Treatment options will vary greatly, depending on your child's situation. Your child's doctor and other members of your care team will discuss the options with you in-depth. Prompt medical attention and aggressive therapy are important for the best prognosis. Side effects of radiation and chemotherapy, as well as recurrence of the disease, can occur in survivors.
Traditional treatments for lymphoma of bone
Treatments for lymphoma of bone may involve a combination of therapies including:
Surgery usually plays a limited role in the treatment of lymphoma. In some instances, a child may need to have a tumor removed. This may be the case if, for example, the tumor compresses the airway and/or the heart and major vessels.
Our doctors use precisely targeted and dosed radiation to kill cancer cells left behind after your child's surgery.
Chemotherapy is a drug that interferes with the cancer cell's ability to grow or reproduce.
- Different groups of chemotherapy drugs work in different ways to fight cancer cells and shrink tumors.
- Often, a combination of chemotherapy drugs is used.
- Certain chemotherapy drugs may be given in a specific order depending on the type of cancer it is being used to treat.
While chemotherapy can be quite effective in treating certain cancers, it affects both normal healthy cells and cancer cells. Because of this, there can be many side effects during treatment. Being able to anticipate these side effects can help you and your child prepare, and, in some cases, prevent these symptoms from occurring, if possible.
Chemotherapy is systemic treatment, meaning it is introduced to the bloodstream and travels throughout the body to kill cancer cells. Chemotherapy can be given:
- as a pill to swallow
- as an injection into the muscle or fat tissue
- intravenously (IV), directly to the bloodstream
- intrathecally, directly into the spinal column
Stem cell transplant
Transplantation of normal stem cells from another person is used to help restore normal blood production in you child, whose own ability to make any or all of these blood cells has been compromised by cancer, intensive cancer treatment or other types of damage or abnormality.
This is any type of treatment to prevent and treat infections, side effects of treatments, and complications, and to keep your child comfortable during treatment.
What is the recommended long-term care for children treated lymphoma of bone?
Children treated for lymphoma of bone should visit a survivorship clinic every year to:
- manage disease complications
- screen for early recurrence of cancer
- manage late effects of treatment
A typical follow-up visit may include some or all of the following:
- a physical exam
- laboratory testing
- imaging scans
Through the David B. Perini, Jr. Quality of Life Clinic at Dana-Farber Cancer Institute, childhood cancer survivors receive a comprehensive follow-up evaluation from their cancer care team.
- Our childhood cancer survivorship clinic is held weekly.
- In addition to meeting with your pediatric oncologists, your child may see one of our endocrinologists, cardiologists, neurologists, neuro-psychologists or alternative/complementary therapy specialists.
- We also offer the following services:
patient and family education
- psychosocial assessment
- genetic counseling
- reproductive and fertility evaluation and counseling
- opportunities to speak with other childhood cancer survivors
Beading Each a Different Story
Unless you're a survivor, it's impossible to understand the relentless challenges of cancer treatment. In addition to hurdles like chemotherapy sessions, patients must also endure a constant barrage of uncomfortable tests and procedures. For children, the incessant poking and prodding can become overwhelming. To help young patients treated through Dana-Farber/Boston Children’s Cancer and Blood Disorders Center stay positive and face future treatments, resource room and Child Life Specialists Ingrid Dahlin, Sara Mastrofrancesco, Summer Menefee and Amber Soulvie of Boston Children's Hospital, Julie Gauguet of Brigham and Women's Hospital and Martha Young of Dana-Farber, created Beading Each a Different Story (BEADS).
BEADS offers children a special glass bead for achieving a treatment milestone. For example, a yellow sun represents a radiation session, while a smiley face sporting a bandana signifies hair loss. When strung together, patients have a visual record of their cancer journey. More than 100 patients have participated in BEADS since its September launch, and its impact is visible. "They really feel like badges of courage," says Jennifer Kisiel, whose 6-year-old daughter, Rebecca, was recently diagnosed with acute lymphoblastic leukemia. "Rebecca's string validates what she's endured."