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Where should teenagers with cancer be treated?

      Abstract

      Cancer in teenagers is relatively uncommon. Few health professionals in oncology are familiar with caring for teenagers, although most would acknowledge them as a characterisable clientele with specific needs different to those of others with cancer, whether younger or older. Many of those diagnosed with cancer between 13 and 20 years of age will be cured, often after intensive, toxic and life-changing treatment. The provision of the highly specialised medical and nursing care needed for cancer treatment must go alongside meeting the specific needs associated with this age group, an age of transition from childhood to adulthood. Care provision for teenagers must therefore address the treatment, information, educational, social and other support requirements of teenagers and their families. This must be done through the work of a highly specialised, experienced multidisciplinary team. A dedicated Teenage Cancer Unit (TCU) provides an appropriate environment in which teenagers may feel comfortable and from which such a multidisciplinary team can function. Such units cannot provide every aspect of a teenager's care throughout their cancer journey so must work in harmony with other agencies, particularly those in the community. TCUs are most successful when they are of sufficient size to ensure a critical mass of staff and experience. Not all teenagers with cancer will be treated on a TCU and other models that can meet both medical and age-specific needs are required.

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      References

        • Stiller C.A.
        Cancer in adolescence.
        Br. Med. J.. 1994; 308: 1382-1983
        • Lewis I.J.
        Cancer in Adolescence.
        in: Malpas J.S. British Medical Bulletin: Cancer in Children. Royal Society of Medicine Press, London1996: 887-897
        • Hollis R.
        • Morgan S.
        The adolescent with cancer—at the edge of no-man's land.
        Lancet Oncol. 2001; 2: 43-48
        • Bleyer A.
        Older adolescents with cancer in North America deficits in outcome and research.
        Pediatr. Clin. North Am. 2002; 49: 1027-1042
        • Kelly D.
        • Mullhall A.
        • Pearce S.
        Adolescent cancer—the need to evaluate current service provision in the UK.
        Eur. J. Oncol. Nursing. 2003; 7: 53-58
        • Souhami R.
        • Whelan J.
        • McCarthy J.F.
        • Kilby A.
        Benefits and problems of an adolescent oncology unit.
        in: Selby P. Bailey C. Cancer and the Adolescent. BMJ Publishing Group, London1996: 276-283
        • Birch J.M.
        • Alston R.D.
        • Kelsey A.M.
        • Quinn M.J.
        • Babb P.
        • McNally R.J.
        Classification and incidence of cancers in adolescents and young adults in England 1979–1997.
        Br. J. Cancer. 2002; 87: 1267-1274
      1. http://www.doh.gov.uk/cancer/implementingcancerplan.htm.

        • McTiernan A.
        Issues surrounding the participation of adolescents with cancer in clinical trials in the UK.
        Eur. J. Cancer Care. 2003; 12: 233-239
        • Bleyer W.A.
        • Tejeda H.
        • Murphy S.B.
        • et al.
        National cancer clinical trials.
        J. Adolesc. Health. 1997; 21: 366-373
        • Wilkinson J.
        Young people with cancer—how should their care be organised?.
        Eur. J. Cancer Care. 2003; 12: 65-70
        • Kelly D.
        • Mulhall A.
        • Pearce S.
        ‘A Good Place To Be if You're Having a Bad Time’: An Ethnographic Evaluation of the Teenage Cancer Trust Unit.
        The Teenage Cancer Trust, UK2000
        • Enskar K.
        • Carlsson M.
        • Golsater M.
        • Hamrin E.
        Symptom distress and life situation in adolescents with cancer.
        Cancer Nursing. 1997; 20: 23-33