Cns Neoplasms

Front 1

What is a Brain Tumor?

Back 1

A mass of unnecessary or abnormal cells that grow in the brain.

Front 2

Describe a benign tumor.

Back 2

-Very slow growing
-rarely spreads
-distinct boarders

Front 3

Describe malignant tumors.

Back 3

-Life threatening
-Invasive
-Rapid growing

Front 4

What type of brain tumor originates from outside the brain?

Back 4

-Secondary brain tumor
-METASTATIC brain tumor

Front 5

Which type of brain tumor is more common?
-Primary or Secondary?

Back 5

-Primary (80%)

Front 6

Ppilocytic astrocytoma, medulloblastoma, and ependymomas are more common in _________?

Back 6

-Children

Front 7

Most common adult tumors are?

Back 7

-metastatic brain tumors
-glioblastoma multiforme

Front 8

T or F:
-Infratentorial tumors are more common in children?

Back 8

TRUE:
-*this is worse because it involves the cerebellum and brainstem.
-*Children are worse because they are kids :(

Front 9

What three things determine the name of a tumor?

Back 9

-Location of origin
-Growth pattern
-Cancerous or non

Front 10

Adenoma originate from a ___________.

Back 10

-GLAND

Front 11

This type of tumor whose cells have undeveloped characteristics

Back 11

-BLASTOMA

-undevelopment is a BLAST

Front 12

This type of tumor arises from supportive brain tissue?

Back 12

-GLIOMA

Front 13

What is the best grade to get according to the WHO tumor grades?

Back 13

-G1: Well-differentiated (Low Grade)

Front 14

An undifferentiated tumor would be classified as a _____

Back 14

-G4: (highest grade)

Front 15

T or F:
-Tumor risk increases based on certain occupations?

Back 15

TRUE:
-oil refining, rubber manufacturing, and drug manufacturing, chemists and embalmers and in electrical occupations

Front 16

T or F:
Viruses can play a role in brain tumors?

Back 16

TRUE:
-Jacob-Creutzfeld virus associated with oligodendrogliomas

Front 17

How are Protooncogene and tumor suppressor gene mutations are related to the development of cancer

Back 17

-If they become altered or missing, they no longer suppress the growth of cells.

Front 18

S/S are caused by Tumor's growth within the skull, Hydrocephalus, and Brain edema. These lead to _______________________

Back 18

-Increased ICP

Front 19

Focal symptoms of increased ICP or tumor growth include:

(affecting specific areas)

Back 19

-hearing problems
-decreased control
-lack of coordination
-speech problems

Front 20

The most common primary brain tumor are __________?

Back 20

-GLIOMAS

include: astrocytoma, glioblastoma, oligodendroglioma, ependymoma

Front 21

Put the following categories of astrocytes with their WHO grade:
a) Astrocytoma
b) Pilocytic Astrocytoma
c) Glioblastoma Multiforme
d) Anaplastic Astrocytoma

Back 21

-Level 1) Pilocytic Astrocytoma
-Level 2) Astrocytoma
-Level 3) Anaplastic Astrocytoma
-Level 4) Glioblastoma Multiforme

Front 22

Who Grade 1 astrocytoma occur more commonly in what age group?

Back 22

-Children

Front 23

Glioblastoma Multiforme are most common primary malignant tumor in ___________

Back 23

-Adults

Front 24

KEGEL:
"if someone dies very quickly, they most likely have ____________?"

Back 24

-Glioblastoma

-low survival rate

Front 25

What is the most common initial symptoms of Oligodendroglioma?

Back 25

-Seizures
-occur in middle aged

Front 26

This type of tumor often occurs in the fourth ventricle, causing obstructive hydrocephalus?

Back 26

-Epemdymoma
-More common in children

Front 27

What is the most common malignant primary CNS tumor in children?

Back 27

-Medulloblastoma

Front 28

This type of tumor has a high survival rate, arises from arachnoid cells of the meninges, and is the most common BENIGN CNS tumor?

Back 28

-Meningiomas

-Do not come back
-commonly diagnosed after seizure

Front 29

Two common signs of a pituitary adenoma include ____________ & _____________.

Back 29

-visual loss and headaches

-Good prognosis

Front 30

A benign tumor arising from the 8th cranial nerve is known as ___________ _____________

Back 30

-Acoustic Neuroma

S/S: buzzing, ONE SIDED HEARING LOSS,

Front 31

Resection of skull overlying tumor, removal of tumor, and replacement of bone flap is known as _____________?

Back 31

-Craniotomy

Front 32

_______________: radium seeds placed in tumor.

Back 32

-Brachytherapy

Front 33

T or F:
Spinal tumors are nearly as common as brain tumors?

Back 33

FALSE: 1/6 as common

Front 34

Intradural-extramedullary arise where?

Back 34

-Outside the spinal cord, but within the DURA

Front 35

This type of tumor arises within the spinal cord?

Back 35

-Intradural-Intramedullary

Front 36

______________________: tumors arise outside the spinal cord and the dura.

Back 36

-Extradural-extramedullary

Front 37

The most common spinal cord tumors include _______________ & __________________.

Back 37

-Astrocytomas and Ependymomas

Front 38

List 3-4 S/S of spinal cord tumors?

Back 38

-Nerve root pain
-Muscle weakness and atrophy
-Upper and lower motor neuron signs
-Sensory changes
-Hydrocepahalus and increased ICP
-Urinary frequency and urgency
-Gait disturbances

Front 39

What area of the spinal cord is most likely to receive metastatic tumors?

Back 39

-THORACIC

Front 40

T or F:
-Metastatic tumors of the brain may present S/S more rapidly than primary tumors?

Back 40

TRUE:
-Back pain
-Weakness
-Sensory loss
-Bowel and bladder sphincter disturbance.

Front 41

Corticosteroids are more commonly used for what type of tumors?

Back 41

-Metastatic tumors

Front 42

T or F:
Prognosis is the same for metastatic tumors of the brain and spinal cord?

Back 42

FALSE:
-Prognosis of Brain Metastases: poor
-Prognosis of Spinal Metastases
**With radiation, 80% of clients who were ambulatory at time of treatment remain so, and 30% who were nonambulatory regain gait; more favorable outcome in children.

Front 43

A patient with a Karnofsky Performance Status score of 0 is what?

Back 43

DEAD

Front 44

Until what level of the Karnofsky Performance Status is a patient able to care for themselves most of the time?

Back 44

-A score of about 50