摘要儿童恶性实体肿瘤在起病初所表现出来的模糊症状各不相同,且不特异,早期诊断较为困难.儿童恶性肿瘤已逐渐成为第2大儿童死亡原因,这与诊断的延误导致肿瘤患儿无法及时得到有效的治疗有很大关系.医务人员应充分认识高度提示肿瘤风险的症状,通过病史采集和体格检查评估儿童患有某种恶性肿瘤的可能性,及时转诊高度怀疑患恶性肿瘤风险的患儿,并在转诊前给予必要的初始治疗,为肿瘤患儿提供及时得到合适治疗的机会和被治愈的可能,最大程度上提高恶性肿瘤患儿的生存率.

abstractsChildhood malignant solid tumors exhibit a wide variety of vagueness signs and symptoms in the early stage,which are usually nonspecific,therefore the diagnosis of childhood malignant solid tumor can be challenging when the disease is in the early stage.As a result,the delay of diagnosis causes mistreatment,and which makes childhood malignant solid tumors become a leading cause of death in children.Physicians should recognize the early warning signs of childhood cancer,and a good clinical history and careful physical examination can help physicians determine whether the children have cancer and make referrals in time.Some children with possible cancers require immediate initial treatment before referral to be stabilized in order to make the referrals possible and increase the chance of receiving appropriate treatment in time and the possibility of being cured,saving more children with malignant solid tumors to the maximum extent.