This document discusses pediatric oncology rehabilitation and focuses on common pediatric cancers including leukemia, Wilms tumor, rhabdomyosarcoma, osteosarcoma, Ewing sarcoma, retinoblastoma, neuroblastoma, brain tumors, and lymphomas. It provides details on the most frequent types of leukemia in children, Ewing sarcoma, Wilms tumor, and lymphomas. The document also outlines the medical management of pediatric cancers which involves chemotherapy, radiation therapy, central line placement, shunt placement and surgical resection. It notes physical therapy plays a role in coordination, communication, documentation, procedural intervention and patient/client instruction.

1. PEDIATRIC ONCOLOGY
REHABILITATION
DR. SUNANDA BHOWMIK(PT)
B.P.T, M.P.T (Paediatric & Neonatal
Physical Therapy)
Double Gold Medallist
Assistant Professor
MMIPR,MM(DU)

2. INTRODUCTION
• Cancer is the uncontrolled growth of cells that do not
function properly.
• As these cells increase in number, they tend to crowd out
normal healthy cells or develop into a solid mass,
causing signs and symptoms of disease to appear.
• Typically, the cancer develops at a primary site, but it
may metastasize or spread to other areas of the body.

3. TYPE OF PEDIATRIC CANCER
Leukemia
, Wilms
tumor,
Rhabdomyos
arcoma,
Osteosarcoma,
Ewing sarcoma
Retinoblastoma
,
Neuroblastoma
,
Brain
tumors,
lymphomas,

4. Leukemia
• The most common pediatric leukemia is acute
Lymphoblastic leukemia (ALL), also known as acute
lymphocytic leukemia or acute lymphoid leukemia.
• ALL is most common in children 2 and 3 years of age.
• The second most common pediatric leukemia is acute
myeloid leukemia (AML)
• The survival rate of children with AML is less favorable
than that of children with ALL

5. COMMON CNS TUMOR

6. Lymphoma
• The third most common type of cancer in children is
lymphoma,
• These malignancies arise in the lymphoid cells and have
their own biologic subtypes.

7. Ewing Sarcoma
• Ewing sarcoma is the second most common type of bone
malignancy in children and adolescents.
• It is thought that Ewing sarcoma originates from neural crest
cells;
• Ewing sarcomas are considered to be a tumor primarily of the
bone or soft tissue.
• Common sites for Ewing sarcoma are the vertebral column,
pelvis, rib, and long bones such as the femur, tibia, and fibula
• Approximately 56% of patients who develop Ewing sarcoma
are 10 to 20 years old.

8. Wilms Tumor
• Wilms tumor, also called nephroblastoma, is the most
common malignancy of the kidney in children.
• Children younger than 6 years of age are more likely to
have Wilms tumor than are older children;
• it is commonly diagnosed between 3 and 4 years of age.
• The primary signs and symptoms of Wilms tumor are
abdominal swelling or mass, fever, anaemia
&hypertension.

10. MEDICAL MANAGEMENT
Chemotherapy
Radiation
therapy
Central line
Shunt
placement
Surgical
Resection

12. PHYSICAL THERAPY DIAGNOSIS

14. PLAN OF CARE
Coordination,
Communication,
and Documentation
Procedural
intervention
Patient/Clint
instruction

15. SUGGESTED INTERVENTION

17. THANK YOU