Neuroblastoma/leukemia/terminal Illness

Question 0

What is neuroblastoma

Answer 0

Cancer involving specialized nerve cells which are in valves in the dev of the Ns and other tissues

Question 1

When are most children diagnosed with neuroblastoma

Answer 1

Younger than 5

Question 2

Where doe neuroblastoma most often occur

Answer 2

In the adrenal glands in the abdomen

Question 3

Where can neuroblastoma occur

Answer 3

Adrenal glands
Along spinal cord
In Ns near spine in neck
Chest
Abdomen
Pelvis

Question 4

Symptoms of neuroblastoma

Answer 4

Loss of appetite
Tired
Pain in bones
Swollen abdomen
High Bp
Difficult breathing and swallowing
Skin with small blue bumps
Weakness and unsteadiness in le

Question 5

How to diagnosis neuroblastoma

Answer 5

Blood test
Urine test
Bone marrow test
X-ray
Ct
MRI

Question 6

What is know as staging

Answer 6

Finding the exact position of the neuroblastoma to see if it’s spread

Question 7

Stage 1 neuroblastoma

Answer 7

Contained to one area of the body

Question 8

Stage 2a

Answer 8

Cancer localized surgery can’t remove

Question 9

Stage 2b

Answer 9

Cancer localized spread to lymph nodes

Question 10

Stage 3

Answer 10

Cancer spreading to surrounding organs and structures

Question 11

Stage 4

Answer 11

Cancer spreading to distant lymph nodes, bone, bone marrow, liver, skin, other organs

Question 12

Stage 4s

Answer 12

Cancer is localized
Spread to liver spleen skin
Kids less that 1 yo

Question 13

What is metastatic

Answer 13

Cancer spreads to other parts of the body

Question 14

What is recurrent

Answer 14

Cancer comes bake after initial treatment

Question 15

Treatment of neuroblastoma

Answer 15

Surgery-if it hasn’t spread
Chemo-for high risk or have spread
Radiation-high risk and spread to several parts of body

Question 16

When is chemo usually only needed in neuroblastoma

Answer 16

If there are symptoms from the tumor

Question 17

What is a good risk tumor

Who does it occur in

Answer 17

Tumor that hasn’t spread

12-18 months

Question 18

What may neuroblastoma turn into or do

Answer 18

May disappear

Turn into ganglioneuroma

Question 19

Most children within what age are cured of neuroblastoma

Answer 19

Under 12 months

Question 20

What is the cause of a brain tumor

Answer 20

Unknown

Believed to be chromosomal or developmental

Question 21

How do you diagnose a Brain tumor

Answer 21

Ct

MRI

Question 22

What is the first choice when treating a brain tumor

Answer 22

Surgery with radiation

Question 23

What is the ultimate goal of brain tumor treatment

Answer 23

Eliminate tumor with the fewest st and lt negative side effects

Question 24

What may occur after surgery for a brain tumor

Answer 24

Problems like hemiparisis or needing a shunt

Question 25

What is lymphoma

Answer 25

Cancer of the spleen and lymph nodes

Question 26

What is the 3rd largest group of childhood cancers reported

Answer 26

Lymphoma

Question 27

What are the two types of lymphoma

Answer 27

Hodgkins | Non Hodgkin's lymphoma

Question 28

What is Hodgkin's disease

Answer 28

Cells in the lymphatic system grown abnormally | Presents as painless progressive enlarging lymph node

Question 29

Where is Hodgkin's usually found first

Answer 29

In the neck

Question 30

When do you seen Hodgkin's

Answer 30

Unlikely before 7 | Increases in youths until mid 20's

Question 31

Risk factors of Hodgkin's

Answer 31

``` Age: 15-40. 55 more at risk Family history Sex: males more likely Comprised immune system Geography: us, canada, Northern Europe more likely. Less common Eastern/Asian countries. Socioeconomic status: more in high ses ```

Question 32

Treatment of Hodgkin's

Answer 32

Chemo Radiation Bone marrow transplant Stem cell transplant

Question 33

Complications in Hodgkin's due to treatment

Answer 33

``` Cardiovascular disease Secondary malignancy Vascular disease Thyroid dysfunction Sterility ```

Question 34

Who is nonhodgkins seen most in

Answer 34

3x more in males that females | Most frequent in kids aged 7-10

Question 35

What is nhl caused by

Answer 35

Abnormal lymphocytes that continue to grow and divide uncontrollably causing crowding in the lymph nodes which leads to inflammation of lymph nodes

Question 36

Which metastasizes more rapidly and more disorganized

Answer 36

NHL

Question 37

Symptoms of nhl

Answer 37

``` Fever Night sweats Weight loss Abnormal pain or swelling Chest pain Extremely itchy skin ```

Question 38

Risk factors for nhl

Answer 38

Immunosuppression Infections Chemicals- pesticides may increase chance Age- 7-10 and 60+ for adults

Question 39

Treatment of nhl

Answer 39

Chemo Radiation Stem cell transplant

Question 40

What percent of kids get complete remission in nhl from multiple drug chemo

Answer 40

80-90

Question 41

Where are osteosarcoma so found

Answer 41

In the end of long bones such as the leg or arm

Question 42

Who is osteosarcoma often seen in

Answer 42

Teens

Question 43

What happens with treatment of osteosarcoma

Answer 43

Rapidly spreads Resistant to radiation so often amputation followed by chemo Extensive prosthetic training

Question 44

Where is Edwigs sarcoma found and in who

Answer 44

In adolescences | In the bones of the trunk, long bones,and skull

Question 45

Ewing's sarcoma responds well to

Answer 45

Treatment

Question 46

Where does leukemia originate

Answer 46

In bone marrow

Question 47

What is the most common cancer in kids

Answer 47

Leukemia

Question 48

What is the first type of leukemia

Answer 48

Acute lymphoblastic leukemia (all)

Question 49

Where do you see acute lymphoblastic leukemia

Answer 49

More in boys Typical bt 3-4 favorable response e to treatment Symptoms like childhood illness

Question 50

What is the second type of leukemia

Answer 50

Acute myelogenous leukemia (aml)

Question 51

When is aml diagnosed What is the prognosis What is the diagnosable difference

Answer 51

Teen years Poorer than all Spongy bleeding gums

Question 52

Ots role in cancer

Answer 52

``` Rom Tone Strengthening Reteaching ADL/IADL Fm/gm Cognitive Self esteem/coping ```