39 - Organ Neoplasms - Cher

Question 1

Where would you find a Wilms’ tumor?

Answer 1

kidneys or abdomen

Question 2

What kind of cancer is a Wilms’ tumor?

Answer 2

Nephroblastoma

Question 3

Diagnosis generally occurs at an age younger than ___?

The majority of the cases are diagnosed at age ___?

Answer 3

5

3

Question 4

A malignancy that occurs in the adrenal gland, sympathetic chain of the retroperitoneal area, head, neck, pelvis, or chest

Answer 4

Neuroblastoma

Question 5

Wilms’ tumore symptoms

Answer 5

abdominal swelling/mass (firm and nontender), fatigue, malaise, weight loss, fever, hematuria, hypertension,

Question 6

What are signs and symptoms of metastasis with a wilms tumor?

Answer 6

dyspnea, cough and sob

Question 7

Lab tests for Wilms’ tumor?

Answer 7

BUN, Creatinine
CBC
Urinalysis

Question 8

Lab tests for neuroblastoma?

Answer 8

CBC and Coagulation studies
Urine catecholamines (vanillylmandelic acid, homovanillic acid, dopamine and norepinephrine)

Question 9

If a Wilms’ tumor is suspected should you palpate the abdomen?

Answer 9

no

Question 10

Diagnostic procedures for Wilms tumor:

Answer 10

abdominal ultrasonography
abdominal and chest CT
Inferior venacavagram
bone marrow aspiration

Question 11

Diagnostic procedures for neuroblastoma:

Answer 11

skeletal survey
skull, neck, chest abdomen and bone CT's
bone marrow aspiration
MIBG scan (determines bone, bone marrow and soft tissue involvement)
biopsy of tumor

Question 12

Treatment of wilms tumor:

Answer 12

surgical removal

preoperative chemo or radiation if both kidneys are involved

Question 13

not finished

Answer 13

not finished