Abstract
Major changes have occurred in the practice of pediatric radiation oncology in the past two to three decades. Common practices of the 1960s and 1970s, such as routine postoperative tumor bed irradiation for Wilms’ tumor and irradiation of stage II neuro-blastoma, are no longer indicated. Many factors, including improved systemic therapy, improved knowledge of the natural history of these tumors, and better risk-group analyses, have led to these changes. A curative goal at first presentation, even in the face of established metastatic disease, has been adopted more frequently in the child. Advances in the treatment of Wilms’ tumor and osteosarcoma illustrate this fact, as does the nearly routine use of adjuvant systemic treatment as salvage of children who have developed metastases is often less effective.
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© 1994 Springer-Verlag Berlin Heidelberg
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Cassady, J.R. (1994). Pediatric Radiation Therapy: Introduction. In: Cassady, J.R. (eds) Radiation Therapy in Pediatric Oncology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84520-8_1
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DOI: https://doi.org/10.1007/978-3-642-84520-8_1
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