Adolescent cancer survivors were compared with nondiseased control sub
jects on measures of adaptation, coping, body image, sexual adjustment
, psychopathology, and family functioning. Cancer survivors reported n
o major difficulties in social competence, overall coping, and family
communication. Although their school teachers reported no symptoms of
psychopathology, the cancer survivors did report body image disturbanc
es and adjustment difficulties. Further, the surviving adolescents wer
e eager to present themselves favorably. Compared with nondiseased con
trol families, families of survivors were characterized as somewhat in
flexible. Implications for clinical practice include the careful monit
oring of youth who have survived cancer as well as sensitivity to unde
rlying concerns that the survivors and their families may avoid.