History of the center
Currently, the Republican scientific and practical center of pediatric Oncology, Hematology and immunology (hereinafter – the Center) is the Central link of the service of pediatric Oncology and Hematology. This is a modern and effective model for providing specialized medical care in the Belarusian healthcare system. The center is well equipped with the latest equipment, it employs highly qualified specialists who develop and implement unique methods of diagnosis, treatment and rehabilitation. The center not only meets the needs of the entire Republic in the treatment and rehabilitation of children with oncological and hematological diseases, but also accepts patients from other countries: Ukraine, Russia, Uzbekistan, Kazakhstan, Tajikistan, etc.
But forty years ago, children's oncohematological services in the Republic of Belarus practically did not exist. The children's Hematology Department with 30 beds was established on the basis of the 1st clinical hospital in Minsk only in November 1977. In total, the Department had three hematologists, including O. V. Aleynikova. In total, there were five pediatric hematologists in our country at that time. The results of treatment of malignant neoplasms in children at that time were extremely unsatisfactory.
The first children's Oncology Department was opened in 1989 on the basis of the research Institute of Oncology and medical radiology. Children with tumors were treated in "adult" departments and under "adult" treatment protocols, where therapy was reduced to surgery and radiation therapy.
This situation required intervention and radical changes. Among the first in 1989, under the direct supervision of O. V. Aleynikova, a foreign Protocol for the treatment of children with acute leukemia BFM (Berlin-Frankfurt-Munster) was introduced. By this time, she was already the head of the children's Hematology Department and fully owned the situation related to the treatment of children's hematological diseases in the country. O. V. Aleynikova made a lot of efforts to implement the most modern treatment and diagnosis protocols, use the latest developments in the field of pharmacology.
A significant result of its work was the organization of the children's oncohematological center on the basis of the 1st clinical hospital in 1990. In order to improve oncological and hematological care for children, it was decided to create the first National scientific and practical center for children's Oncology and Hematology in Belarus. Now such structures have become commonplace and widespread, and in 1996, the integration of science and clinics into a single system was a real breakthrough, since effective treatment of children with oncological and hematological diseases is impossible in isolation from the research process.
On may 31, 1996, an order was signed by the Ministry of health of the Republic of Belarus on the establishment of the center for pediatric Oncology and Hematology, and O. V. Aleynikova became its Director. The new facility includes both a children's Hematology center and a children's Oncology Department. Doctors of the 1st clinical hospital, the research Institute of Oncology and medical radiology, as well as research staff have United under one roof to work together towards a common goal – to improve the oncohematological service in the Republic.
On October 13, 1997, the new building of the Center was inaugurated in the presence of the President of Belarus Alexander Lukashenko.on June 1, 1998, the first allogeneic hematopoietic stem cell transplantation was performed in Belarus. On August 19 of the same year, the Center performed the first autologous hematopoietic stem cell transplantation. Thus, the Center became the leading medical institution in the Republic for bone marrow transplantation in children. Currently, the Center performs 60-70 hematopoietic stem cell transplants annually, both for patients from Belarus and children from the CIS countries. On the one hand, fully covers the needs of the country, on the other hand, allows you to help others in need, while the capacity of the Centre allows to increase the number of transplants per year to 100.
Since 2002, the Center under the leadership of O. V. Aleynikova has been a leader in the diagnosis of primary immunodeficiency conditions in children. Doctors and researchers of the Center actively participate in improving the organization of medical care for children with primary (congenital) immunodeficiency. In confirmation of this, on October 31, 2011, the Center received a new name: the State institution "Republican scientific and practical center for children's Oncology, Hematology and immunology".
Since 2009, the Center has been operating a human cord blood Bank that provides procurement, processing, freezing and long-term storage of cord blood stem cell concentrate until it is claimed. Cord blood is a perfectly compatible graft that can save the life of a child or family member.
Due to the competent centralization of the necessary resources for the organization and provision of high-quality medical care, high results have been achieved. More than 90% of all patients with hematological, oncological malignancies, acquired immunodeficiency receive specialized medical care in the conditions of the state institution "rnpc of children's Oncology, Hematology and immunology". The exception is the residents of Mogilev and Gomel regions, who can receive specialized treatment in cancer departments in Mogilev and Gomel, respectively.
On January 13, 2012, by order of the Ministry of health, modern clinical protocols for the treatment of children with oncological, hematological diseases and primary (congenital) immunodeficiency were approved. These clinical protocols are currently being reviewed and updated.
Since 2010, the Center provides specialized medical care to adult patients aged 18-29 years with a diagnosis of acute lymphoblastic leukemia according to clinical protocols used in children's practice. From 2016 – to patients aged 18-21 years with a diagnosis of osteogenic sarcoma, Ewing's sarcoma, germinocellular tumors, acute myeloblastic leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma, and from 2018 also to patients aged 22-30 years with a diagnosis of germinogenic testicular tumors, high-risk groups and in relapse of the disease. Such measures can improve the quality of treatment for young adults, reduce mortality, and increase the survival rate of all these groups of patients.
Thus, with the direct participation and guidance of O. V. Aleynikova, it was possible not only to create from scratch, but also to develop the oncohematological service in the Republic of Belarus to an international level.