oncology Flashcards

1
Q

what is neuroblastoma

A

tumours arising from neural crest tissue whcih develops into the nervous system and adrenal glands

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2
Q

at what age does neuroblastoma occur

A

often occurs in children under 5yrs

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3
Q

clinical presentation of neuroblastoma

A

bone pain
weight loss
malaise
abdo mass
hepatomegaly
limp

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4
Q

where does neuroblastoma often start

A

abdomen
which can then spread to bones liver and skin

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5
Q

investigations for neuroblastoma

A

blood tests
imaging
urinalysis - catecholamines

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6
Q

what is retinoblastoma

A

malignant tumour of retinal cells which can affect one or both eyes

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7
Q

clinical features of retinoblastoma

A

white pupillary reflex instead of normal corneal reflex
squint/ strabismus
redness or inflammation of eye
poor vision

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8
Q

which chromosome is the retinoblastoma susceptibility gene found in

A

chromosome 13

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9
Q

pattern of inheritance in retinoblastoma

A

dominant with incomplete penetrance

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10
Q

inheritance of bilateral and unilateral retinoblastoma

A

all bilateral tumours are hereditary
most unilateral tumours are not

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11
Q

investigations of retinoblastoma

A

corneal reflex test

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12
Q

what is wilms tumour

A

renal tumour
most present before 5yrs

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13
Q

clinical features of wilms tumour

A

large abdo mass
haematuria
lethargy
fever
htn
weight loss

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14
Q

investigations for wilms tumour

A

USS- first line
biopsy- gold

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15
Q

management of wilms tumour

A

chemo then nephrectomy
radio is for those with more advanced disease

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16
Q

which age group does hepatoblastoma usually occur in

A

under 3 yrs

17
Q

investigations for hepatoblastoma

A

lft
uss- for tumour in the liver
ct and mri - for any metastatic spread

18
Q

blood test results for hepatoblastoma

A

lfts normal
high serum alphafetoprotein

19
Q

hepatoblastoma staging

A

PRETEXT - 4 stages
1- cancer is single tumour affecting 1 quadrant
2- affecting 2 quadrants
3- 3 quadrants
4- affecting entire liver

20
Q

hepatoblastoma mangement

A

depends on type, size, metastatic spread etc

chemotherapy

21
Q

what are the main malignant liver tumours in children

A

mainly hepatoblastoma
hepatocellular carcinoma