{"id":2609,"date":"2019-02-19T16:23:46","date_gmt":"2019-02-19T15:23:46","guid":{"rendered":"https:\/\/drluismadero.com\/pediatric-oncology\/clinical-work\/"},"modified":"2019-02-19T18:01:39","modified_gmt":"2019-02-19T17:01:39","slug":"clinical-work","status":"publish","type":"page","link":"https:\/\/drluismadero.com\/en\/pediatric-oncology\/clinical-work\/","title":{"rendered":"CLINICAL WORK"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2609\" class=\"elementor elementor-2609 elementor-1015 elementor-bc-flex-widget\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-26a6f239 elementor-section-stretched elementor-section-full_width elementor-section-height-full elementor-hidden-tablet elementor-hidden-phone elementor-section-height-default elementor-section-items-middle\" data-id=\"26a6f239\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-ada68fe\" data-id=\"ada68fe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-143b4f8e\" data-id=\"143b4f8e\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ce6081 elementor-widget elementor-widget-spacer\" data-id=\"2ce6081\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-47d3f28 elementor-widget elementor-widget-image\" data-id=\"47d3f28\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"250\" height=\"13\" src=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/04\/l-madero-250x13.png\" class=\"attachment-large size-large wp-image-2505\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-76fb0969 elementor-widget elementor-widget-heading\" data-id=\"76fb0969\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">CLINICAL WORK<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7dcdc851 elementor-widget elementor-widget-heading\" data-id=\"7dcdc851\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">The ultimate goal is<BR>to cure as many children<BR>as possible<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-33439aa elementor-widget elementor-widget-spacer\" data-id=\"33439aa\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2b1d535f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b1d535f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d2bcc73\" data-id=\"d2bcc73\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cd0e828 elementor-widget elementor-widget-image\" data-id=\"cd0e828\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"350\" height=\"197\" src=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/04\/2.png\" class=\"attachment-full size-full wp-image-2507\" alt=\"\" srcset=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/04\/2.png 350w, https:\/\/drluismadero.com\/archivos\/img\/2018\/04\/2-300x169.png 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-2d8c7a8b\" data-id=\"2d8c7a8b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bda2577 elementor-section-stretched elementor-section-full_width elementor-section-height-min-height elementor-hidden-desktop elementor-section-height-default elementor-section-items-middle\" data-id=\"bda2577\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-febf61b\" data-id=\"febf61b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0d221a7\" data-id=\"0d221a7\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a91998 elementor-widget elementor-widget-spacer\" data-id=\"2a91998\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1aaa2df elementor-widget elementor-widget-image\" data-id=\"1aaa2df\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"250\" height=\"13\" src=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/04\/l-madero-250x13.png\" class=\"attachment-large size-large wp-image-2505\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b8c606 elementor-widget elementor-widget-heading\" data-id=\"2b8c606\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">CLINICAL WORK<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0289021 elementor-widget elementor-widget-heading\" data-id=\"0289021\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">The ultimate goal is<BR>to cure as many children<BR>as possible<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-52ca311 elementor-widget elementor-widget-spacer\" data-id=\"52ca311\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7a3e123 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7a3e123\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ce6c449\" data-id=\"ce6c449\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-df0c9f7\" data-id=\"df0c9f7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ff5cd3 elementor-widget elementor-widget-image\" data-id=\"6ff5cd3\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"350\" height=\"197\" src=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/04\/2.png\" class=\"attachment-full size-full wp-image-2507\" alt=\"\" srcset=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/04\/2.png 350w, https:\/\/drluismadero.com\/archivos\/img\/2018\/04\/2-300x169.png 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ed74c24 elementor-section-stretched elementor-section-full_width elementor-hidden-tablet elementor-hidden-phone elementor-section-height-default elementor-section-height-default\" data-id=\"ed74c24\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-08decb7 elementor-invisible\" data-id=\"08decb7\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e671b9c elementor-widget elementor-widget-heading\" data-id=\"e671b9c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OUR GLOBAL AIM<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0021c8 elementor-widget elementor-widget-text-editor\" data-id=\"f0021c8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dr. Madero works with a wide, multidisciplinary team of healthcare professionals. Their global aim is not only to cure as many children with cancer as possible, but also to ensure good quality of life for cured children, minimizing their long-term sequelae.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-49821c2 elementor-widget elementor-widget-heading\" data-id=\"49821c2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OUR COMMITMENT TO CURE CHILDHOOD CANCER<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2aa120e elementor-widget elementor-widget-text-editor\" data-id=\"2aa120e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Over the last years, childhood cancer has become increasingly relevant in the field of Pediatrics. The mortality rates caused by other diseases has decreased, giving malignancies a higher qualitative relevance among childhood diseases. In fact, cancer is currently the second most frequent cause of death in children older than one year. (Of note: the most frequent cause are accidents, including intoxication accidents, trauma injuries and child abuse).<\/p>\n<p>Since 1980, there is a national registry for childhood cancer patients in Spain (\u201cRegistro Nacional de Tumores Infantiles\u201d), which provides epidemiological data about pediatric malignancies.<\/p>\n<p>The incidence of the different types of pediatric malignancies in Spain is shown in this <a href=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/02\/cancer-infantil-en-espa%C3%B1a-1980-2016.pdf\" target=\"_blank\" rel=\"noopener\">table<\/a>.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9a93b6 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"e9a93b6\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon elementor-animation-grow\" href=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/02\/cancer-infantil-en-espa%C3%B1a-1980-2016.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<i class=\"fa fa-file-pdf-o\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e07a533 elementor-widget elementor-widget-heading\" data-id=\"e07a533\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DIFFERENT TYPES OF CHILDHOOD CANCER<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-85e12e1 elementor-widget elementor-widget-text-editor\" data-id=\"85e12e1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Leukemia accounts for over one third of childhood malignancies, while it only accounts for less than 5% of adult malignancies. Pediatric tumors are most frequently located in deep anatomic sites, they do not involve the epithelia, and they do not usually cause superficial bleeding nor tumor cells exfoliation. Therefore, some of the screening methods used in adults are not applicable to children. Most pediatric patients with cancer are diagnosed by accident, and very often at advanced disease stages.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a2b9cbd elementor-align-left elementor-widget elementor-widget-button\" data-id=\"a2b9cbd\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/drluismadero.com\/en\/pediatric-oncology\/clinical-work\/cancer-types\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-info-circle\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">MORE<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-91bac0c elementor-widget elementor-widget-heading\" data-id=\"91bac0c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DIFFERENCES BETWEEN CHILDHOOD CANCER AND ADULT CANCER<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b7ead0 elementor-widget elementor-widget-text-editor\" data-id=\"1b7ead0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Fortunately, the incidence of cancer in children (0-15 years old) is far lower than in adults. Moreover, it is important to highlight the significant differences between pediatric and adult malignancies. The most common histological types in children are embryonal tumors and sarcomas, as opposed to carcinomas in adults.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c21430 elementor-widget elementor-widget-heading\" data-id=\"2c21430\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">ADOLESCENTS AND YOUNG ADULTS ONCOLOGY<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-577883b elementor-widget elementor-widget-text-editor\" data-id=\"577883b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Over the last years, the so-called \u201cAdolescents and Young Adults Oncology\u201d has become an emerging discipline.<\/p>\n<p>There is an increasing awareness among oncologists about the special care that this age group requires. In the past, there has been a strict division between pediatric and adult oncology, leaving 15-24 year-old patients in between, in a \u201cno-man\u2019s land\u201d.<\/p>\n<p>I strongly believe that pediatric and adult oncologists should work together to develop a specific frame for these patients, attending to their biological and psychosocial needs. This collaboration will promote the setup of new protocols for adolescents and young adults with cancer, and their inclusion in clinical trials.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-11311cb\" data-id=\"11311cb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f949528 elementor-section-stretched elementor-section-full_width elementor-hidden-desktop elementor-section-height-default elementor-section-height-default\" data-id=\"f949528\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-38e0f3f elementor-invisible\" data-id=\"38e0f3f\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-39dc3bf elementor-widget elementor-widget-heading\" data-id=\"39dc3bf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OUR GLOBAL AIM<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4209528 elementor-widget elementor-widget-text-editor\" data-id=\"4209528\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dr. Madero works with a wide, multidisciplinary team of healthcare professionals. Their global aim is not only to cure as many children with cancer as possible, but also to ensure good quality of life for cured children, minimizing their long-term sequelae.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-855cc71 elementor-widget elementor-widget-heading\" data-id=\"855cc71\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OUR COMMITMENT TO CURE CHILDHOOD CANCER<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb884f1 elementor-widget elementor-widget-text-editor\" data-id=\"bb884f1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Over the last years, childhood cancer has become increasingly relevant in the field of Pediatrics. The mortality rates caused by other diseases has decreased, giving malignancies a higher qualitative relevance among childhood diseases. In fact, cancer is currently the second most frequent cause of death in children older than one year. (Of note: the most frequent cause are accidents, including intoxication accidents, trauma injuries and child abuse).<\/p>\n<p>Since 1980, there is a national registry for childhood cancer patients in Spain (\u201cRegistro Nacional de Tumores Infantiles\u201d), which provides epidemiological data about pediatric malignancies.<\/p>\n<p>The incidence of the different types of pediatric malignancies in Spain is shown in this <a href=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/02\/cancer-infantil-en-espa%C3%B1a-1980-2016.pdf\" target=\"_blank\" rel=\"noopener\">table<\/a>.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f552057 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"f552057\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon elementor-animation-grow\" href=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/02\/cancer-infantil-en-espa%C3%B1a-1980-2016.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<i class=\"fa fa-file-pdf-o\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b26fa3 elementor-widget elementor-widget-heading\" data-id=\"1b26fa3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DIFFERENT TYPES OF CHILDHOOD CANCER<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a97678f elementor-widget elementor-widget-text-editor\" data-id=\"a97678f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Leukemia accounts for over one third of childhood malignancies, while it only accounts for less than 5% of adult malignancies. Pediatric tumors are most frequently located in deep anatomic sites, they do not involve the epithelia, and they do not usually cause superficial bleeding nor tumor cells exfoliation. Therefore, some of the screening methods used in adults are not applicable to children. Most pediatric patients with cancer are diagnosed by accident, and very often at advanced disease stages.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-66555aa elementor-align-left elementor-widget elementor-widget-button\" data-id=\"66555aa\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/drluismadero.com\/en\/pediatric-oncology\/clinical-work\/cancer-types\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-info-circle\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">MORE<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-108058c elementor-widget elementor-widget-heading\" data-id=\"108058c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DIFFERENCES BETWEEN CHILDHOOD CANCER AND ADULT CANCER<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4466e70 elementor-widget elementor-widget-text-editor\" data-id=\"4466e70\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Fortunately, the incidence of cancer in children (0-15 years old) is far lower than in adults. Moreover, it is important to highlight the significant differences between pediatric and adult malignancies. The most common histological types in children are embryonal tumors and sarcomas, as opposed to carcinomas in adults.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ddb79b9 elementor-widget elementor-widget-heading\" data-id=\"ddb79b9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">ADOLESCENTS AND YOUNG ADULTS ONCOLOGY<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571e4a8 elementor-widget elementor-widget-text-editor\" data-id=\"571e4a8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Over the last years, the so-called \u201cAdolescents and Young Adults Oncology\u201d has become an emerging discipline.<\/p>\n<p>There is an increasing awareness among oncologists about the special care that this age group requires. In the past, there has been a strict division between pediatric and adult oncology, leaving 15-24 year-old patients in between, in a \u201cno-man\u2019s land\u201d.<\/p>\n<p>I strongly believe that pediatric and adult oncologists should work together to develop a specific frame for these patients, attending to their biological and psychosocial needs. This collaboration will promote the setup of new protocols for adolescents and young adults with cancer, and their inclusion in clinical trials.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ec1dc8 elementor-widget elementor-widget-image\" data-id=\"3ec1dc8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1920\" height=\"1080\" src=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/02\/asistencia-fondo1.jpg\" class=\"attachment-large size-large wp-image-2475\" alt=\"\" srcset=\"https:\/\/drluismadero.com\/archivos\/img\/2018\/02\/asistencia-fondo1.jpg 1920w, https:\/\/drluismadero.com\/archivos\/img\/2018\/02\/asistencia-fondo1-300x169.jpg 300w, https:\/\/drluismadero.com\/archivos\/img\/2018\/02\/asistencia-fondo1-768x432.jpg 768w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>CLINICAL WORK The ultimate goal is to cure as many children as possible CLINICAL WORK The ultimate goal is to cure as many children as possible OUR GLOBAL AIM Dr. Madero works with a wide, multidisciplinary team of healthcare professionals. Their global aim is not only to cure as many children with cancer as possible, &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"CLINICAL WORK\" class=\"read-more button\" href=\"https:\/\/drluismadero.com\/en\/pediatric-oncology\/clinical-work\/#more-2609\" aria-label=\"Read more about CLINICAL WORK\">Leer m\u00e1s<\/a><\/p>\n","protected":false},"author":455,"featured_media":0,"parent":2584,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"generate_page_header":"","footnotes":""},"class_list":["post-2609","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>CLINICAL WORK CHILDHOOD CANCER | DR. LUIS MADERO<\/title>\n<meta name=\"description\" content=\"Dr. Madero works with a wide, multidisciplinary team of healthcare professionals. 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