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href="https://www.acco.org/18-loop-acco/">18 Loop + ACCO</a></li> <li class="page_item page-item-14140"><a href="https://www.acco.org/2024-state-proclamations/">2024 State Proclamations</a></li> <li class="page_item page-item-528"><a href="https://www.acco.org/24-hour-online-support/">24 Hour Online Peer Support</a></li> <li class="page_item page-item-7863"><a href="https://www.acco.org/30smiles/">30 Days 30 Smiles</a></li> <li class="page_item page-item-23208"><a href="https://www.acco.org/50th-anniversary-auction/">50th Anniversary Auction</a></li> <li class="page_item page-item-14057"><a href="https://www.acco.org/abbys-survivor-story/">Abby’s Survivor Story</a></li> <li class="page_item page-item-27"><a href="https://www.acco.org/about/">About ACCO</a></li> <li class="page_item page-item-71"><a href="https://www.acco.org/about-childhood-cancer/">About Childhood Cancer</a></li> <li class="page_item page-item-34411"><a 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href="https://www.acco.org/arisbears/">Ari’s Bears- MD</a></li> <li class="page_item page-item-14397"><a href="https://www.acco.org/ashleys-survivor-story/">Ashley’s Survivor Story</a></li> <li class="page_item page-item-12"><a href="https://www.acco.org/awareness-advocacy/">Awareness & Advocacy</a></li> <li class="page_item page-item-217"><a href="https://www.acco.org/awareness-tree/">Awareness Tree</a></li> <li class="page_item page-item-7958"><a href="https://www.acco.org/tree-history/">Awareness Tree History</a></li> <li class="page_item page-item-14253"><a href="https://www.acco.org/bake-along-with-acco/">Bake Along with ACCO</a></li> <li class="page_item page-item-239"><a href="https://www.acco.org/become-a-partner/">Become a Partner</a></li> <li class="page_item page-item-121"><a href="https://www.acco.org/bereavement/">Bereavement</a></li> <li class="page_item page-item-418"><a href="https://www.acco.org/blog/">Blog</a></li> <li class="page_item page-item-1750"><a 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href="https://www.acco.org/awarenessmap/">Childhood Cancer Awareness Map</a></li> <li class="page_item page-item-226"><a href="https://www.acco.org/childhood-cancer-legislation/">Childhood Cancer Legislation</a></li> <li class="page_item page-item-4707"><a href="https://www.acco.org/childhood-cancer-statistics/">Childhood Cancer Statistics</a></li> <li class="page_item page-item-1328"><a href="https://www.acco.org/childhood-leukemias/">Childhood Leukemias</a></li> <li class="page_item page-item-1344"><a href="https://www.acco.org/childhood-lymphomas/">Childhood Lymphomas</a></li> <li class="page_item page-item-1972"><a href="https://www.acco.org/childrens-oncology-group-cog-new-cooperative-group-created/">Children’s Oncology Group (COG): New Cooperative Group Created</a></li> <li class="page_item page-item-6627"><a href="https://www.acco.org/cbp-gm-2016/">Christmas Boat Parade Grand Marshals 2016</a></li> <li class="page_item page-item-105"><a href="https://www.acco.org/clinical-trials/">Clinical Trials</a></li> <li class="page_item page-item-1975"><a href="https://www.acco.org/clinical-trials-part-i/">Clinical Trials Part I</a></li> <li class="page_item page-item-24025"><a href="https://www.acco.org/cloudsmovie/">Clouds Movie Raises Awareness for Osteosarcoma and Childhood Cancer</a></li> <li class="page_item page-item-89"><a href="https://www.acco.org/cog-treatment-centers/">COG Treatment Centers</a></li> <li class="page_item page-item-14084"><a href="https://www.acco.org/coltons-survivor-story/">Colton’s Survivor Story</a></li> <li class="page_item page-item-568"><a href="https://www.acco.org/comfort-kit/">Comfort Kit</a></li> <li class="page_item page-item-1758"><a href="https://www.acco.org/complementary-and-alternative-medicine/">Complementary and Alternative Medicine</a></li> <li class="page_item page-item-68"><a href="https://www.acco.org/contact/">Contact ACCO</a></li> <li class="page_item page-item-1979"><a href="https://www.acco.org/cord-blood-transplantation/">Cord Blood Transplantation</a></li> <li class="page_item page-item-13320"><a href="https://www.acco.org/coronavirus-links/">Coronavirus Links</a></li> <li class="page_item page-item-5407"><a href="https://www.acco.org/corporate-events/">Corporate Events</a></li> <li class="page_item page-item-13158"><a href="https://www.acco.org/corporate-partnerships/">Corporate Partnerships</a></li> <li class="page_item page-item-158"><a href="https://www.acco.org/cozy-cares-journal/">Cozy Cares Journal</a></li> <li class="page_item page-item-565"><a href="https://www.acco.org/cozy-cat/">Cozy Cat Stuffed Animal</a></li> <li class="page_item page-item-3733"><a href="https://www.acco.org/cozycoloring/">Cozy Coloring Contest</a></li> <li class="page_item page-item-13614"><a href="https://www.acco.org/cpap-bipap-donation/">CPAP/BiPAP Donation</a></li> <li class="page_item page-item-229"><a href="https://www.acco.org/ongoingadvocacy/">Current and Ongoing Advocacy</a></li> <li class="page_item page-item-14248"><a href="https://www.acco.org/dance-along-with-acco/">Dance Along with ACCO</a></li> <li class="page_item page-item-14006"><a href="https://www.acco.org/devins-isolation-story/">Devin’s Isolation Story</a></li> <li class="page_item page-item-532"><a href="https://www.acco.org/diagnosis/">Diagnosis</a></li> <li class="page_item page-item-10891"><a href="https://www.acco.org/digital-advocacy/">Digital Advocacy</a></li> <li class="page_item page-item-13642"><a href="https://www.acco.org/digital-library/">Digital Library</a></li> <li class="page_item page-item-26536"><a href="https://www.acco.org/dipg/">DIPG</a></li> <li class="page_item page-item-30278"><a href="https://www.acco.org/dipg-es/">DIPG</a></li> <li class="page_item page-item-14020"><a href="https://www.acco.org/dipg-awareness-day/">DIPG Awareness Day</a></li> <li class="page_item page-item-1688"><a href="https://www.acco.org/distribution-re-stock-form/">Distribution Re-stock Form</a></li> <li class="page_item page-item-589"><a href="https://www.acco.org/donate/">Donate Now</a></li> <li class="page_item page-item-590"><a href="https://www.acco.org/donor-rights/">Donor Rights</a></li> <li class="page_item page-item-13710"><a href="https://www.acco.org/draw-alongs-with-acco/">Draw Alongs with ACCO</a></li> <li class="page_item page-item-1762"><a href="https://www.acco.org/drugs-chemotherapy-drugs-and-other-pharmaceuticals/">Drugs: Chemotherapy Drugs and Other Pharmaceuticals</a></li> <li class="page_item page-item-1754"><a href="https://www.acco.org/drugs-how-chemotherapy-works/">Drugs: How Chemotherapy Works</a></li> <li class="page_item page-item-1768"><a href="https://www.acco.org/drugs-side-effects-of-chemotherapy/">Drugs: Side Effects of Chemotherapy</a></li> <li class="page_item page-item-12988"><a href="https://www.acco.org/eagles-treasures-in-heaven-tx/">Eagles Treasures in Heaven- TX</a></li> <li class="page_item page-item-94"><a href="https://www.acco.org/education-issues/">Education Issues</a></li> <li class="page_item page-item-97"><a href="https://www.acco.org/education-scholarships/">Education Scholarships</a></li> <li class="page_item page-item-13662"><a href="https://www.acco.org/elises-isolation-story/">Elise’s Isolation Story</a></li> <li class="page_item page-item-14070"><a href="https://www.acco.org/emmas-survivor-story/">Emma’s Survivor Story</a></li> <li class="page_item page-item-13463"><a href="https://www.acco.org/emotional-communication-kit-online/">Emotional Communication Kit: Online!</a></li> <li class="page_item page-item-12771"><a href="https://www.acco.org/la-roche-posay/">Emotional Communication Kits</a></li> <li class="page_item page-item-5437"><a href="https://www.acco.org/event-registration/">Event Registration</a></li> <li class="page_item page-item-30880"><a href="https://www.acco.org/ewings-sarcoma/">Ewing’s Sarcoma</a></li> <li class="page_item page-item-10889"><a href="https://www.acco.org/federal/">Federal</a></li> <li class="page_item page-item-8300 page_item_has_children"><a href="https://www.acco.org/financial/">Financial</a> <ul class='children'> <li class="page_item page-item-6218"><a href="https://www.acco.org/financial/social-security-disability/">Getting Social Security Benefits For a Child with Cancer</a></li> </ul> </li> <li class="page_item page-item-520"><a href="https://www.acco.org/for-families/">For Families</a></li> <li class="page_item page-item-191"><a href="https://www.acco.org/for-kids/">For Kids</a></li> <li class="page_item page-item-196"><a href="https://www.acco.org/for-siblings/">For Siblings</a></li> <li class="page_item page-item-194"><a href="https://www.acco.org/for-teens/">For Teens</a></li> <li class="page_item page-item-14395"><a href="https://www.acco.org/franciscos-survivor-story/">Francisco’s Survivor Story</a></li> <li class="page_item page-item-11647"><a href="https://www.acco.org/gavinfritts/">Gavin Fritts Shining Star – NC</a></li> <li class="page_item page-item-14174"><a href="https://www.acco.org/gavins-survivor-story/">Gavin’s Survivor Story</a></li> <li class="page_item page-item-1982"><a href="https://www.acco.org/genetic-changes-in-cancer-second-of-three-parts/">Genetic Changes in Cancer: Second of Three Parts</a></li> <li class="page_item page-item-1984"><a href="https://www.acco.org/genetics-and-anti-leukemia-therapy-the-tpmt-story/">Genetics and Anti-Leukemia Therapy: The TPMT Story</a></li> <li class="page_item page-item-524"><a href="https://www.acco.org/get-help-from-a-local-division/">Get Help from a Local Division</a></li> <li class="page_item page-item-414"><a href="https://www.acco.org/get-involved/">Get Involved</a></li> <li class="page_item page-item-7728"><a href="https://www.acco.org/maylea/">Giggles of Gold Project</a></li> <li class="page_item page-item-6360"><a href="https://www.acco.org/givingtuesday/">Giving Tuesday</a></li> <li class="page_item page-item-4254"><a href="https://www.acco.org/global-childhood-cancer-event/">Global Childhood Cancer Event</a></li> <li class="page_item page-item-253"><a href="https://www.acco.org/gogold/">Go Gold For Kids With Cancer®</a></li> <li class="page_item page-item-35569"><a href="https://www.acco.org/go-gold-gala/">GO GOLD® Gala</a></li> <li class="page_item page-item-34042"><a href="https://www.acco.org/go-gold-the-run/">GO GOLD® THE RUN</a></li> <li class="page_item page-item-3297"><a href="https://www.acco.org/gold-ribbon-awareness/">Gold Ribbon Awareness</a></li> <li class="page_item page-item-65"><a href="https://www.acco.org/gold-ribbon-heroes/">Gold Ribbon Heroes</a></li> <li class="page_item page-item-13817"><a href="https://www.acco.org/gold-wall-of-gratitude/">Gold Wall of Gratitude</a></li> <li class="page_item page-item-4631"><a href="https://www.acco.org/goldenangels/">Golden Angels – Puerto Rico (PR)</a></li> <li class="page_item page-item-12853"><a href="https://www.acco.org/golden-warriors-of-maine-me/">Golden Warriors of Maine – ME</a></li> <li class="page_item page-item-14066"><a href="https://www.acco.org/graces-survivor-story/">Grace’s Survivor Story</a></li> <li class="page_item page-item-6538"><a href="https://www.acco.org/green-family/">Green Family</a></li> <li class="page_item page-item-23"><a href="https://www.acco.org/groups/">Groups</a></li> <li class="page_item page-item-14098"><a href="https://www.acco.org/hannahs-survivor-story/">Hannah’s Survivor Story</a></li> <li class="page_item page-item-1831"><a href="https://www.acco.org/health-related-outcomes-for-hodgkin-disease-survivors/">Health-Related Outcomes for Hodgkin Disease Survivors</a></li> <li class="page_item page-item-31010"><a href="https://www.acco.org/hepatoblastoma-cancer-de-higado/">Hepatoblastoma (Cáncer de Hígado)</a></li> <li class="page_item page-item-1339"><a href="https://www.acco.org/hepatoblastoma/">Hepatoblastoma (Liver Cancer)</a></li> <li class="page_item page-item-170"><a href="https://www.acco.org/hero-beads/">Hero Beads®</a></li> <li class="page_item page-item-37"><a href="https://www.acco.org/history/">History of ACCO</a></li> <li class="page_item page-item-551"><a href="https://www.acco.org/history-timeline/">History Timeline</a></li> <li class="page_item page-item-2"><a href="https://www.acco.org/">Home</a></li> <li class="page_item page-item-1407"><a href="https://www.acco.org/home-2/">Home</a></li> <li class="page_item page-item-3235"><a href="https://www.acco.org/hope4heroes/">Hope 4 Heroes – CO</a></li> <li class="page_item page-item-34438"><a href="https://www.acco.org/hope-amidst-sorrow/">Hope Amidst Sorrow: A Seminar for Bereaved Parents</a></li> <li class="page_item page-item-5188"><a href="https://www.acco.org/hope4ccf/">Hope4CCF – LA</a></li> <li class="page_item page-item-1760"><a href="https://www.acco.org/hydrocephalus-shunts-and-gamma-knife/">Hydrocephalus, Shunts, and Gamma Knife</a></li> <li class="page_item page-item-13521"><a href="https://www.acco.org/i-feel-afraid/">I feel afraid.</a></li> <li class="page_item page-item-13503"><a href="https://www.acco.org/i-feel-angry/">I feel angry.</a></li> <li class="page_item page-item-13509"><a href="https://www.acco.org/i-feel-bored/">I feel bored.</a></li> <li class="page_item page-item-13525"><a href="https://www.acco.org/i-feel-disgusted/">I feel disgusted.</a></li> <li class="page_item page-item-13490"><a href="https://www.acco.org/i-feel-happy/">I feel happy.</a></li> <li class="page_item page-item-13494"><a href="https://www.acco.org/i-feel-proud/">I feel proud.</a></li> <li class="page_item page-item-13472"><a href="https://www.acco.org/i-feel-sad/">I feel sad.</a></li> <li class="page_item page-item-13498"><a href="https://www.acco.org/i-feel-surprised/">I feel surprised.</a></li> <li class="page_item page-item-13519"><a href="https://www.acco.org/i-feel-tired/">I feel tired.</a></li> <li class="page_item page-item-4697"><a href="https://www.acco.org/iccd/">ICCD</a></li> <li class="page_item page-item-1986"><a href="https://www.acco.org/improving-informed-consent-in-childhood-cancer-trials/">Improving Informed Consent in Childhood Cancer Trials</a></li> <li class="page_item page-item-10881"><a href="https://www.acco.org/international/">International Advocacy</a></li> <li class="page_item page-item-33565"><a href="https://www.acco.org/iccd-2024/">International Childhood Cancer Day – 2024</a></li> <li class="page_item page-item-4711"><a href="https://www.acco.org/international-statistics/">International Statistics</a></li> <li class="page_item page-item-14265"><a href="https://www.acco.org/irenes-survivor-story/">Irene’s Survivor Story</a></li> <li class="page_item page-item-1977"><a href="https://www.acco.org/its-only-a-phase-clinical-trials-part-ii/">It’s only a Phase! Clinical Trials Part II</a></li> <li class="page_item page-item-10615"><a href="https://www.acco.org/jake/">Jake’s Dragon Foundation – PA</a></li> <li class="page_item page-item-14329"><a href="https://www.acco.org/jeffs-survivor-story/">Jeff’s Survivor Story</a></li> <li class="page_item page-item-241"><a href="https://www.acco.org/jelsert/">Jel Sert</a></li> <li class="page_item page-item-14399"><a href="https://www.acco.org/jennifers-survivor-story/">Jennifer’s Survivor Story</a></li> <li class="page_item page-item-14176"><a href="https://www.acco.org/jensens-survivor-story/">Jensen’s Survivor Story</a></li> <li class="page_item page-item-14283"><a href="https://www.acco.org/jillians-survivor-story/">Jillian’s Survivor Story</a></li> <li class="page_item page-item-14286"><a href="https://www.acco.org/juanitas-survivor-story/">Juanita’s Survivor Story</a></li> <li class="page_item page-item-2370"><a href="https://www.acco.org/karis-cause/">Karis’ Cause – OH</a></li> <li class="page_item page-item-13446"><a href="https://www.acco.org/kartersisolation/">Karter’s Isolation Story</a></li> <li class="page_item page-item-14109"><a href="https://www.acco.org/karters-survivor-story/">Karter’s Survivor Story</a></li> <li class="page_item page-item-14178"><a href="https://www.acco.org/kaydences-survivor-story/">Kaydence’s Survivor Story</a></li> <li class="page_item page-item-554"><a href="https://www.acco.org/kemper/">Kemper Foods International</a></li> <li class="page_item page-item-36077"><a href="https://www.acco.org/ks-acco/">Kendra Scott Supports Kids with Cancer</a></li> <li class="page_item page-item-6560"><a href="https://www.acco.org/kovach-family/">Kovach Family</a></li> <li class="page_item page-item-11687"><a href="https://www.acco.org/laborinlovebuildinginhope/">Labor in Love: Building in Hope – OR</a></li> <li class="page_item page-item-99"><a href="https://www.acco.org/late-effects/">Late Effects</a></li> <li class="page_item page-item-30421"><a href="https://www.acco.org/leucemias-infantiles/">Leucemias Infantiles</a></li> <li class="page_item page-item-14427"><a href="https://www.acco.org/lilys-survivor-story/">Lily’s Survivor Story</a></li> <li class="page_item page-item-31268"><a href="https://www.acco.org/linfomas-infantiles/">Linfomas Infantiles</a></li> <li class="page_item page-item-4490"><a href="https://www.acco.org/live-newsfeed/">Live Newsfeed</a></li> <li class="page_item page-item-36912"><a href="https://www.acco.org/lived-experience-of-cancer-a-who-study/">Lived Experience of Cancer: A WHO Study</a></li> <li class="page_item page-item-290"><a href="https://www.acco.org/local-groups/">Local Groups</a></li> <li class="page_item page-item-14401"><a href="https://www.acco.org/logans-survivor-story/">Logan’s Survivor Story</a></li> <li class="page_item page-item-2408"><a href="https://www.acco.org/love-for-zac/">Love for Zac – CA</a></li> <li class="page_item page-item-36370"><a href="https://www.acco.org/make-it-cute/">Make It Cute</a></li> <li class="page_item page-item-13433"><a href="https://www.acco.org/masonsisolation/">Mason’s Isolation Story</a></li> <li class="page_item page-item-24088"><a href="https://www.acco.org/matilda-jane/">Matilda Jane</a></li> <li class="page_item page-item-518"><a href="https://www.acco.org/medical-play-kit/">Medical Play Kit</a></li> <li class="page_item page-item-14243"><a href="https://www.acco.org/mias-isolation-story/">Mia’s Isolation Story</a></li> <li class="page_item page-item-7021"><a href="https://www.acco.org/microsoft/">Microsoft</a></li> <li class="page_item page-item-7085"><a href="https://www.acco.org/mission-of-hope/">Mission of Hope – Sean Swarner Cancer Climber</a></li> <li class="page_item page-item-32"><a href="https://www.acco.org/mission-statement-2/">Mission Statement</a></li> <li class="page_item page-item-14383"><a href="https://www.acco.org/mollys-survivor-story/">Molly’s Survivor Story</a></li> <li class="page_item page-item-13167"><a href="https://www.acco.org/national-pajama-day/">National Pajama Day</a></li> <li class="page_item page-item-1349"><a href="https://www.acco.org/neuroblastoma/">Neuroblastoma</a></li> <li class="page_item page-item-32359"><a href="https://www.acco.org/neuroblastoma-2/">Neuroblastoma</a></li> <li class="page_item page-item-1988"><a href="https://www.acco.org/neuropsychological-testing-an-excerpt-from-educating-the-child/">Neuropsychological Testing: An Excerpt from Educating the Child</a></li> <li class="page_item page-item-1990"><a href="https://www.acco.org/new-approaches-for-resistant-brain-tumors/">New Approaches for Resistant Brain Tumors</a></li> <li class="page_item page-item-40"><a href="https://www.acco.org/news-and-press/">News and Press</a></li> <li class="page_item page-item-4365"><a href="https://www.acco.org/newsfeed-test/">Newsfeed Test</a></li> <li class="page_item page-item-11391"><a href="https://www.acco.org/nickys-heart-of-gold-pa/">Nicky’s Heart of Gold – PA</a></li> <li class="page_item page-item-13438"><a href="https://www.acco.org/noahsisolation/">Noah’s Isolation Story</a></li> <li class="page_item page-item-11076"><a href="https://www.acco.org/orangeribbon/">Orange Ribbon Foundation</a></li> <li class="page_item page-item-1746"><a href="https://www.acco.org/osteonecrosis-a-source-of-bone-pain-and-loss-of-function/">Osteonecrosis: A Source of Bone Pain and Loss of Function</a></li> <li class="page_item page-item-7340"><a href="https://www.acco.org/goodwillchill/">Otter Pop Vibes Tour #GoodWillChill</a></li> <li class="page_item page-item-186"><a href="https://www.acco.org/outside-resources/">Outside Resources</a></li> <li class="page_item page-item-1992"><a href="https://www.acco.org/palliative-or-hospice-care-does-my-child-need-this-service/">Palliative or Hospice Care: Does my child need this service?</a></li> <li class="page_item page-item-246"><a href="https://www.acco.org/palmco/">Palmco</a></li> <li class="page_item page-item-10142"><a href="https://www.acco.org/pwap/">Paranormal With a Purpose – FL</a></li> <li class="page_item page-item-2438"><a href="https://www.acco.org/paulandthedragon/">Paul and the Dragon</a></li> <li class="page_item page-item-166"><a href="https://www.acco.org/paul-and-the-dragon-dvd/">Paul and the Dragon Video</a></li> <li class="page_item page-item-13424"><a href="https://www.acco.org/paxtonsisolation/">Paxton’s Isolation Story</a></li> <li class="page_item page-item-34857"><a href="https://www.acco.org/pediatric-cancer-teaching-resources-for-professionals-educators/">Pediatric Cancer Teaching Resources For Professionals & Educators</a></li> <li class="page_item page-item-396"><a href="https://www.acco.org/pjammin/">PJammin® For Kids with Cancer</a></li> <li class="page_item page-item-7315"><a href="https://www.acco.org/pjamminfaq/">PJammin® Frequently Asked Questions</a></li> <li class="page_item page-item-1764"><a href="https://www.acco.org/ports-and-central-lines/">Ports and Central Lines</a></li> <li class="page_item page-item-1994"><a href="https://www.acco.org/practical-genetics-in-cancer-the-human-genetic-code/">Practical Genetics in Cancer: The Human Genetic Code</a></li> <li class="page_item page-item-35046"><a href="https://www.acco.org/preventing-hearing-loss-from-chemo/">Preventing Hearing Loss from Chemo</a></li> <li class="page_item page-item-13222"><a href="https://www.acco.org/print-at-home-coloring-pages/">Print-at-Home Coloring Pages</a></li> <li class="page_item page-item-10883"><a href="https://www.acco.org/proclamations/">Proclamation Language</a></li> <li class="page_item page-item-14447"><a href="https://www.acco.org/quick-links/">Quick Links</a></li> <li class="page_item page-item-404"><a href="https://www.acco.org/raise-awareness-2/">Raise Awareness</a></li> <li class="page_item page-item-1141"><a href="https://www.acco.org/raise-awareness/">Raise Awareness</a></li> <li class="page_item page-item-530"><a href="https://www.acco.org/read-about-it-acco-publications/">Read About It: ACCO Publications</a></li> <li class="page_item page-item-13870"><a href="https://www.acco.org/read-alongs-with-acco/">Read Alongs with ACCO</a></li> <li class="page_item page-item-1996"><a href="https://www.acco.org/relapsed-all-chemotherapy-vs-transplant/">Relapsed ALL: Chemotherapy vs Transplant</a></li> <li class="page_item page-item-1998"><a href="https://www.acco.org/relapsed-all-questions-for-parents-to-ask/">Relapsed ALL: Questions for Parents to Ask</a></li> <li class="page_item page-item-10"><a href="https://www.acco.org/research/">Research</a></li> <li class="page_item page-item-208"><a href="https://www.acco.org/research-articles/">Research Articles</a></li> <li class="page_item page-item-1766"><a href="https://www.acco.org/researching-the-medical-literature/">Researching the Medical Literature</a></li> <li class="page_item page-item-1352"><a href="https://www.acco.org/retinoblastoma/">Retinoblastoma</a></li> <li class="page_item page-item-1355"><a href="https://www.acco.org/rhabdoid-tumors/">Rhabdoid Tumors</a></li> <li class="page_item page-item-5985"><a href="https://www.acco.org/ribbons-of-gold/">Ribbons of Gold – WI</a></li> <li class="page_item page-item-6423"><a href="https://www.acco.org/rock-bottom/">Rock Bottom</a></li> <li class="page_item page-item-6566"><a href="https://www.acco.org/rbfamilies2016/">Rock Bottom Holiday Families</a></li> <li class="page_item page-item-1406"><a href="https://www.acco.org/sample-page-2/">Sample Page</a></li> <li class="page_item page-item-14530"><a href="https://www.acco.org/sarcoma-awareness-month/">Sarcoma Awareness Month</a></li> <li class="page_item page-item-1358"><a href="https://www.acco.org/sarcomas/">Sarcomas</a></li> <li class="page_item page-item-32674"><a href="https://www.acco.org/sarcomas-2/">Sarcomas</a></li> <li class="page_item page-item-6585"><a href="https://www.acco.org/scherff-family/">Scherff Family</a></li> <li class="page_item page-item-13384"><a href="https://www.acco.org/sew-to-save-lives/">Sew to Save Lives</a></li> <li class="page_item page-item-14250"><a href="https://www.acco.org/sing-along-with-acco/">Sing Along with ACCO</a></li> <li class="page_item page-item-391"><a href="https://www.acco.org/sitemap/">Sitemap</a></li> <li class="page_item page-item-13309"><a href="https://www.acco.org/social-isolation-stories/">Social Isolation Stories</a></li> <li class="page_item page-item-13045"><a href="https://www.acco.org/stamp/">Stamp Out Childhood Cancer</a></li> <li class="page_item page-item-123"><a href="https://www.acco.org/start-a-division/">Start a Division or Group</a></li> <li class="page_item page-item-7261"><a href="https://www.acco.org/state/">State</a></li> <li class="page_item page-item-12073"><a href="https://www.acco.org/state-comprehensive-cancer-control-plan/">State Comprehensive Cancer Control Plan</a></li> <li class="page_item page-item-13667"><a href="https://www.acco.org/stevens-isolation-story/">Steven’s Isolation Story</a></li> <li class="page_item page-item-1730"><a href="https://www.acco.org/stories-from-adult-and-child-survivors/">Stories from Adult and Child Survivors</a></li> <li class="page_item page-item-7210"><a href="https://www.acco.org/kobie/">Strength to Survive Childhood Cancer Foundation – HI</a></li> <li class="page_item page-item-1725"><a href="https://www.acco.org/suicidal-thoughts-and-attempts-in-adult-survivors/">Suicidal Thoughts and Attempts in Adult Survivors</a></li> <li class="page_item page-item-6552"><a href="https://www.acco.org/sullivan-family/">Sullivan Family</a></li> <li class="page_item page-item-13972"><a href="https://www.acco.org/survivor-stories/">Survivor Stories</a></li> <li class="page_item page-item-30176"><a href="https://www.acco.org/survivor-stories-alec/">Survivor Stories: Alec</a></li> <li class="page_item page-item-30156"><a href="https://www.acco.org/survivor-stories-alex/">Survivor Stories: Alex</a></li> <li class="page_item page-item-30124"><a href="https://www.acco.org/survivor-stories-ashley/">Survivor Stories: Ashley</a></li> <li class="page_item page-item-30164"><a href="https://www.acco.org/survivor-stories-cara/">Survivor Stories: Cara</a></li> <li class="page_item page-item-30168"><a href="https://www.acco.org/survivor-stories-jordan/">Survivor Stories: Jordan</a></li> <li class="page_item page-item-30239"><a href="https://www.acco.org/survivor-stories-meg/">Survivor Stories: Meg</a></li> <li class="page_item page-item-30679"><a href="https://www.acco.org/survivor-stories-payal/">Survivor Stories: Payal</a></li> <li class="page_item page-item-30161"><a href="https://www.acco.org/survivor-stories-ronald/">Survivor Stories: Ronald</a></li> <li class="page_item page-item-30174"><a href="https://www.acco.org/survivor-stories-taylor/">Survivor Stories: Taylor</a></li> <li class="page_item page-item-30127"><a href="https://www.acco.org/survivor-stories-tj/">Survivor Stories: TJ</a></li> <li class="page_item page-item-30171"><a href="https://www.acco.org/survivor-stories-victoria/">Survivor Stories: Victoria</a></li> <li class="page_item page-item-198"><a href="https://www.acco.org/targeted-therapeutics/">Targeted Therapeutics</a></li> <li class="page_item page-item-2000"><a href="https://www.acco.org/targeted-therapeutics-workshop-at-international-cancer-congress/">Targeted Therapeutics Workshop at International Cancer Congress</a></li> <li class="page_item page-item-2002"><a href="https://www.acco.org/targeting-cancer-in-the-21st-century/">Targeting Cancer In The 21st Century</a></li> <li class="page_item page-item-5405"><a href="https://www.acco.org/team-go-gold/">Team Go Gold</a></li> <li class="page_item page-item-526"><a href="https://www.acco.org/teen-journal/">Teen Journal</a></li> <li class="page_item page-item-6357"><a href="https://www.acco.org/thank-you/">Thank you</a></li> <li class="page_item page-item-1852"><a href="https://www.acco.org/thank-you-for-ordering/">Thank You For Ordering</a></li> <li class="page_item page-item-16373"><a href="https://www.acco.org/brain-tumor-charter-of-rights/">The Brain Tumour Patients’ Charter of Rights</a></li> <li class="page_item page-item-4129"><a href="https://www.acco.org/madison/">The Miracle of Madison – MD</a></li> <li class="page_item page-item-1732"><a href="https://www.acco.org/the-problem-of-pain-in-childhood-cancer-survivors/">The Problem of Pain in Childhood Cancer Survivors</a></li> <li class="page_item page-item-5922"><a href="https://www.acco.org/xen/">Through Xen – CT</a></li> <li class="page_item page-item-1582"><a href="https://www.acco.org/timeline/">Timeline</a></li> <li class="page_item page-item-27985"><a href="https://www.acco.org/tipos-de-cancer-infantil/">Tipos de Cáncer Infantil</a></li> <li class="page_item page-item-2004"><a 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page-item-73"><a href="https://www.acco.org/types-of-childhood-cancer/">Types of Childhood Cancer</a></li> <li class="page_item page-item-77"><a href="https://www.acco.org/us-childhood-cancer-statistics/">US Childhood Cancer Statistics</a></li> <li class="page_item page-item-14635"><a href="https://www.acco.org/virtual-advocacy/">Virtual Advocacy</a></li> <li class="page_item page-item-36325"><a href="https://www.acco.org/voyageur-outward-bound-school/">Voyageur Outward Bound School</a></li> <li class="page_item page-item-21662"><a href="https://www.acco.org/wacco/">WACCO</a></li> <li class="page_item page-item-6544"><a href="https://www.acco.org/walsh-family/">Walsh Family</a></li> <li class="page_item page-item-27552"><a href="https://www.acco.org/ways-to-give/">Ways To Give</a></li> <li class="page_item page-item-412"><a href="https://www.acco.org/we-can-help/">We Can Help</a></li> <li class="page_item page-item-285"><a href="https://www.acco.org/riley/">We Love Riley Fan Club – MA</a></li> <li class="page_item page-item-917"><a href="https://www.acco.org/websites-for-kids-with-cancer/">Websites for Kids with Cancer</a></li> <li class="page_item page-item-37090"><a href="https://www.acco.org/welcome-new-members-to-accos-board-of-directors/">Welcome New Members to ACCO’s Board of Directors</a></li> <li class="page_item page-item-36534"><a href="https://www.acco.org/what-about-kids-symposium/">What About Kids Symposium</a></li> <li class="page_item page-item-33678"><a href="https://www.acco.org/what-about-kids/">What About Kids?</a></li> <li class="page_item page-item-35195"><a href="https://www.acco.org/whats-cookin/">What’s Cookin’?</a></li> <li class="page_item page-item-11176"><a href="https://www.acco.org/whynotkids/">Why Not Kids®</a></li> <li class="page_item page-item-201"><a href="https://www.acco.org/why-research-is-needed/">Why Research is Needed</a></li> <li class="page_item page-item-4267"><a href="https://www.acco.org/child4child/">Will you join 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</a> </div>  <div class="col col-6 border-0"> <p class="wpcf7-contact-form-not-found"><strong>Error:</strong> Contact form not found.</p> </div>  <div class="col col-6 links"> <div id="flex-item" class="w-100 d-block"> <a href="https://www.acco.org">Current Specials </a> <a href="https://www.acco.org">Get Directions </a> <a href="https://www.acco.org/photo-gallery/">Photo Gallery </a> </div> </div>  </div> </div>  <div class="container-fluid"> <div class="row"> <div class="bg-container" style="background-image: url(https://www.acco.org/wp-content/themes/acco-new/img/bg-slider.png)"><div class="bg-overlay"><div class="container"><h1 class="entry-title">Bone Cancer</h1></div></div></div> </div> </div> <div id="one-column"> <div class="container"> <div class="row"> <div id="primary" class="col-md-12"> <div class="content-wrapper"> <article id="post-1315" class="post-1315 page type-page status-publish hentry"> <div class="entry-content"> <p>Osteosarcoma and Ewing’s sarcoma are the most common malignancies of bone tissues in children. Osteosarcoma, the more common of the two types, usually presents in bones around the knee. Ewing’s sarcoma may affect bones of the pelvis, thigh, upper arm, or ribs.</p> <h3>Osteosarcoma</h3> <div id="attachment_7081" style="width: 410px" class="wp-caption alignright"><a href="https://www.acco.org/wp-content/uploads/2015/02/Osteosarcoma-childhood.jpg" rel="attachment wp-att-7081" data-slb-active="1" data-slb-asset="518460166" data-slb-internal="0" data-slb-group="1315"><img fetchpriority="high" decoding="async" aria-describedby="caption-attachment-7081" class=" wp-image-7081" src="https://www.acco.org/wp-content/uploads/2015/02/Osteosarcoma-childhood.jpg" alt="Osteosarcoma is a type of bone cancer that begins in the cells that form the bone. Osteosarcoma occurs most often in the long bones of the arms and legs." width="400" height="349" srcset="https://www.acco.org/wp-content/uploads/2015/02/Osteosarcoma-childhood.jpg 632w, https://www.acco.org/wp-content/uploads/2015/02/Osteosarcoma-childhood-300x262.jpg 300w" sizes="(max-width: 400px) 100vw, 400px" /></a><p id="caption-attachment-7081" class="wp-caption-text">Osteosarcoma is a type of bone cancer that begins in the cells that form the bone. Osteosarcoma occurs most often in the long bones of the arms and legs.</p></div> <p>Osteosarcoma is a bone tumor that occurs predominantly in adolescents and young adults. Our bones come in two main types: “flat” and “long”. Flat bones help protect the brain and organs; long bones sport the legs and arms. Osteosarcoma usually develops at the edges of the long bones, in the “metaphysis”, which is the name for the growing ends of the bone. Most of these tumors develop in the ends of the long bones that form the knee. The second most common site for these tumors is in the ends of the upper arm bone close to the shoulder. They can also be found in other places, like the pelvis, shoulder, and skull.</p> <p>The World Health Organization’s (WHO) classification of bone tumors separates the osteosarcomas into central (medullary) and surface (peripheral) tumors and recognizes a number of subtypes within each group.</p> <ul type="square"> <li><a href="http://www.cancer.gov/types/bone/hp/ewing-treatment-pdq#section/_1" target="_blank">NCI site on cellular classification of osteosarcomas.</a></li> </ul> <h3>Treatment for Osteosarcoma</h3> <p>Osteosarcoma is treated with surgery and multi-agent chemotherapy. It is very important that patients are evaluated by an orthopedic oncologist who is familiar with the surgical management of osteosarcoma. This evaluation (including imaging studies) must be done prior to the initial biopsy, since a botched biopsy may jeopardize a limb-sparing procedure.</p> <p>Patients with osteosarcoma should undergo surgical removal of the tumor if possible. The type of surgery depends on a number of factors, such as limb-sparing or replacement with prosthetic devices that must be evaluated on an individual basis. Chemotherapy can include high-dose methotrexate, doxorubicin, cyclophosphamide, cisplatin, ifosfamide, etoposide, and carboplatin.</p> <h3>Ewing Sarcoma Family of Tumors (EFTs)</h3> <p>Ewing’s is the second most common malignant bone tumor in children, comprising 10-15% of childhood bone cancers. Ewing’s tumors have characteristic small round blue cells. The Ewing’s family of tumors include:</p> <ul> <li>Ewing’s tumor of bone, or Ewing’s sarcoma of bone</li> <li>Extraosseous Ewing’s (tumor outside of the bone)</li> <li>Primitive neuroectodermal tumor (PNET)</li> <li>Askin’s tumor (PNET of the chest wall).</li> </ul> <p>Ewing’s family of tumors most frequently occurs in teenagers. It can occur in any bone in the body, but it is most common in the pelvis, thigh, lower leg, upper arm, and rib. Dr. James Ewing who described the tumor in the 1920’s distinguished the tumor from osteosarcoma on the basis that it was responsive to radiotherapy.</p> <ul> <li>More information on Ewing’s on the NCI web site – note that you can toggle back and forth between “Health Professional” and “Patient” versions.</li> </ul> <h3>Treatment for Ewing Sarcoma Family of Tumors</h3> <p>Ewing’s family of tumors is treated with multi-agent chemotherapy, radiation therapy, and/or surgical removal of the primary tumor. Chemotherapy can include vincristine, doxorubicin, and cyclophosphamide altering with ifosfamide and etoposide.</p> <p>It is important that Ewing’s patients are evaluated by specialists immediately after diagnosis from all disciplines including radiologists, chemotherapists, pathologists, surgeons or orthopedic oncologists, and radiation oncologists. As in osteosarcoma, a team approach is necessary, especially if limb-sparing procedures are planned.</p> <p>Clinical trials for bone cancers can be found by searching the clinical trial database on the NCI web site. Follow these directions:</p> <ul> <li>Start at the <a href="http://www.cancer.gov/clinicaltrials/search" target="_blank">NCI clinical trials search page</a>.</li> <li>Choose type of cancer: “Ewing’s family of tumors” or “osteosarcoma”</li> <li>You will be given more choices (e.g., type of cancer and type of trial). Choose the appropriate responses and click search.</li> </ul> <h3>Symptoms of Bone Cancer</h3> <p><strong>Symptoms can include:</strong></p> <ul> <li>pain in a bone (the most common symptom)</li> <li>stiffness, swelling or tenderness around a bone or joint</li> <li>interference with normal movements</li> <li>weak bones, leading to fractures</li> <li>fatigue, fever, weight loss, anemia</li> </ul> <p>Bone pain is the most common symptom. Sometimes a lump can be felt on the bone, or the tumor will interfere with normal movements. What often happens is that a child injures themselves while playing, and the pain persists long after the injury should have healed. Parents assume that the pain is from a broken bone and take the child to the doctor for evaluation, at which time X-rays reveal a bone tumor.</p> <h3>Statistics</h3> <p><strong>Osteosarcoma:</strong></p> <ul> <li>occurs primarily in adolescents and young adults</li> <li>5% of childhood cancers</li> <li>most common in the bones around the knee</li> <li>about 60% of patients have a long-term disease-free survival (AYA SEER report, 2000)</li> </ul> <p><strong>Ewing’s family of tumors:</strong></p> <ul> <li>occurs most frequently in the second decade of life</li> <li>4% of childhood cancers</li> <li>incidence in boys is slightly greater than in girls</li> <li>about 60% of patients have a long-term disease-free survival (AYA SEER report, 2000)</li> </ul> <p><a href="https://www.acco.org/donate/"><img decoding="async" class="alignleft wp-image-12398" src="https://www.acco.org/wp-content/uploads/2019/07/Donate-to-ACCO.jpg" alt="Donate to ACCO" width="296" height="67" srcset="https://www.acco.org/wp-content/uploads/2019/07/Donate-to-ACCO.jpg 455w, https://www.acco.org/wp-content/uploads/2019/07/Donate-to-ACCO-300x68.jpg 300w" sizes="(max-width: 296px) 100vw, 296px" /></a></p> <h3></h3> <h3></h3> <h3></h3> <h3></h3> <h3></h3> <h3>Resources</h3> <p><strong>Websites</strong></p> <ul> <li><a href="http://www.mdanderson.org/patient-and-cancer-information/cancer-information/cancer-types/childhood-brain-tumors/index.html" target="_blank">MD Anderson Cancer Center Children’s Cancer Hospital</a>– MD Anderson’s website contains information on the symptoms, diagnosis, and treatment of childhood cancers. You can also find information about their Childhood Cancer Survivors Clinic, clinical trials, etc.</li> <li><a href="http://sarcomahelp.org/" target="_blank">The Liddy Shriver Sarcoma Initiative:</a> This patient-generated web site contains a wealth of helpful and practical information on treatment for sarcomas.</li> <li><a href="http://www.cureourchildren.org/" target="_blank">Cure our Children Foundation</a>: Helpful information and links on the subject of Ewing’s Sarcoma.</li> <li><a href="http://www.nwsarcoma.org/" target="_blank">Northwest Sarcoma Foundation</a>.</li> <li><a href="http://www.cancer.iu.edu/" target="_blank">Osteosarcoma Online</a> from the Indiana University Melvin and Bren Simon Cancer Center.</li> </ul> <h3>E-mail Support Lists</h3> <p>ACOR: <a class="track-outbound" href="http://listserv.acor.org/archives/ped-onc.html" target="_blank">ped-onc</a> and the <a class="track-outbound" href="http://listserv.acor.org/archives/sarcoma.html" target="_blank">sarcoma list</a> (acor.org login required)</p> <p> </p> </div> <footer class="entry-meta"> </footer> </article> <div id="comments"> </div> </div> </div> </div> </div> </div> </div> <footer id="footer"> <div id="footer-info"> <div class="bottom"> <div class="container wow fadeIn" data-wow-duration="1.75s" data-wow-offset="100"> <div class="row py-4"> <div id="footer-1" class="col-12 my-1 d-none d-md-block"> <div class="row"> <div class="col-md-2"> <img class="img-fluid d-block mx-auto" src="https://www.acco.org/wp-content/themes/acco-new/img/logo-footer.png" /> </div> <div class="col-md-10"> <p class="mt-4">The American Childhood Cancer Organization is a 501(c)(3) public charity, whose programs and services are funded entirely by private donations, foundation grants, and corporate contributions. 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