- Mutsuro Ohira, Jun Takayama
Pages 195-201
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- Yoichi Takaue, Tsuneo Ninomiya
Pages 203-211
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- Jun-ichi Akatsuka, Takuo Hirotsu, Yasutaka Hoshi, Keiko Kamiya, Yoko Kato, Hiroshi Uchiyama et al.
Pages 213-222
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The Total Care and the Patient Support System for Children with Leukemia
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Front Matter
Pages 223-223
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- Audrey E. Evans, Judith Ross, Giulio J. D’Angio
Pages 251-258
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About this book
Twenty years ago when Children's Cancer Association of Japan was born, the diagnosis of childhood leukemia amounted to a death sentence. Only 20% or so of children with leukemia survived more than 5 years. Since then, enormous improvements have been achieved regarding our understanding on the etiology, diagnosis, and the treatment of childhood leukemia. Now, 70% of children with leukemia survive and enter adult life. Even though the improved survival rate of children with leukemia represents a medical success story, we now face new problems. The first problem is the fact that we still lose 20-30% of patients with childhood leukemia. To address this problem, we need to understand the etiology, epidemiology, and biology of leukemia; to identify the patients at greater risk; and to develop adequate treatments. The second problem is the treatment itself. Even though efficacious, the modem treatment for leukemia is a grueling experience for children and their families. We should develop a total care system for families and children based on a deep understanding of their needs. The third problem is the aftereffects of the treatment and of cured leukemia. Extensive radiation and chemotherapy have an entirely different spectrum of long-term effects on children than on adults. These treatments in the early stage of life, when the mind and body are developing, create many physical and psychological problems. These are the present problems of childhood leukemia.
Reviews
'Overall I found this an interesting collection of papers which well summarises the studies made in the treatment of children with cancer between the first and second symposia. It would be a worthwhile volume to have on the shelves of one's library and is relatively up to date despite the 2 year lag between meeting and publication.' Australian Cancer Society 16:2 1992
Editors and Affiliations
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National Children’s Hospital, Setagaya-ku, Tokyo 154, Japan
Noboru Kobayashi
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The National Children’s Hospital Medical Research Center, Tokyo, Japan
Tai Akera
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Department of Virology, The National Children’s Medical Research Center, Setagaya-ku, Tokyo 154, Japan
Shuki Mizutani