Hematologic Alterations & Cancer Flashcards
wilms’ tumor
Most common renal tumor in children
Etiology: Unilateral in children with no family history and bilateral if family history present. Associated with aniridia, hemi-hypertrophy, cryptorchidism, & hypospadias
Manifestations: Typically asymptomatic, mobile, abdominal mass. Usually found by parent while bathing child or by primary care provider. Hematuria, hypertension, abdominal pain, anemia, and fever possible.
Treatment: Surgery, chemo, &/or radiation
DO NOT PALPATE ABDOMEN
brain tumor
Most common solid tumor of childhood. Least likely to metastasize and most likely to cause death; Etiology: Unknown
Manifestations: Vary by age, location, and development. Increased ICP may cause symptoms, H/A, morning vomiting, seizures, focal symptoms, neurologic deficits
Diagnosis: History of manifestations and MRI
Treatment: Surgery, radiation, chemo, or a combo of all
Nursing care: Control symptoms, prep of surgery, postop management, and education
Ewing sarcoma
2nd most common bone tumor in children, Highly malignant bone tumor (pelvis, chest wall, vertebrae, & long bone diaphyses); Etiology unknown
Manifestations: Pain, soft tissue swelling, fever
Diagnostics: CT, MRI, bone scan, & bone marrow aspiration
Nursing Management: Discourage active play or weight baring on affected extremity
Treatment: Chemo, surgery, & radiation
