Support Services for Solid Tumor Patients



Surgery

St. Jude’s Department of Surgery combines state-of-the-art, cutting-edge surgical care with clinical and basic research. Due to St. Jude’s unique nature, the department trains surgeons from all over the world in surgery for cancer in children.

The Department of Surgery has nine divisions, which actively collaborate in clinical research projects throughout St. Jude:

St. Jude surgeons have particular expertise in surgery for:


Diagnostic Pathology

St. Jude’s Department of Pathology provides expertise in the area of tissue diagnosis which allows for proper treatment of childhood solid tumors. Pathologists use the latest technology, including immunohistochemical and molecular studies, to review each case. The pathology team works closely with the entire team of doctors to ensure that each patient receives the proper treatment for their type of cancer.


Radiological Sciences

Children treated at St. Jude are often evaluated by X-ray, ultrasound, MRI, CT, and nuclear medicine studies at frequent intervals during and after treatment. These imaging examinations allow the radiologist to view the aggressiveness of the tumor and affected body systems. This information is reviewed by the St. Jude Solid Tumor Team at weekly meetings and helps them plan the management of the patient receiving therapy.

More about Radiological Sciences


Ophthalmology Clinic

St. Jude Children’s Research Hospital’s ophthalmology clinic offers specialty care for solid tumor patients with retinoblastoma and other cancers that affect vision.

Eye clinics are held daily in the St. Jude Eye Clinic and surgery is performed onsite in St. Jude’s Department of Surgery.

The St. Jude eye Clinic is well known for being an expert in the diagnosis and treatment of tumors that involve the eye, especially retinoblastoma. It also offers expertise in tumors that affect eye movement and the nerves of the eye.

The ophthalmology service is dedicated to providing full eye care and works with St. Jude researchers to find improved ways of diagnosing and treating cancers of the eye.


Endocrine Services

Children and adolescents with solid tumors often require evaluation and treatment for endocrine system dysfunction. The endocrine system controls the body’s hormones.

Common clinical problems include growth hormone deficiency, central hypothyroidism (a deficiency in the thyroid gland, a condition characterized by lowered metabolic rate and loss of vigor), delayed or early puberty, and obesity syndromes. Our patients are routinely referred to the endocrinologist who follows them on a regular basis. Specific therapy is initiated if and when it is necessary for a specific child.

More about the Division of Endocrinology


Psychology

The Department of Psychology works with the Solid Tumor Division to help improve the health and the quality of life of each patient/family through assessment, consultation, and intervention services. Specifically, psychology often will assess the child/family’s social, emotional, and behavioral functioning. Individualized interventions are provided to help guide the patient/family to improve any problems with social, emotional and behavioral functioning. Psychology also helps with non-medication related pain management.

Psychology also may assess a patient’s attention, memory, problem solving skills, ability to understand language, decision making ability, social and personal behaviors, intelligence, and/or psychological functioning. The information gathered by the psychology team can be used to obtain proper school services, help teen patients with college/career planning, and to assist the Solid Tumor Team in understanding the developmental/mental functioning level of the patient.


Rehabilitation Services

Treatment for solid tumors can sometimes cause physical or communication problems that can limit the patient in being able to participate in daily activities. Correcting these problems can allow the patient to communicate better, care for themselves, and actively participate in daily activities of life. Rehabilitation services include:

If the patient needs rehabilitation services, they will first be evaluated by one or more of these professionals. Goals and treatment plans are then made specifically for that patient. Treatments are provided here at St. Jude, but in some cases, the therapist may work with a therapist near the patient’s home after the patient has gone home. The goal of the staff in Rehabilitation Services is to help the patient achieve the highest level of function possible to improve their quality of life and to make it possible to participate in everyday activities of life.


Dental Clinic

Dentistry is an important part of the medical service provided at St. Jude. New patients often have oral and dental problems requiring immediate attention so that proper medical treatment can proceed without delay or interruption. The main objective of the Dental Services is to work closely with the physicians and nurses of all the various departments in the treatment, prevention and study of oral problems that may arise from childhood diseases and/or complications of therapy.


Clinical Nutrition

Clinical Nutrition Services is a department within Patient Care Services at St. Jude Children’s Research Hospital. Primary areas of responsibility include:

Nutrition care is an important part of a child’s medical care during cancer treatment. Many children need assistance in maintaining optimal nutrition during their course of therapy. An individualized nutrition care plan may involve a special diet with counseling, use of high-calorie supplements to boost intake or a specialized nutritional feeding. The clinical dietitians work closely with the health care team to assure each child receives the best nutritional care possible.