Term
| What are the types of bone cancer? |
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Definition
1. Osteosarcoma
2. Ewing's sarcoma |
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Term
| What are osteosarcoma characteristics? |
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Definition
Rare, malignant bone tumor, is more common than Ewing's
Occurs primarily in adolescent boys
Bone break easily
2ยบ from retinoblastoma or radiation exposure |
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Term
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Definition
Small, malignant tumor
Occurs in shaft of long bones (femur, tibia, etc.)
May occur in any bone
Age 5-20 rare in AA
Chromosome 11, 22
Soft tissue swelling is worse than osteosarcoma |
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Term
| What are symptoms of bone tumors? |
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Definition
Pain, swelling, lab abnormalities
Growing pains go away but tumor pains get worse
Pain from tumor wakes child at night, growing pains don't |
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Term
| What are lab abnormalities from bone tumors? |
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Definition
| Alkaline phosphates x2 or x3 greater with tumor kids |
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Term
| What is the therapy for Osteosarcoma? |
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Definition
Limb salvage or amputation
Aggressive chemo
Metastasis is common |
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Term
| How does Osteosarcoma spread? |
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Definition
| Through direct extension, often ends up in the lungs |
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Term
| How is Ewings and osteo sarcoma differentiated? |
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Definition
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Term
| What is the Tx for Ewing's sarcoma? |
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Definition
Chemo to reduce tumor size
Surgery: limb salvage is common because it ends up in soft tissue & weird places like the pelvis
Chemo
Metastasis is common |
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Term
| What is the nursing care for bone cancers? |
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Definition
Post op car and monitoring
Body imaging concerns
-Prosthesis
-Support group, other adolescents with amputations
-School access |
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