TUT - Acute lymphoblastic leukaemia Flashcards
1
Q
What are the most common childhood solid tumour cancers?
A
- brain tumours
- neuroblastoma
- rhabdomyosarcoma
- Wilms’ tumour
- osteosarcoma
2
Q
What are the different categories of haemotological cancers?
A
- cancers that affect the blood are categorised by what type of cell is affected
- leukaemia
- lymphoma
- myeloma
3
Q
What is the most common childhood cancer?
A
Acute lymphoblastic leukaemia (ALL)
4
Q
What age is peak incidence for ALL?
A
0-4 years
5
Q
What are the symptoms of ALL?
A
- breathlessness, fatigue
- palor
- bruising or bleeding easily (heavy nosebleeds or periods)
- pyrexic
- swollen lymph nodes
- irritability
- bone pain
- loss of appetite
- ascites
- swollen testicles
6
Q
Who is involved in the MDT for ALL?
A
- paediatric oncologist
- paediatric haematologist
- paediatric dentist
- GP
- paediatric cancer nurse specialist
- play therapist
- psychologist
- social worker
7
Q
How is ALL managed?
A
- chemotherapy
- stem cell transplant
- bone marrow transplant
8
Q
What dental findings are common in patients with ALL?
A
- increased infection risk
- mucositis
- xerostomia
- high caries risk
- gingival hyperplasia and increased bleeding
- ORN and MRONJ
- trismus
- oral GVHD
9
Q
What are the considerations around dental care for patients with ALL?
A
- prevention
- timing around other appointments
- immunosuppression and bleeding risk
- anxiety and fatigue with care
- aggressive treatment plan
