Pediatric Cancer

State-of-the art comprehensive care.

Woman in blue scrubs puts arms around smiling child

Learning your child has cancer is devastating and life-changing. Our nationally recognized team of pediatric cancer specialists is here to offer hope to your child and family through state-of-the-art, comprehensive care. We're dedicated to finding the most promising treatments and are at the forefront of delivering advanced forms of personalized medicine for childhood, adolescent and young adult cancer. We do this through our affiliation with Children's Oncology Group and our own pediatric oncology research program, which has established and grown the Haworth Innovative Therapeutics Clinic.

Find a pediatric oncologist

Our experienced pediatric doctors and specialists are ready to serve you and your family.

Nationally ranked pediatric cancer program

James Fahner, MD, talks about the nationally-recognized pediatric cancer team at Helen DeVos Children's Hospital.

Conditions we treat

Our children's cancer specialists know that treating a child is very different than treating an adult, so we have an entire multidisciplinary care team who work with patients in the hospital and in our outpatient clinic to help make treatment as kid-friendly as possible. We offer the services of child life specialists and the Pediatric Oncology Resource Team (P.O.R.T) to help meet the complex needs of our patients and families. Our specialists have expert knowledge in treating a variety of conditions.

Select a condition to learn more.

Our team of experienced children’s cancer professionals is nationally-ranked for pediatric cancer care. We are actively involved in research to further understand brain tumors in children and are proud to be at the forefront of advanced personalized medicine, with national collaborations moving this research forward. We offer a multidisciplinary, weekly pediatric brain tumor conference, which includes pediatric oncologists, neurologists, neurosurgeons and other pediatric medical specialists. Together, we can help your child get through treatment with as few side effects as possible. This makes us uniquely positioned to provide hope and support for children with brain tumors such as gliomas and medulloblastomas.

Brain tumors are the second most common form of childhood cancer. Medulloblastoma is a type of brain tumor. Gliomas are tumors that occur in the brain and spinal cord. A brain tumor begins when healthy cells in the brain change and grow out of control, forming a mass. A tumor can be cancerous or benign. A cancerous tumor is malignant, meaning it can grow and spread to other parts of the body. A benign tumor means the tumor can grow but will not spread. Symptoms depend on a child's age and the location of the tumor, but may include headache, vomiting, slurred speech, vision changes, seizures and balance problems.

Your child's care begins here

Our pediatric oncologists use the clinical genomic analysis to create a personalized treatment plan. Our pediatric neurosurgeons collaborate closely with oncologists on treatment, which usually begins with a neurosurgical procedure. In order to provide guidance during surgery and work towards the best possible treatment results, our pediatric neurosurgeons use state-of-the-art techniques and tools like:

  • Minimally invasive approaches
  • Neuro-navigation, which is computer-assisted technology to guide the surgeon
  • Intraoperative MRI to check if all of the tumor has been removed during surgery
  • Intraoperative neuromonitoring for real-time feedback of the function of nerves, brain and spinal cord

Advances in radiation therapy and multi-agent chemotherapy are also contributing to better outcomes than in the past.

We offer a multidisciplinary, weekly brain tumor conference, dedicated to improving the lives of children with brain tumors. Our brain tumor team includes pediatric oncologists, neurologists, neurosurgeons and other pediatric medical specialists. Together, we can help your child get through treatment with as few side effects as possible.

Treatments we provide

Chemotherapy
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Chemotherapy refers to strong drug combinations to destroy cancer cells, with positive results in many children with brain tumors. Chemo can also be used to delay or eliminate the need for radiation treatment.

Radiation therapy
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Radiation therapy is the use of high-energy X-rays to destroy rapidly multiplying cancer cells. It is very effective in treating many types of brain tumors.

Precision neurosurgery
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The newest surgical techniques use special devices to target tumors through 3D images of the brain. Intraoperative MRI is a powerful tool our neurosurgeons use in the removal of many types of brain tumors.

Our team of experienced children’s cancer professionals is nationally-ranked for pediatric cancer care. We are actively involved in research to further understand brain tumors in children and are proud to be at the forefront of advanced personalized medicine, with national collaborations moving this research forward. We offer a multidisciplinary, weekly pediatric brain tumor conference, which includes pediatric oncologists, neurologists, neurosurgeons and other pediatric medical specialists. Together, we can help your child get through treatment with as few side effects as possible. This makes us uniquely positioned to provide hope and support for children with brain tumors such as gliomas and medulloblastomas.

Brain tumors are the second most common form of childhood cancer. Medulloblastoma is a type of brain tumor. Gliomas are tumors that occur in the brain and spinal cord. A brain tumor begins when healthy cells in the brain change and grow out of control, forming a mass. A tumor can be cancerous or benign. A cancerous tumor is malignant, meaning it can grow and spread to other parts of the body. A benign tumor means the tumor can grow but will not spread. Symptoms depend on a child's age and the location of the tumor, but may include headache, vomiting, slurred speech, vision changes, seizures and balance problems.

Your child's care begins here

Our pediatric oncologists use the clinical genomic analysis to create a personalized treatment plan. Our pediatric neurosurgeons collaborate closely with oncologists on treatment, which usually begins with a neurosurgical procedure. In order to provide guidance during surgery and work towards the best possible treatment results, our pediatric neurosurgeons use state-of-the-art techniques and tools like:

  • Minimally invasive approaches
  • Neuro-navigation, which is computer-assisted technology to guide the surgeon
  • Intraoperative MRI to check if all of the tumor has been removed during surgery
  • Intraoperative neuromonitoring for real-time feedback of the function of nerves, brain and spinal cord

Advances in radiation therapy and multi-agent chemotherapy are also contributing to better outcomes than in the past.

We offer a multidisciplinary, weekly brain tumor conference, dedicated to improving the lives of children with brain tumors. Our brain tumor team includes pediatric oncologists, neurologists, neurosurgeons and other pediatric medical specialists. Together, we can help your child get through treatment with as few side effects as possible.

Treatments we provide

Chemotherapy
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Chemotherapy refers to strong drug combinations to destroy cancer cells, with positive results in many children with brain tumors. Chemo can also be used to delay or eliminate the need for radiation treatment.

Radiation therapy
close icon

Radiation therapy is the use of high-energy X-rays to destroy rapidly multiplying cancer cells. It is very effective in treating many types of brain tumors.

Precision neurosurgery
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The newest surgical techniques use special devices to target tumors through 3D images of the brain. Intraoperative MRI is a powerful tool our neurosurgeons use in the removal of many types of brain tumors.

If your child has Ewing sarcoma, Helen DeVos Children's Hospital can provide care through our highly specialized pediatric and adolescent bone and sarcoma treatment team. This team includes the only two pediatric orthopedic oncology surgeons and the only sarcoma research oncologist in West Michigan. The bone and sarcoma multispecialty clinic allows patients to see a team of experts in a single visit. Our team is active in research to understand this cancer better and improve treatment options, as a member of the Sarcoma Alliance for Research through Collaboration and Children’s Oncology Group, among others. We offer the most current technology available to diagnose, treat, and beat, bone cancer.

Ewing sarcoma is a type of bone cancer that affects teens and young adults. It often develops along the spine and pelvis, or in the legs and arms.

Your child's care begins here

Our pediatric and adolescent bone and sarcoma treatment team focuses on children, teenagers and young adults because kids need a different treatment approach than adults when it comes to all cancers, including Ewing sarcoma. Through our multispecialty clinic, patients see a team of experts in single visit. All patients are reviewed in a multispecialty team conference that includes surgical, medical and radiation oncology, pathology, radiology and many other specialists. This team approach gives us a well-rounded perspective as we design the most powerful path to successfully treat your son or daughter. Each patient has a nurse navigator and leaves with a detailed verbal and written care plan—a road map for their cancer care.

When surgery is needed to remove tumors, we use the latest techniques to effectively remove the cancer. Our orthopedic oncology surgeons are also skilled at reconstructing complex areas, such as the spine and pelvis.

As a pediatric member of the national Sarcoma Alliance for Research through Collaboration, we’re also able to offer the latest clinical trials.

Treatments we provide

Chemotherapy
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Chemotherapy is an essential part of treating Ewing sarcoma. Powerful combinations of medicines attack cancer cells and prevent them from multiplying or spreading. Chemotherapy is often used in combination with radiation treatments.

Ewing sarcoma surgery
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Surgery to remove a tumor or group of tumors is often a first treatment step for Ewing sarcoma, whether it's localized or metastasized.

Radiation therapy
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Radiation is frequently used in addition to chemotherapy and surgery to ensure that any remaining cancer cells have been destroyed.

Our experienced pediatric oncology team can diagnose and treat all forms of childhood leukemia. We offer the latest in treatment options and national clinical trials for leukemia, as well as the only pediatric blood and bone marrow transplant program in West Michigan. Based on the type, your child’s age and many other factors, we’ll develop a personalized plan for your son or daughter, with the ultimate goal of a cure.

Leukemia refers to cancers of the white blood cells. The body produces large numbers of abnormal (leukemia) white blood cells, which crowd out the normal bone marrow and spread into the bloodstream. Leukemia is the most common form of childhood cancer, but most forms are also highly curable.

Your child's care begins here

When your child is facing a diagnosis of leukemia, you can trust the pediatric oncology team at Helen DeVos Children's Hospital. Our children's oncologists, nurses, pharmacists, social workers and other family-centered health care professionals focus their efforts on providing the most effective treatment possible.

Chemotherapy is the main treatment for childhood leukemia. Other treatments include radiation therapy and highly targeted immune and biologic therapies. A stem cell (blood or bone marrow) transplant may also be needed. If so, our blood and bone marrow transplant program is accredited by the Foundation for the Accreditation of Cellular Therapy (FACT), which means that we meet or exceed rigorous national quality standards for patient care and cell therapy treatments.

Treatments we provide

Chemotherapy
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During chemotherapy, intravenous, oral or injected medicines are used to destroy leukemia cells throughout the body.

Radiation therapy
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A radiation oncologist will determine the type and dose of radiation that's best and safest for your child, if this treatment is necessary.

Stem cell (bone marrow) transplant
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This process delivers healthy bone marrow (stem cells) to restore bone marrow function. Before the transplant, intensive chemotherapy treatment is needed to destroy as many cancer cells as possible which sets the stage for new bone marrow recovery.

Targeted therapies
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In a targeted therapy, specific immune and biologic medications are used to "tag" and attack cancer cells without injuring normal cells.

Our experienced pediatric oncology team is skilled in the diagnosis and treatment of both Hodgkin's and non-Hodgkin's lymphoma in children. We offer the very latest in treatment options and national clinical trials, and will develop a personalized plan for your son or daughter, with the goal of remission and a cure.

The term lymphoma refers to cancers that arise in the lymph nodes and lymphatic tissues. Lymphomas can be Hodgkin's or non-Hodgkin's, depending on the biology of the cancerous cells. Symptoms include swollen glands, unexplained cough, fever, weight loss, night sweats or shortness of breath. Lymphomas are the third most common cancer in children, but cure rates for most children are also very high.

Your child's care begins here

At Helen DeVos Children's Hospital, our children's cancer team knows that treating a child who has lymphoma is very different than treating an adult. Our goal is to find the most effective treatment for your child with the smallest long-term impact on his or her growing body.

We are proud to be part of nationwide research in the most promising new treatments for childhood lymphomas. Many new immune therapies can more directly target lymphoma cells, avoiding damage to normal, non-cancerous body tissues. Kids with lymphoma sometimes receive immunotherapy along with long established treatments such as chemotherapy and radiation.

Treatments we provide

Chemotherapy
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Chemotherapy refers to very potent drug combinations to destroy cancer cells. This is the primary treatment for all types of lymphoma.

Radiation therapy
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Radiation uses high-energy X-rays to shrink groups of cancer cells and prevent lymphoma cells from growing. Radiation is used to treat some types of lymphoma, usually in combination with chemotherapy.

Targeted therapies
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In a targeted therapy, specific immune and biologic medications are used to "tag" and attack cancer cells without injuring normal cells.

Our multidisciplinary team of experienced children’s cancer professionals at Helen DeVos Children’s Hospital is uniquely qualified to provide hope and healing for children with high-risk cancers such as neuroblastoma. We are actively involved in ground-breaking research to further understand neuroblastoma and are proud to be at the forefront of advanced personalized medicine with national collaborations that are moving this research forward. This means we can offer your child and family leading-edge treatments for his or her specific genetic analysis that are showing the most encouraging results.

Neuroblastoma is a rare form of cancer that usually affects infants and young children. It is a solid cancerous tumor that typically starts in the tissue of the adrenal glands or spinal nerves, and then spreads to other parts of the body. Neuroblasts are immature nerve cells found in unborn babies. Normal neuroblasts mature into nerve cells or adrenal medulla cells, which are cells found in the center of the adrenal gland. Neuroblastoma forms when neuroblasts don’t mature properly. Sometimes, babies are born with small clusters of neuroblasts that eventually mature into nerve cells and do not become cancer. A neuroblast that does not mature can continue to grow, forming a mass called a tumor. With improved treatment, more and more children with neuroblastoma have a good chance of remission and a cure.

Your child's care begins here

Our Haworth Innovative Therapeutics Clinic is a leader in precision medicine for childhood cancer. We are proud to offer young patients access to clinical trials and the latest treatment strategies for neuroblastoma. If surgery is needed as part of treatment, we collaborate with our pediatric surgeons and neurosurgeons, who are skilled at helping kids of all ages.

Treatments we provide

Chemotherapy
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Your child will likely require chemotherapy before and/or after surgery. If the primary tumor cannot be removed surgically, chemotherapy may become the main treatment.

Immunotherapy ("Antibody therapy")
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Special antibodies are used to direct and stimulate the immune system so it can attack the neuroblastoma cancer cells.

Radiation therapy
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Radiation uses powerful X-rays to destroy neuroblastoma cells remaining after chemotherapy and surgery.

Retinoid therapy
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In children with high-risk neuroblastoma, a drug related to vitamin A can help cancer cells turn into mature nerve cells, and prevent the cancer from growing or spreading.

Surgery
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Most children with neuroblastoma will need the primary tumor removed surgically. Surgery is sometimes the only treatment needed if tumors are small and the cancer hasn't spread.

If your child is diagnosed with osteosarcoma, Helen DeVos Children's Hospital can provide a highly specialized pediatric and adolescent bone and sarcoma treatment team, including the only two pediatric orthopedic oncology surgeons in West Michigan. The bone and sarcoma multispecialty clinic allows patients to see a team of experts in a single visit. We offer the newest therapies and technology available to diagnose and treat bone cancer. Our team is also active in research to understand this cancer better and improve treatment options, as a member of the Sarcoma Alliance for Research through Collaboration and Children’s Oncology Group, among others.

Osteosarcoma is the most common bone cancer, often diagnosed in teenagers and young adults. Symptoms may include bone pain or a mass on an arm or leg. Chemotherapy is the main treatment, along with surgery to remove the primary tumor. Most children and teens can fully recover from osteosarcoma.

Your child's care begins here

Our pediatric and adolescent bone and sarcoma treatment team focuses on children, teenagers and young adults because kids need a different treatment approach than adults when it comes to all cancers, including osteosarcoma. We start with X-ray, MRI, diagnostic bone scan and bone biopsies. Through our multispecialty clinic, patients see a team of experts in single visit. All patients are reviewed in a multispecialty team conference that includes surgical, medical and radiation oncology, pathology, radiology and many other specialists. Each patient has a nurse navigator and leaves with a detailed verbal and written care plan—a road map for their cancer care—that has been decided on together as a team.

When surgery is needed to remove tumors, we use the latest techniques to effectively remove the cancer. Our orthopedic oncology surgeons are also skilled at reconstructing complex areas, such as the spine and pelvis. We’re researching new combinations of chemotherapy and localized radiation to focus more specifically on the cancerous cells.

As a pediatric member of the national Sarcoma Alliance for Research through Collaboration, we’re able to offer the latest clinical trials. We’re also researching new combinations of chemotherapy and localized radiation to focus more specifically on the cancerous cells.

Treatments we provide

Chemotherapy
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Chemotherapy is usually given both before and after surgery. Chemotherapy kills pockets of cancer cells in the body, including those too small to show on medical scans.

External radiation therapy/localized radiation
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Radiation using high-energy X-rays may be used in addition to surgery, to ensure that any remaining cancer cells have been destroyed. Localized radiation can attack specific malignant cells that may remain after surgery and has fewer side effects than conventional radiation. Radiation is used in certain, isolated cases, but chemotherapy and surgery are the main treatment strategies for bone cancer in children.

Surgery
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Surgery can often effectively remove bone cancer. Wherever possible, we use surgical techniques that avoid amputation and save a limb. Our orthopedic oncology surgeons safely remove the cancer and often work with other pediatric specialists (sports medicine surgeons, plastic surgeons, etc.) to reconstruct limbs to maximize function.

Our care team

Our pediatric hematology/oncology team is led by a dedicated group of board-certified physicians with expertise in pediatric hematology/oncology, internal medicine and pediatrics. As a teaching hospital, physicians are sometimes accompanied by fellows, residents or medical students. We work closely with colleagues from many specialties across Helen DeVos Children's Hospital, including radiation oncologists and pediatric intensive care physicians.

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Pediatric oncologist

I lead the collaboration of the care team, order tests or imaging and develop the care plan.

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Pharmacist

I work with your providers for safe delivery of complex medications as part of your care plan.

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Advanced practice provider

I work with the pediatric oncologists to provide care and am specially trained for sedated procedures.

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Child life specialist

I help patients with coping mechanisms for their medical conditions.

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Registered nurse

I am certified and trained to obtain medical history and administer medication from the care plan.

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Medical assistant

I help patients check in, check vital signs and collect blood or urine.

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Social worker

I provide support to patients and families, helping with mental and emotional care, as well forms and insurance.

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Teacher

I provide educational opportunities and bridge gaps between schools and families during treatment.

Our hospital environment

We have a floor specifically for inpatient oncology care. Care is directed by physicians who round daily and provided by nurses and nurse technicians. Most of our nurses are certified pediatric hematology oncology nurses, a national recognition of their additional training and expertise in caring for children with cancer. We have certified child life specialists and assistants who support patients, families and siblings through diagnosis and treatment, as well as engage children through play and music therapy. To help children keep up with academically while in the hospital for an extended time, we have a school program led by a Michigan-certified teacher.

For the health and safety of our patients on the oncology floor, all visitors are required to participate in a healthy visitor screening before they enter the unit.

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