Dear OncoLink "Ask the Experts,"
My daughter had vaginal cancer at the age of 17 months. We have been clean of cancer for ten years but having a shortness of breath that doctors cannot explain. What are the late effects of bleomycin, etoposide and cisplatin?
Anna Meadows, MD, pediatric oncologist at the Children's Hospital of Philadelphia and Director of the Abramson Cancer Center of the University of Pennsylvania's Survivorship Research Program, responds:
It is fortunate that your daughter received the drugs that have been shown to be the best for the treatment of her kind of tumor. But, all chemotherapy has side effects and some of them do not arise until many years later. Depending on the dose, bleomycin can have an effect on the lungs and cisplatin can have an effect on the kidneys. But it is possible that her symptoms are unrelated to her previous treatment. She should be seen by someone who has experience with childhood cancer survivors and the late effects of treatment.