Shared Flashcard Set

Details

Children Soft Tissue Tumors
CSM Pediatric Soft Tissue Tumors
26
Nursing
Undergraduate 3
03/13/2016

Additional Nursing Flashcards

 


 

Cards

Term
What are characteristics of hodgkin's disease?
Definition
Disorder of the lymph system
Arises from single lymph node or group of lymph nodes
Peak Occurrence
Occurs in teenagers
Term
What are the main symptoms of hodgkin's lymphoma?
Definition
Non-tender, rubbery, firm lymph node
Term
What are symptoms seen in a person with aggressive Hodgkin's lymphoma?
Definition
Fever, night sweats, puritis, weight loss
Term
How is Hodgkin's lymphoma diagnosed?
Definition
Redd-Sternberg cell is found in the bone marrow. A biopsy is used to stage the lymphoma. It spreads through the lymph system
Term
What is the treatment for Hodgkin's Disease?
Definition
Chemotherapy- Four drugs (MOP) not for stage 1 & 2
Radiation- 95% Survival
Bone Marrow Transplant
Term
What are the 3 subtypes of NHL?
Definition
1. Lymphoblastic
2. Undifferentiated
3. Large Cell
Term
What is the 3rd most common cancer after Leukemia, & brain tumor?
Definition
NHL; kids ages 7-11; 3xs more common in boys
Term
What is NHL?
Definition
Malignant tumor of the lymphoreticular system- internal framework of the lymph; abnormal T cells, usually chromosomal
Term
What are the two subtypes of undifferentiated NHL?
Definition
Burkitts & non Burkitts
Term
What are differentiating factors of NHL & Hodgkins?
Definition
NHL is acute onset with a rapid progression, Ages 7-11, bigger tumor that Lab pathologists will differentiate, it is not sensitive to radio therapy
Term
Where is a common place for a NHL tumor to be?
Definition
abdomen or mediastinum (trouble breathing in this location)
Term
What are the clinical manifestations for NHL patients?
Definition
Fever
Weight loss
Enlarged, nodular lymph nodes
Term
How is NHL diagnosed?
Definition
CBC, other labs
Bone marrow aspiration
Imaging studies
Tissue biopsy
Term
What is the Tx for NHL?
Definition
Chemotherapy (can get tumor lysis syndrome that leads to renal failure)
Radiation not used commonly
Sugery
-tissue biopsy
-treat complications of tumor
Term
What is Rhabdomyosarcoma?
Definition
Tumor of the striated muscle with a finger like growth
Term
Where are common sites for Rhabdomyosarcoma?
Definition
Muscles around the eyes
Muscles in the neck
Less common sites:
Abdomen
Genitourinary tract
Extremitites
Term
What is the biomarker used to distinguish Rhabdomyosarcoma?
Definition
Desmin
Term
What are clinical manifestations of Rhabdomyosarcoma?
Definition
Depends on tumor site
Eyes:
-Swelling
-Ptosis
-Visual disturbances
Term
What is the Tx for Rhabdomyosarcoma?
Definition
1. Surgically remove tumor
2. Radiation is used to shrink the tumor prior to surgery or destroy tiny pieces after surgery
3. Chemo therapy
Term
What is retinoblastoma?
Definition
Intraocular malignancy of the retina that can be bilateral or unilateral. The risk may be inherited.
Term
What is the difference between inherited or new mutations in regards to retinoblastoma?
Definition
Inherited is related to chromosome 13 (dominate) and leads to bilateral retinoblastoma (1/3 of pts). New mutations usually lead to unilateral retinoblastoma (2/3 of pts).
Term
What is the may clinical manifestation for retinoblastoma?
Definition
Leukokoria (white pupils) "cat's eye" reflex; it is hard to see in african americans
Term
What is the tx for retinoblastoma?
Definition
Radiation (lower stages)
Chemo therapy
Enucleation of most involved eye if bilateral
Term
At what age should you not do Radiation?
Definition
Under 2-3 years old
Term
What can result from retinoblastoma?
Definition
Strabismus,
Term
What is the prognosis for retinoblastoma?
Definition
90% survival
B/c it is chromosomal there is a 30% chance it will come back as another cancer (osteosarcoma is common)
Supporting users have an ad free experience!