Childhood Disease III Flashcards

1
Q

fibrous tumors are most often what

A

benign

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2
Q

what is the only malignant fibrous tumor we talked about

A

congenital infantile fibrosarcoma

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3
Q

what does infantile myofibromatosis look like

A

nodules on infant

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4
Q

what is the most common fibrous tumor in infants

A

infantile myofibromatosis

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5
Q

aggressive infantile fibromatosis

A

still benign but can grow large and infiltrate

myofibroblast cells infiltrate skeletal muscle

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6
Q

what is the most common solid tumor in the newborn

A

sacroccygeal teratoma

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7
Q

what is the most common solid congenital malignancy

A

congenital neuroblastoma

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8
Q

most of the sacrococcygeal tertomas detected before 4 months of age are _______

A

benign

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9
Q

what is the second leading cause of death from disease in age 5-14

A

malignancy

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10
Q

what are teh 3 major sources of childhood malignancy

A

hematopoiectic
nervous
renale

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11
Q

why does childhood malignancy have a favorable prognosis

A

tendency of spontaneous regression

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12
Q

neuroblastoma

A

malignant tumor of primaritvie sympathetic cells

affects adrenal medulla, sympathetic ganglia

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13
Q

what is the cause of 10% of all childhood cancers

A

neuroblastoma

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14
Q

what are some symptoms of neuroblastoma

A

abdominal mass
weight loss
ascities

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15
Q

how does neuroblastoma affect blood

A

increased catecholamines

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16
Q

how does neuroblastoma affect urine

A

increased VMA and HVA

17
Q

buzzword for neuroblastoma

A

blueberry muffin baby

18
Q

what does neuroblastoma look like histologically

A

small blue round cells

dense core neurosecretory granules

19
Q

what is the most common primary malignant tumor of kidney in children

A

wilms tumor

20
Q

what is wilms tumor associated with

A

mutations and congenital malformations

21
Q

symptoms of wilms tumor

A

abdominal mass
hematuria
fever
hypertension

22
Q

WAGR syndrome

A

33% risk to have WT
retardations
genital anomalities
no iris

23
Q

denys-drash syndrome

A

90% risk to have WT
nephropathy
gonadal dysgenesis
gonadoblastoma

24
Q

what is the most common sarcoma of childhood

A

rhabdomyosarcoma

25
Q

where is rhabdomyosarcoma most often located on the body

A

head and neck, specifically around the eyes

26
Q

what are the 3 subtypes of rhabdomyosarcoma

A

embryonal
alveolar
pleomorphic

27
Q

what subtype of rhabdomyosarcoma has the worst prognosis

A

pleomorphic

28
Q

where does embryonoal rhabdomyosarcoma often develop

A

walls of hollow, mucosal-lined structures

29
Q

some things taht retal alcohol can cause

A
growth retardnation
microcephaly
short palpebral fissures
maxillary hypoplasia
atrial septal defect
30
Q

neural tube defects

A

an opening in spinal cord or brain that occurs very early in human development

31
Q

what can reduce the incidence of neural tube defects

A

folic acid supplements

32
Q

what is the indicator of fetal lung maturity

A

surfactant

33
Q

what is surfactant

A

mixture of lipids, proteins, glycoproteins - lecithin and spingomylin

34
Q

neuroblastoma

A

malignant tumor of primative sympathetic cells

affects adrenal medulla, sympathetic ganglia

35
Q

some things that fetal alcohol can cause

A
growth retardation
microcephaly
short palpebral fissures
maxillary hypoplasia
atrial septal defect