Pedia Oncology Flashcards
Most common malignant neoplasm in childhood
ALL
Peak incidence of ALL & gender predominance
2-6yrs old
M>F
Diagnostic test for ALL
Bone marrow aspiration with PBS:
Anemia, thrombocytopenia, median wbc: 33,000, lymphoblasts in the BM and PBS
Sites of relapse of ALL
Bone marrow
CNS
Testes
Poor prognostic factors for ALL
Male WBC >100,000 u/L on presentation presence of CNS leukemia Presence of mediastinal mass Less than 2 or more than 10yrs old
Variant of Hodgkin’s lymphoma with the best prognosis
Lymphocyte-predominant
EBV is associated with what type subtype of NHL?
Burkitt’s lymphoma
Most common solid tumors in childhood?
Brain tumors
Most common posterior fossa tumor of childhood; has the best prognosis
Cerebellar Astrocytoma
Very aggressive post fossa tumor which can metastasize to extracranial sites
Medulloblastoma
Presents with painless flank mass that does not cross the midline
Wilm’s Tumor
Wilm’s tumor with worse prognosis
Large tumor >500gms
St III-IV
Unfavorable histologic types (anaplastic)
Presents with non-tender abdominal mass which may cross the midline
Neuroblastoma
Treatment for INSS stage 4s
Observation (nearly 100% survival)
Most common histologic type of Rhabdomyosarcoma?
Embryonal