Dr Jui Mandke

Pediatric Cancer / Oncosurgery

Cancer in children is uncommon, but early diagnosis and timely treatment lead to excellent outcomes in many cases. Unlike adult cancers, pediatric cancers are usually not related to lifestyle factors and often arise from developing tissues.

Children may present with:

Persistent unexplained fever

Unusual swelling or lump

Unexplained weight loss

Persistent bone pain

Easy bruising or bleeding

White reflex in the eye

Enlarged abdomen

Early evaluation is important if symptoms persist.

Common Types of Pediatric Cancers

Blood Cancers

Leukemia (most common childhood cancer)

Solid Tumors

Neuroblastoma (adrenal/nerve tissue tumor)

Wilms’ tumor (kidney tumor)

Hepatoblastoma (liver tumor)

Rhabdomyosarcoma (muscle tumor)

Osteosarcoma (bone tumor)

Brain Tumors

Various benign and malignant brain tumors

Eye Tumor

Retinoblastoma

Role of Pediatric Surgery

Surgery plays a key role in:

Biopsy for diagnosis

Tumor removal

Staging procedures

Managing complications

Treatment is usually multidisciplinary, involving pediatric oncologists, surgeons, radiologists, and specialized nursing teams.

With advances in medical care, survival rates for many childhood cancers continue to improve significantly.

Expert Pediatric Cancer / Oncology Care

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Chemoport (Implantable Venous Port)

What is a Chemoport?

A chemoport is a small medical device placed under the skin that allows safe and repeated delivery of chemotherapy, medications, blood transfusions, and blood sampling without repeated needle pricks.

It consists of:

A small chamber (port) placed under the skin, usually on the chest

A thin tube (catheter) that enters a large vein

Why is a Chemoport Needed?

It is recommended in children who:

Require long-term chemotherapy

Need frequent blood tests

Have difficult vein access

Require long-term IV medications

A chemoport protects small veins from damage caused by strong medications.

How is it Inserted?

Inserted under general anesthesia

Takes about 30–45 minutes

A small incision is made, and the port is placed under the skin

The child can usually go home the same day or within 24 hours

Is it a Day Care Surgery?

Yes. Chemoport insertion is usually a day care procedure.

The device can remain in place for months or years and is removed once treatment is completed.