Pediatric Oncology

Our oncologists work closely with surgeons, radiologists, pathologists, psychologists, rehabilitation specialists, and many others to provide complete care. We review complex cases at weekly tumor boards, where specialists across locations collaborate to develop the most effective treatment plans. 

Cancer care at Nemours Children's goes well beyond treatment. We work with other specialists to manage treatment effects, including heart specialists, orthopedic specialists, and endocrinologists. Together we monitor things like heart and bone health and protect fertility. We help kids and young adults grow up as healthy as possible.

At Nemours, we know that every child's cancer is unique. Before starting treatment, we analyze your child's cancer at the molecular level to understand its specific characteristics. This helps us choose the most effective treatments with the fewest possible side effects.

Our team uses this detailed understanding to create precisely tailored treatment plans, identify promising clinical trials, and adjust care as needed to provide the best possible outcomes for your child. We offer:

• Stem cell transplantation: Our advanced stem cell transplant program offers multiple options, including transplants using a child's own cells (autologous), cells from a matched donor (allogeneic), blood saved from umbilical cords, and stem cells collected from circulating blood.
• Cellular therapies: We use leading-edge cellular therapy treatments to equip the immune system to fight cancer, including CAR-T cell therapy. We're at the forefront of developing new cell-based and gene-modified treatments to give each child the best possible outcome.
• Radiation therapy: Radiation oncologists use precision radiation therapy techniques specifically designed for children. We offer access to advanced proton therapy that targets tumors while protecting healthy tissue, image-guided systems for pinpoint accuracy, and specialized approaches developed just for kids.
• Cancer surgery: Our expert pediatric surgical oncologists perform complex tumor removal procedures using minimally invasive techniques whenever possible, with advanced 3D imaging for surgical planning and real-time guidance. We specialize in organ-preserving approaches that protect your child's growth and development while effectively treating their cancer.

Comprehensive Support Services

Cancer treatment involves much more than medical care. It's about supporting your child's whole well-being during their journey. Our comprehensive support team surrounds your family with expertise and compassion, such as:

• Child Life specialists who help your child and siblings cope through play therapy and age-appropriate education.
• Psychologist and counselors who provide emotional support and coping strategies for your child and family.
• Pain management specialists who use the latest approaches, including non-opioid options.
• Palliative care therapies that improve quality of life during and after treatment.
• Integrative medicine specialists who employ complementary therapies like acupuncture, mindfulness, and more.
• Nutrition support from dietitians who ensure your child is getting healing nourishment along the way.
• School liaisons who work with your child’s school to maintain education during treatment and adjust to transitioning back to the classroom.

From your first day at Nemours Children's, you'll have an entire team walking beside you. While every journey is different, knowing what to expect can help your family feel more confident and prepared. We're here to guide you through each step, answer your questions, and provide the support you need.

To help you get started, we've gathered trusted resources about common cancer treatments and ways to support your child. 

What it Is: Treatment using high-energy beams to target cancer cells while protecting healthy tissue.

Types We Offer:

• Proton therapy: Precise beams that cause less damage to surrounding tissue; especially good for brain tumors.
• Traditional radiation: Carefully shaped X-ray beams to treat cancer cells.

What to Expect: Most children receive daily treatments (Monday-Friday) for several weeks. Each session typically lasts 15-30 minutes.

Learn more about radiation therapy from Nemours KidsHealth.

What it Is: Treatment that helps your child's immune system fight cancer cells.

Types We Offer:

• Antibody treatments that mark cancer cells for the immune system to find
• Checkpoint inhibitors that help immune cells better attack cancer
• Immune system boosters that strengthen overall cancer-fighting ability

What to Expect: Treatment schedules vary based on type. Most children receive regular infusions every few weeks. Side effects are often milder than traditional chemotherapy.

Learn more about immunotherapy at Nemours KidsHealth

Knowledge is power when your child has cancer. Our Nemours KidsHealth Cancer Wellness Center offers trusted, easy-to-understand resources that help families navigate every step of the journey. 

You'll find practical guides for managing daily life during treatment, expert advice on supporting siblings, strategies for staying strong as a family and inspiring stories from other parents who've walked this path. Our experts offer:

• Clear explanations of cancer types and treatments written in parent-friendly language.
• Tips for managing side effects and staying healthy during therapy.
• Guidance on nutrition, school, and keeping up with normal childhood activities.
• Tools for helping siblings cope and adjust.
• Age-appropriate articles to help your child understand what's happening.
• Support for your own emotional well-being as a parent.

The majority children diagnosed with cancer today will be long-term survivors. Let us help you stay informed and empowered throughout your family's path to wellness.