HM2 lilk8tob Childhood cancers
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Most common leukemia in children, especially boys | ALL
🗑
|
||||
| ALL stands for | Acute Lymphocytic Leukemia
🗑
|
||||
| AML stands for | Acute Mylocytic leukemia
🗑
|
||||
| In this acute leukemia, subtypes determine the prognosis and the treatment | ALL
🗑
|
||||
| This acute leukemia has a good prognosis for kids, poor for adults | ALL
🗑
|
||||
| In this leukemia, try chemo up to the 3rd relapse, then do BMT | ALL
🗑
|
||||
| ALL: best dx if leukocytes are:, age:, gender: , chromosomes: | leukocytes <50,000; 3-9 years old; female; >50 chromosomes
🗑
|
||||
| In ALL, pre-B cell subtype and FABL are: | the best dx
🗑
|
||||
| In this acute leukemia, subtypes don't direct treatment | AML
🗑
|
||||
| This acute leukemia is most common in adults | AML
🗑
|
||||
| This acute leukemia has a poor prognosis for everyone | AML
🗑
|
||||
| For this acute leukemia, do BMT on 1st remission | AML
🗑
|
||||
| CLL stands for | Chronic Lymphocytic Leukemia
🗑
|
||||
| CML stands for | Chronic Myelogenous Leukemia
🗑
|
||||
| This chronic leuk is very rare in kids, and is most common in men age 50+ | CLL
🗑
|
||||
| This chronic leuk is caused by a neoplasm of activated B lymphocyte cells that accumulate in bone marrow lymph nodes and spleen | CLL
🗑
|
||||
| CLL Signs and symptoms | fatigue, GU symptoms, abd. pain, anemia
🗑
|
||||
| This chronic leuk has no treatment | CLL
🗑
|
||||
| the progression of this chronic leuk is 9-15 years | CLL
🗑
|
||||
| This leuk has the Philadelphia chromosome | CML
🗑
|
||||
| In this chronic leuk, there is an excessive development of neoplastic granulocytes in bone marrow | CML
🗑
|
||||
| The chronic phase of this leuk lasts 2-4 years, then it can go into a blastic phase that resembles AML | CML
🗑
|
||||
| This chronic leuk uses drugs to avoid acute phase | CML
🗑
|
||||
| The only curative treatment for CML: | BMT
🗑
|
||||
| A chronic, progressive disorder c/b painless enlargement of lymph nodes w/ predictable progression to spleen, liver & bone marrow | Hodgkin's lymphoma
🗑
|
||||
| This has the proliferation of Reed-Sternberg cells (they replace other cell elements) | Hodgkin's lymphoma
🗑
|
||||
| In children w/ this, the "sentinel" node in the supraclavicular area is seen first | Hodgkins
🗑
|
||||
| W/ Hodgkins, pain in the lymph node is experienced with ingesting: | alcohol
🗑
|
||||
| Does Hodgkin's have a good long-term survival rate? | Yes, with aggressive chemo and radiation
🗑
|
||||
| This is a malignancy of B&T lymphocytes | Non-Hodgkin's lymphoma (NHL)
🗑
|
||||
| This disease has a possible viral etiology | Non-Hodgkins lymphoma
🗑
|
||||
| Non-Hodgkins lymphoma is seen more often in: | immunocompromised pts
🗑
|
||||
| Age for Non-Hodgkins | less than 14, over 40
🗑
|
||||
| Which Hodgkin's is harder to diagnose? | Non-Hodgkins is
🗑
|
||||
| The less predictable of the hodgkis | Non
🗑
|
||||
| Signs and symptoms of non-hodgkin's | enlarged lymph nodes, night sweats, stomach cramps, constipation
🗑
|
||||
| This condition (increased uric acid levels) may occur with Non-Hodgkins | Tumor lysis syndrome
🗑
|
||||
| Is an adult w/ low grade (slow progression) non-hodgkins more or less responsive to treatment? | Less responsive
🗑
|
||||
| Location of brain tumors in children | Below the Tentorium Cerebri
🗑
|
||||
| Location of brain tumors in adults | Above the Tentorium cerebri
🗑
|
||||
| Big sign of brain tumor in adults: | Headache because the skull can't swell
🗑
|
||||
| Big sign of brain tumor in children (and the reason) | Enlarged head because fontanel and sutures allow the head to swell
🗑
|
||||
| Is "benign" a good thing for kid's brain tumors | No- it really just depends on the location- if can't be reached, will kill surrounding tissue & cause problems
🗑
|
||||
| In kids, S&S of brain tumor: | Morning vomiting, poor coordinatino, visual changes, increased ICP
🗑
|
||||
| Infant brain tumor S&S | Irritability, poor feeds, increased head size, loss of developmental milestones
🗑
|
||||
| Adult brain tumor S&S | HA when waking, N/V, visual changes, personality changes, seizures are common, papilledema of the optic nerve
🗑
|
||||
| Treatment of brain tumors: | GAMMA knife - pinpoint radiatiion, chemo, brachytherapy
🗑
|
||||
| Radiation used for brain tumors after age: | three
🗑
|
||||
| Treatment where you put the med or radioactive seed directly into brain: | Brachytherapy
🗑
|
||||
| Things to warn family about before brain surgery: | head shaved, large dressing, HOB 30 degrees
🗑
|
||||
| After brain surgery for tumor, watch for these two things: | SIADH (syndrome of inappropriate ADH) and Diabetes
🗑
|
||||
| Position to avoid after brain surgery: | Trendelenburg
🗑
|
||||
| This is one of the worst tumors (in children only) because it is the hardest to find and treat | Neuroblastoma
🗑
|
||||
| A neuroblastoma originates from: | embryonic adrenal/sympathetic chain cells
🗑
|
||||
| What is the "silent tumor" | Neuroblastoma because it is well metastasized before S&S
🗑
|
||||
| This tumor in children can randomly disappear on it's own somehow | Neuroblastoma
🗑
|
||||
| Neuroblastoma is more common in (race & gender) | White boys
🗑
|
||||
| This tumor is a firm non tender mass that WILL CROSS THE MIDLINE | neuroblastoma tumor
🗑
|
||||
| If neuroblastoma found after 1 year, survival rate: | 50%
🗑
|
||||
| This is the most common renal cancer | Wilms tumor
🗑
|
||||
| This tumor has a peak incidence of 3 yrs old, and does have genetic inheritence | Wilms tumor
🗑
|
||||
| This tumor does NOT CROSS THE MIDLINE | Wilm's tumor
🗑
|
||||
| S&S of Wilm's tumor | hematuria, anemia (from bleeding), HTN (from increased secretion of renin)
🗑
|
||||
| Wilm's tumor commonly metastasizes to the: | lungs
🗑
|
||||
| If have Wilm's tumor, will remove: | kidney and adrenal gland
🗑
|
||||
| Key nursing fact for pt with Wilm's tumor: | Do not palpate the abdomen- can rupture the tumor!
🗑
|
||||
| Pt has Wilm's tumor- must monitor | BP - have increased secretion of renin
🗑
|
||||
| This is a striated muscle tumor | Rhabdomyosarcoma
🗑
|
||||
| Rhabdomyosarcomas in young children are most often found: | in the head, neck and eye orbit
🗑
|
||||
| Rhabdomyosarcomas in older children are most often found: | in the trunk and extremities
🗑
|
||||
| Treatment for rhabdomyosarcoma | chemo to reduce bulk, then surgery, radiation
🗑
|
||||
| If relapse within two years with rhabdomyosarcoma | prognosis is very poor
🗑
|
||||
| Rhabdomyosarcoma survival rate | 65%
🗑
|
||||
| Name the two bone tumors: | Osteogenic sarcoma and ewing's sarcoma
🗑
|
||||
| This is the most common bone cancer | Osteogenic sarcoma
🗑
|
||||
| When do osteogenic sarcomas peak (age)? | Teen years- rapid bone growth
🗑
|
||||
| Treatment for Osteogenic sarcoma | amputation of leg, attempt arm-sparing procedure
🗑
|
||||
| This tumor arises from bone forming mesenchyme malignant osteoid | osteogenic sarcoma
🗑
|
||||
| S&S of osteogenic sarcoma | limp, palpable mass, fractures
🗑
|
||||
| Osteogenic sarcoma usually located at | distal femur and knee
🗑
|
||||
| Osteogenic sarcoma frequently metastizes to: | lungs
🗑
|
||||
| This tumor arises in marrow spaces of bone and mimics infection | Ewing's sarcoma
🗑
|
||||
| Peak age for ewing's sarcoma | 10-20 years old
🗑
|
||||
| Metastasis for Ewing's: | metastasis uncommon at diagnosis, but can occur to marrow and lungs
🗑
|
||||
| S&S of Ewing's | pain and swelling around site, fever, limp/decreased ROM
🗑
|
||||
| Treatment of Ewing's | Chemo to shrink tumor, surgery to resect primary tumor or radiation
🗑
|
||||
| This is a congenital malignant tumor that arises from the retina | Retinoblastoma
🗑
|
||||
| A retinoblastoma results from | A series of genetic mutations
🗑
|
||||
| Reflex seen in pts with retinoblastoma | "Cat's eye" reflex- leukoria
🗑
|
||||
| S&S of retinoblastoma | cat's eye, strabismus, pain, blindness
🗑
|
||||
| Metastasis common in retinoblastoma | bone metastasis- so assess bone marrow
🗑
|
||||
| Treatment for retinoblastoma | enucleation (eye removal) if optic nerve is involved, chemo only with metastatic disease
🗑
|
||||
| Type of counseling needed with retinoblastoma | genetic counseling- is inherited (esp. the bilateral kind)
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
lilk8tob
Popular Nursing sets