Chemotherapy

Nemours Center for Cancer and Blood Disorders in the Delaware Valley and Florida

Chemotherapy Locations

 
Wilmington, Del.

Nemours/Alfred I. duPont Hospital for Children

1600 Rockland Road
Wilmington, DE 19803
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For Appointments: (800) 416-4441


Pediatric Chemotherapy Treatment Highlights

Our chemotherapy treatment highlights include:

  • dedicated staff of oncologists and chemotherapy-certified pediatric nurses (most of whom are also nationally certified in pediatric oncology and hematology)
  • chemotherapy treatment for noncancerous disorders such as bone marrow failure syndromes, immune system problems and inflammatory disorders
  • standard of care and clinical trial participation as part of the Children’s Oncology Group (COG) (the world's largest organization devoted exclusively to pediatric cancer research)
  • compassionate nurse coordinators and social workers provide treatment education, tips to manage side effects and resources for your child and family
  • kid-friendly, outpatient chemotherapy infusion suite equipped with computers, TVs, DVDs, toys and age-appropriate video games to keep children and teens occupied during treatment
  • late-effects clinic provides ongoing follow-up medical care for children and families dealing with the effects of chemotherapy treatment
  • active Child Life and volunteer program offering play therapy, art therapy and more during treatment
  • support services such as physical therapy, occupational therapy and nutrition
Support Services for Your Family

Nemours provides an array of support services to help your child and family throughout the entire journey. Our supportive care begins on the very first day we meet, and continues beyond treatment because at Nemours, your child and family become part of our own.

Our services include: 

  • patient and family education
  • social work
  • mental health counseling
  • support groups
  • survivorship programs
  • transition of care

Learn More About All of Our Nemours Center for Cancer and Blood Disorders Facilities and Services in Delaware »

 
Orlando, Fla.

Nemours Children's Hospital, Orlando

13535 Nemours Parkway
Orlando, FL 32827
Get Map & Directions »
Learn More About This Location »

For Appointments: (407) 650-7715


Pediatric Chemotherapy Treatment Highlights

Our chemotherapy treatment highlights include:

  • dedicated staff of oncologists and chemotherapy-certified pediatric nurses (most of whom are also nationally certified in pediatric oncology and hematology)
  • chemotherapy treatment for noncancerous disorders such as bone marrow failure syndromes, immune system problems and inflammatory disorders
  • standard of care and clinical trial participation as part of the Children’s Oncology Group (COG) (the world's largest organization devoted exclusively to pediatric cancer research)
  • compassionate nurse coordinators and social workers provide treatment education, tips to manage side effects and resources for your child and family
  • outpatient chemotherapy infusion suite (equipped with computers, TVs, DVDs, toys and age-appropriate video games to keep children and teens occupied during treatment) that overlooks a beautiful rooftop garden
  • late-effects clinic provides ongoing follow-up medical care for children and families dealing with the effects of chemotherapy treatment
  • active Child Life and volunteer program offering play therapy, art therapy and more during treatment
Support Services for Your Family

Nemours provides an array of support services to help your child and family throughout the entire journey. Our supportive care begins on the very first day we meet, and continues beyond treatment because at Nemours, your child and family become part of our own.

Our services include:

  • patient and family education
  • social work
  • mental health counseling
  • support groups
  • survivorship programs
  • transition of care

Learn More About All of Our Nemours Center for Cancer and Blood Disorders Facilities and Services in Orlando »

 
Jacksonville, Fla.

Nemours Children's Specialty Care, Jacksonville

807 Children’s Way
Jacksonville, FL 32207
Get Map & Directions »

For Appointments: (904) 697-3789

Hours: Monday–Friday, 8 a.m. to 5 p.m.
Learn More About This Location »


Pediatric Chemotherapy Treatment Highlights

Our chemotherapy treatment highlights include:

  • collaboration with our pediatric partner and neighbor Wolfson Children’s Hospital
  • dedicated staff of chemotherapy oncologists and chemotherapy-certified pediatric nurses (most of them also certified in oncology and hematology)
  • chemotherapy treatment for noncancerous disorders such as bone marrow failure syndromes, immune system problems and inflammatory disorders
  • standard of care and clinical trial participation as part of the Children’s Oncology Group (COG) (the world's largest organization devoted exclusively to pediatric cancer research)
  • compassionate nurse coordinators and social workers provide treatment education, tips to manage side effects and resources for your child and family
  • outpatient chemotherapy infusion suite with floor-to-ceiling windows for natural light
  • kid-friendly atmosphere equipped with computers, iPads, TVs, DVDs, toys and age-appropriate video games to keep children occupied
  • late-effects clinic provides ongoing follow-up medical care for children and families dealing with the effects of chemotherapy treatment
  • active Child Life and volunteer program offering play therapy, art therapy and more during treatment
Support Services for Your Family

Nemours provides an array of support services to help your child and family throughout the entire journey. Our supportive care begins on the very first day we meet, and continues beyond treatment because at Nemours, your child and family become part of our own.

Our services include: 

  • patient and family education
  • social work
  • mental health counseling
  • support groups
  • survivorship programs
  • transition of care

Learn More About All of Our Nemours Center for Cancer and Blood Disorders Facilities and Services in Jacksonville »

 
Pensacola, Fla.

Nemours Children's Specialty Care, Pensacola

5153 N. Ninth Ave.
Pensacola, FL 32504
Get Map & Directions »

For Appointments: (850) 505-4790

Hours: Monday–Friday, 8 a.m. to 5 p.m. (Central Time)
Learn More About This Location »


Pediatric Chemotherapy Treatment Highlights

Our chemotherapy treatment highlights include:

  • collaboration with our pediatric partner and neighbor Children’s Hospital at Sacred Heart (in the Dr. Thomas G. Jenkins Pediatric Oncology Unit)
    dedicated staff of chemotherapy oncologists and chemotherapy-certified pediatric nurses (most of them also certified in oncology and hematology)
  • chemotherapy treatment for noncancerous disorders such as bone marrow failure syndromes, immune system problems and inflammatory disorders
  • standard of care and clinical trial participation as part of the Children’s Oncology Group (COG) (the world's largest organization devoted exclusively to pediatric cancer research)
  • compassionate nurse coordinators and social workers provide treatment education, tips to manage side effects and resources for your child and family
  • kid-friendly, outpatient chemotherapy infusion suite equipped with computers, TVs, DVDs, toys and age-appropriate video games to keep children occupied during treatment
  • active Child Life and volunteer program offering play therapy, art therapy and more during treatment
Support Services for Your Family

Nemours provides an array of support services to help your child and family throughout the entire journey. Our supportive care begins on the very first day we meet, and continues beyond treatment because at Nemours, your child and family become part of our own.

Our services include: 

  • patient and family education
  • social work
  • mental health counseling
  • support groups
  • survivorship programs
  • transition of care

Learn More About All of Our Nemours Center for Cancer and Blood Disorders Facilities and Services in Pensacola »

About Pediatric Chemotherapy

Savannah was diagnosed with kidney cancer when she was 2 years old and received chemotherapy as part of her treatment.

One way to treat childhood cancer is by giving chemotherapy. Chemotherapy is a term for medicines that kill cancer cells and stop their growth. There are many different kinds of chemotherapy. At Nemours Center for Cancer and Blood Disorders, we use the very best available chemotherapy to treat cancers.

This is called the “standard  treatment,” which is based on results of clinical trial protocols through the Children’s Oncology Group (COG). We also offer ongoing treatment in clinical trials. Clinical trials are designed to look at single-drug or combination-drug therapy to maximize drug effectiveness while minimizing side effects and improving cure rate.

How Chemotherapy Works

Chemotherapy medications eliminate the ability for the cancer cells to divide and survive. Most treatments regimens use several kinds of chemotherapy agents. These agents use different actions and stop cell growth in different ways to offer a more powerful effect. Chemotherapy is used in the treatment  of many childhood cancers, particularly leukemias and lymphomas.

Chemotherapy is also used to:
  • increase the effectiveness of other cancer treatments (called “adjuvant therapy,” it’s given after radiation therapy and surgery)
  • prepare for other curative treatments (called “neoadjuvant therapy,” it decreases tumor size to make surgery a safer, more viable option)
  • control cancer and improve quality of life (called “palliative chemotherapy”)

Chemotherapy for Noncancerous Childhood Disorders

Chemotherapy drugs can also be used alone or as part of a treatment plan for nonmalignant (noncancerous) pediatric conditions such as blood and autoimmune disorders.

For example:
  • chemotherapy for bone marrow failure syndromes  (e.g., blood and bone marrow transplant for myelodysplastic syndrome)
  • low-dose chemotherapy to treat childhood immune system and inflammatory disorders (like rheumatoid arthritis)

What to Expect With Chemotherapy

Chemotherapy treatment depends on the type and severity of the cancer, your child’s age, health status and past cancer treatments. It may be prescribed for several weeks, months or more, depending on the best known treatment for your child’s cancer.

How Chemotherapy Is Administered

Chemotherapy can be given in different ways. Systemic approaches (throughout the entire body) are delivered:

  • intravenously (through an IV — infused into a vein either in the arm or through a device surgically inserted into a large vein in the chest, such as a central line or a subcutaneous port)
  • orally (swallowed as a pill or liquid)
  • intramuscularly (injected into the muscle)
  • subcutaneously (injected between the skin and muscle)

In some cases, chemotherapy medicines may be delivered locally (often with less systemic side effects), such as:

  • into specific body areas (injected into the abdomen, chest cavity, central nervous system, bladder)
  • directly to cancer (surgical implantation or through arteries that feed the tumor)

Side Effects of Chemotherapy in Children

The side effects of chemotherapy medicines are better tolerated than they used to be. Today we have many options to prevent or alleviate the many of the side effects, especially nausea and vomiting. With the right approach, we’re better able to manage the side effects of chemotherapy while maintaining its effectiveness.

Most children experience at least some of the common side effects of chemotherapy. At Nemours, we have the support programs in place to help your child and family manage and treat symptoms due to:

  • anemia (low red blood count)
  • nausea
  • vomiting
  • fatigue
  • muscle aches and pain
  • infections
  • diarrhea
  • constipation
  • mouth sores
  • hair loss
  • bruising and bleeding
  • sleep problems

Late Effects of Chemotherapy in Children

Cancer survivors may experience side effects that develop after chemotherapy treatment (called “late effects”). It’s important to continue follow-up care so we can monitor and treat symptoms and conditions that may arise after treatment.

Some late effects of chemotherapy in children include:
  • nerve damage
  • heart problems
  • lung problems
  • kidney problems
  • growth disorders
  • learning disabilities
  • infertility
  • risk of another cancer

Resources

Appointments & Referrals

Delaware, Pennsylvania & New Jersey

(800) 416-4441


Florida
Jacksonville Area

(904) 697-3789

Orlando Area

(407) 650-7715

Pensacola Area

(850) 505-4790

Learn About Our Locations »


International
Patients

+1 (302) 651-4993

View Videos

See how our comprehensive care and research impact the children and families we treat: