What is the best way to support a pediatric oncology survivor with fears about 2nd neoplasm or relapse?

Many survivors of childhood cancer are managing ongoing post-traumatic stress, which can include the persistent concern for relapse or a second neoplasm. It is important to note that these are rational concerns - the risks of relapse or second malignancies are real and can give survivors a sense of lack of control.

Two categories of approaches that can be helpful in managing the fear of relapse of second malignancies include:

1. Mental health support for a survivor can take many forms. Some exa...

Concerns regarding recurrence of the primary malignancy or the development of a second malignant neoplasm are common among pediatric cancer survivors and may be a significant source of ongoing anxiety. It is therefore important to routinely assess for these concerns, as well as to screen for anxiety and depression, at each survivorship clinic visit.

Supporting survivors in managing these fears requires a multifaceted approach. Providers should foster a safe and supportive environment in which pat...