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Pediatric Bone Marrow and Stem Cell Transplant Program

Alex's Place at Sylvester

More than simply a treatment site for children with cancer and blood diseases, alex’s place is a space designed to empower our young patients and support their families.

Sylvester Comprehensive Cancer Center provides transplants for infants, children, and adolescents with cancer, bone marrow failure, blood diseases, and congenital immune deficiencies.

Both bone marrow transplant and stem cell transplant are phrases that mean healthy blood-producing stem cells are put back into your body. These new cells replace damaged or diseased bone marrow cells. The procedure can use cells from your own body (called autologous transplant) or from a related or unrelated donor (an allogeneic transplant).

Why Choose Sylvester Comprehensive Cancer Center?

Leading edge research in bone marrow/stem cell transplantation. When both research and expert clinical practice come together, you know you have the most up-to-date treatment possible for your specific condition, delivered in a setting in which all the different experts needed for comprehensive treatment come together.

South Florida's only university-based pediatric transplant program. We serve children in South Florida, Latin America, and the Caribbean with national affiliations. Your child has access to a wider base of donors and clinical trials involving stem cell transplant to increase chances of a successful transplant.

Personalized recommendations. Whether you have a familial predisposition to particular cancers, or you want your child to stay healthy long-term, we keep your goals in mind when developing your screening and treatment schedules.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments


When your child is not responding to chemotherapy or other treatments to help him/her produce healthy blood cells in the bone marrow, your specialist may recommend a bone marrow/stem cell transplant.

You can receive unrelated donor or umbilical cord blood transplants when family donors are not available. We are part of the National Marrow Donor Program so you have access to a diverse donor population.

  • Stem Cell Harvesting

    Blood-producing stem cells may be removed from bone marrow in the back of your hip (bone marrow transplant). These cells can also come from the bloodstream. In the latter case, we use a medication to draw bone marrow cells into the blood. This is called a stem cell transplant. Most transplants are stem-cell transplants.

  • Stem Cell Transplant

    After collecting the stem cells, your child will be admitted to the hospital to receive a course of high-dose chemotherapy to eliminate residual cancer cells from the body. Next, the previously collected stem cells are returned to the body through an intravenous catheter.

    Over the following days, your child’s blood counts will fall to low levels. Chemotherapy destroyed the unhealthy marrow calls. After a few days, the new stem cells will start producing blood. Until they do, there is a high risk of infection due to low white blood cells, and of bleeding due to low platelets. He or she will need blood transfusions to counter the lack of red blood cells and protection from infection sources by being in isolation.

  • Post-Transplant Care

    After transplant and discharge from the hospital, your child will be followed up long-term at our clinic. Your child will be monitored by a transplant and disease specialists and a psychologist.


Tests

  • Complete Blood Count (CBC) and Blood Chemistry Studies

    A sample of blood is drawn and reviewed under a microscope. We look for the number and percentage of red and white blood cells and platelets. We also check the amount of hemoglobin in the blood. Hemoglobin is a protein in the blood.

  • Bone Marrow Biopsy

    A small amount of bone marrow, blood, and bone get removed from the hipbone or breastbone. We look for microscopic signs of cancer.

  • Immunophenotyping

    This lab test reviews markers (antigens) found on the surface of blood or bone marrow cells. Our goal is to find out the type of cells in your blood. This test helps diagnose the specific type of blood cancer by comparing the cancer cells to normal cells of the immune system.

  • Flow Cytometry

    Cells in a blood sample are measured for the amount and percentages of live cells. We also check the characteristics of cells. These include size, shape, and the presence of tumor markers on the cell surface. Measurements are created by how the light-sensitive dye reacts to the light.

  • Cytogenetic Analysis

    A lab test that looks at cells in a blood sample under a microscope for changes in the chromosomes found in blood or bone marrow. Fluorescent in situ hybridization (FISH) is a type of cytogenetic test using fluorescent dyes that only attach to certain parts of chromosomes.

  • Multigene Tests

    Because no tumor has a single mutation, genomic profiling allows the pathologist to identify groups of mutations in your blood sample and create a tumor profile for you. That profile can be used to determine what type of treatment would be the most effective and how long you should have treatments like chemotherapy. Your profile may also help predict whether the blood cancer is likely to recur and guide treatment accordingly.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry First Health PPO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Seasons Hospice
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care