Patient's question:
In July 2014, a lump was found in the child's abdomen. After going to the hospital, the pediatric surgeon recommended surgery. When the surgery was not possible to remove the lump, a biopsy was performed, and it was diagnosed as a pancreatoblastoma. On August 1st, chemotherapy began in the oncology department, with a cycle every three weeks (alternating between two groups: VCR, CTX, ACD, ADM, DDP, VP16). After the first cycle of chemotherapy, the lump shrank from 1078868 to 1008658, but after the second cycle, the CT scan showed little change in the lump. The child now experiences severe pain in the abdomen and anus during bowel movements, which gradually improves after defecation.Doctor's answer:
The Xiaoping Yang'er Granules, the children's multivitamin Shierkang, and the calcium tablets should have no impact on chemotherapy.There are many reasons why tumor shrinkage may not be significant after chemotherapy. Some are due to tumor resistance, some are because the chemotherapy regimen is not appropriate (insufficient dosage or treatment duration), and others are due to misdiagnosis or incorrect selection of the chemotherapy plan.
The child experiences severe pain in the anus during bowel movements, which may be caused by constipation, where the stool is too hard, leading to the rupture of the mucous membrane at the anal opening and the formation of an anal fissure. It is recommended to consume more vegetables, fruits, yogurt, Yakult, and other foods.
The Department of Pediatric Surgery at Shanghai Children's Medical Center is a national clinical key specialty. The Department of Hematology and Oncology is the largest center in China that combines clinical treatment and research for pediatric blood diseases, leukemia, malignant solid tumors, and hematopoietic stem cell transplantation. The National Key Laboratory of Children's Tumor under the Ministry of Health enables more accurate diagnosis and evaluation. However, the Department of Hematology and Oncology at our hospital does not accept children who have already undergone chemotherapy at other hospitals.