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Solid Tumors in Children
CSM Pediatric Solid Tumors
21
Nursing
Undergraduate 3
03/15/2016

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Cards

Term
What is the most common solid tumor in children?
Definition
Brain tumors
Term
Where are the most common location for brain tumors?
Definition
below the tentorial plate
Term
What happens to a patient with medullablastoma?
Definition
Loss of balance
Sheds to the CSF
Term
What is the most recoverable brain tumor?
Definition
Astrocytoma
Term
What are common symptoms from a brain tumor?
Definition
Headache, NV, dizziness, change in vision or hearing, fatigue, slight incoordination, diplopia, nystagmus, speech problems, strabismus, head tilt
Term
Where are brain tumors located that cause diabetes insipidous?
Definition
Pituitary tumor
Term
How is a tumor diagnosed?
Definition
Thru imaging studies, then graded by a needle biopsy
Term
What is the tx for brain tumors?
Definition
Surgery if possible
Radiation (over 3 yrs old)
Chemotherapy (given intrathecally or Ommaya reservoir)
Shunts (for ICP)
Anticonvulsants
Decadron (10xs prednisone)
Term
What is grading of cancer?
Definition
how fast its spreads
Term
What does a nurse need to manage with a brain tumor pt?
Definition
Coordination of care
Neuro status
Post op care
Medications admin
Complications
Discharge planning & home teaching
Term
What are complications from a brain tumor?
Definition
DI
rising ICP
Seizures
Term
What is a neuroblastoma?
Definition
It is an embryonic tumor that is smooth, hard, & non tender mass found anywhere along the sympathetic nervous system chain. It is the most common infant tumor. It is associated with chromosome 1 & 2. The prognosis is good if found in stage 1 or 2 but is often found in later stages.
Term
What are the symptoms of a retroperitoneal mass from neuroblastoma?
Definition
Altered bowel or bladder function
Weight loss
Abdominal distention
Enlarged liver
Term
What are the symptoms of a Mediastinal mass from neuroblastoma
Definition
Dyspnea
Infection
Term
What is a unique characteristic of used for diagnosis of neuroblastoma?
Definition
It secretes catecholamines that can be found in the urine thru a UVA/UMA
Term
What is the Tx for nueroblastomas?
Definition
1st surgical removal of the mass is done
Super aggressive chemo is followed
Radiation (has no effect in disseminated disease)
Stem cells are also implanted
Term
What is the nursing care for nueroblastomas?
Definition
Post op care
Medication admin
Child & family teaching
Term
What is Wilm's Tumor?
Definition
Nephroblastoma, intrarenal tumor, is a common abdominal tumor seen in ages 2-5 years old, it is encapsulated
Term
What are clinical manifestations of Wilm's tumor?
Definition
Usually asymptomatic
Can cause HTN due to renin release
Mass may be felt
-Firm, lobulated
-located to one side of the midline of the abdomen
-It doubles in size by 11-13 days
Term
What is the Tx for Wilm's tumor?
Definition
Remove affected kidney
Look for metastasis
Chemo with or without radiation
NEVER biopsy
Term
What is the nursing care for Wilm's tumor?
Definition
Post op care
Chemo admin & monitoring
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