14.NON-HODGKIN’S LYMPHOMAA.More prevalent in young childrenB.Diffuse presentationC.Aggressive radiation & chemoD.Good prognosisi.Depends on subtype; Can be as high at 88%15.BRAIN TUMORS
i.Cerebellar Astrocytomaii.Medulloblastomaiii.Brain stem gliomaiv.Ependymomav.Astrocytomavi.Craniopharyngiomai.Biopsyii.CT, MRIi.Surgeryii.Radiation (what age do you want to avoid? Before 2 -3 years)iii.Chemotherapyi.16.NEUROBLASTOMAi.Stage 1: no tx; usually self-limitingii.Stage 4: most intense tx: chemo surgery chem radiation immunotherapy (best therapy for cure)i.Surgery, radiation, chemo, BMT, immunotherapyii.Variable prognosis depending on stage17.SOLID TUMORSA.Bone (most often in adolescents)i.Osteosarcoma1.78% survival
2.Chemotherapy and surgery3.Possible amputation; peaks in adolescence4.Bone tumor pain often assumed to be growing pains or injury often in femurii.Ewing Sarcoma 1.Radiation & chemo, not amputationB.Soft tissuei.Rhabdomyosarcoma1.Surgery, radiation, chemo2.Skeletal muscle and connective tissue3.Commonly in head, neck around eye4.May have pain, palpable mass18.TX BONE TUMORSi.Resectionii.Amputationiii.Rotationoplasty detach the leg cut the portion of the tumor off then rotate the detached limb and reattach the limb for the heel to be as knee iv.May have phantom pain19.WILM’S TUMORA.Tumor of the kidney!B.Young childrenC.Feel abdominal mass
D. SurgeryE.Excellent survival!F.Tx: removal of the kidney and tumori.Do not palpate (avoid combustion)!ii.Watch for HTN20.EYE TUMORSA.Retinoblastomai.White glow (missing red reflex)1.May also see strabismus, redness, swellingii.Surgery; Radiation; Chemo1.Enucleation is a possibilityiii.Genetic componentB.
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