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September 14, 2026Expert Review of Anticancer Therapy

Overcoming emerging challenges in childhood cancer survivorship: a spotlight on pediatric CNS tumors

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Authors

ESElisabetta SchiavelloVBVeronica BiassoniONOlga Nigro

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Overview

Narrative review reveals high burden of multisystem late effects in pediatric central nervous system tumor survivors, highlighting the need for risk-adapted lifelong care.

Key Points

  • To summarize the multisystem late toxicities, surveillance guidelines, and emerging survivorship challenges associated with multimodal therapy in pediatric central nervous system tumor survivors.
  • Reviewed clinical evidence detailing organ-specific late toxicities associated with surgery, radiotherapy, chemotherapy, and novel targeted agents.
  • Synthesized current surveillance recommendations, intervention strategies, and risk-adapted models for transitioning survivors into adult healthcare systems.
  • Pediatric central nervous system tumor survivors experience substantial long-term morbidity, including endocrine deficiency, impaired fertility, neurocognitive decline, secondary malignancies, ototoxicity, and cardiovascular disorders.
  • Emerging targeted therapies and immunotherapies present novel, incompletely defined late toxicities that require updated, individualized monitoring protocols.
  • Comprehensive, multidisciplinary survivorship clinics and structured transition programs are critical to improving quality of survival alongside curative outcomes.

Cite This Study

Schiavello et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b3580926e14a848b239ehttps://doi.org/10.1080/14737140.2026.2730176
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Also Consider

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  4. 4Neurocognitive Late Effects Among Childhood Cancer Survivors: A Holistic Review of Clinical Risk Factors.2026
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