N414 Cancer in Children Questions with correct answers.

N414 Cancer in Children Questions with correct
answers
Neuroblastoma Correct Answer-- Most common solid tumor outside the
cranium (NOT a brain tumor).
- Dx 17-22 months.


- S/S: relative to the location of the tumor.


- Tumor markers in urine: VMA and HVA.


- TX: chemo, radiation, surgery.


Nephroblastoma (Wilms tumor) Correct Answer-- Rapidly growing,
friable abdominal tumor in ages 2-3 yo.


- S/S: asymptomatic initially, increased abdominal girth, palpable
abdominal mass, may have high BP, hematuria, abdominal pain.


- Dx: ultrasound, IVP, CT, MRI


- TX: surgery, chemo and radiation.


- DO NOT palpate the mass and monitor their BP!!

, Hodgkin's disease Correct Answer-- Cancer of the lymph. very curable
in early stages.


- S/S: non-tender, firm lymphangiogram, possible hx of fever, night
sweats, wt loss. Supraclavicular. lump. Swollen lymph nodes don't hurt.


- Dx: lab, +reed Sternberg cells, CT/MRI, gallium scan,
lymphangiogram, lymph node and bone marrow biopsies, bone scan.


- TX: radiation, chemo.


Rhabdomyosarcoma Correct Answer-- Most common soft tissue tumor
in. children under 5 yo.


- Muscles, tendons, fibrous connective tissue, vascular tissue.


- Dx and S/S: depend on site.


- Tx: surgery, radiation, chemo.


Retinoblastoma Correct Answer-- 40% hereditary (RB1 gene).


- S/S: white pupil (leukocoria) in photo.