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62 Cards in this Set

  • Front
  • Back

lysis syndrome

Large amounts of phosphate, potassium, and uric acid are released into the circulation from lysed cells

Start

1-Acute leukemia is the most common 2-(CNS) tumors,


3-lymphomas,


4-sarcomas of soft tissue and bone

Lactate dehydrogenase and uric acid are often elevated in fast-growing tumors

Urine homovanillic acid and vanillylmandelic acid = neuroblastoma


AFP = hepatoblastoma

Chemo drug SE

-Doxorubicin = cardiac damage


-cisplatin = renal damage&ototoxicity


-cyclophosphamide and ifosfamide =hemorrhagic cystitis


-vincristine =peripheral neuropathy

NHL types

3 types



1-small noncleaved cell (Burkitt lymphoma [BL]),


2-lymphoblastic,


3-large cell.



For simplicity, these may be regarded as B cell, T cell, and large cell (which may be of B-cell or T-cell origin

HL classification


Reed sternberg cell

stage,


nodal bulk,


the presence of B symptoms,


the serum albumin at presentation

M/F ratio

medulloblastoma and ependymoma, males are more affected than females

MS stage neuroblastoma

unique category of neuroblastoma, stage MS, is defined in infants (<18 months old) with metastases limited to skin, liver, or bone marrow. It is generally associated with a favorable outcome.

sarcoma

Rhabdomyosarcoma (RMS), the most common soft tissue sarcoma in children, is derived from mesenchymal cells of muscle lineage

Bone morrow biopsy

Leukemia > 25%


Lymphoma 5%-25%

Transient myeloproliferative disorderTMD

megakoryoblast in pre smear



80%Spontinous regression 3-7 months



20%-30% TMD develop AML by 4 year of age

AML

Gingival hypertrophy unique but rare

Burkitt lymphoma

starry sky

Neoroblastoma

MIBG scan

NF1

optic nerve glioma

Typhlitis


Neutropenic entrocolitis

polymictobial


severe ANC


Dx CT abdomen

Retinoblastoma

Rb gene analysis

Mediastinal mass

Anterior = lymphoma leukemia


Posterior = neuroblastoma , ganglioneriblastoma , ganglioneuroma

EMergency radiation therapy

SVCS


spinal cord compression


Inceased ICP

Pulmonary fibrosis is a side effect of

Bleomycin

cardiomyopathy may be related to

anthracycline

topoisomerase II inhibitors

⬆ risk of leukemia

The MOST common chromosomal translocation in pediatric ALL t(12;21

20%


Good prognosis

The commonest translocation in infantile ALL is

t (4:11)

very high risk group ALL

Hypodiplopy


t(9:11) dislocation

histopathological subtype in childhood Hodgkin disease

10% to 15% have lymphocyte predominant,


50% to 60% have nodular sclerosis, 30% have mixed cellularity, and


less than 5% have lymphocyte depletion

cerebellar astrocytoma

most common cns tumor 20%

Cerebellar mutism syndrome

25% after posterior fosso resection

hereditary retinoblastoma have an increased risk for

osteosarcoma


500 fold

MOST common site for Ewing sarcoma is

pelvis & femur

common site for osteosarcoma is

distal femor , proximal tibia

ewing sarcoma vs osteosarcoma

systemic Sx in ewing

metastasis of osteosarcoma is

to lungs

Drug causes secondry malignancy

etoposide early within 2 year


cyclophosphonamide within 5 years

aniridia and hemihypertrophy i

Wilm's tumor

granulocytic sarcoma mass AML

t(8:21)

recombinant urate oxidase

Tx tumor lysis syndrome

round blue cells

A. neuroblastoma


B. non-Hodgkin lymphoma


D. Ewing sarcoma


E. rhabdomyosarcoma

stage 4 s neuroblastoma



Pepper syndrome

infant <1 year , subc.nodules , massive liver envolvment ,limited bone morrow disease , no bone mets

mesoblastic nephroma

before 6 mnths


wilm's after 6 month

clear cell sarcoma mets

Bone frist

rhabdomyosarcoma

Alveolar trunk & extrimities

osteosarcoma

radio- resistance

confirmatory diagnostic evaluation of retinoblastoma

examination under general anesthesia by an experienced ophthalmologist

alpha fetoprotein (AFP) level

8 months

chemotherapeutic agent in GCTs

Ciplastin

Hepatoblastoma

familial adenomatous polyposis


B. Beckwith-Wiedemann syndrome


C. prematurity


D. low birth weight



epithelial type of pure fetal histology


Best outcome

Hemangiomas

Females


premature


infant of woman who had chorionic villus sampling

LCH

Bone is the most common site of involvement by LCH. About 50% of patients experience skin involvement at some time during the course of disease. Localized or disseminated lymphadenopathy is present in approximately 33% of patients. Otitis media is present in 30-40% of patients. In 10-15% of patients, pulmonary infiltrates are found on radiography. The lesions may range from diffuse fibrosis and disseminated nodular infiltrates to diffuse cystic changes

NF type 1

chromsome 17

Teratoma


Sacrococcygeal

most commom brain tumor in neonates

chloroma

AML t(8:21)

Acute premyolocytic leukemia t(15;17)

DIC , AML M3


Auer rods , respons to retinoic acid

AML M7

down syndrom <5 years

alkylating agents cause malignancy

Osteosarcoma & AML

Kaposi sarcoma Human herpes virus

Cervical cncer , Human papilloma virus

carboplatin

hearing loss



D. Gonadal dysfunction and procarbazine

immature blast cells

Dx leukemia

PH cromsome

tyrosine kinase inhibitors (TKIs) in Ph-positive ALL has resulted in significant improvements in outcomes

HL & NHL

The etiologies are multifactorial; both congenital and acquired immuno- deficiencies are more commonly associated with NHL,



the Epstein-Barr virus (EBV) has been associated with both HL and NHL

Ependymoma

Mean age 6 years , posterior phosso


Younger poor prognosis


Radiologically, it appears like a well-circumscribed lesion with variable enhancement

frieser syndrome

Features of (Male pseudohermaphroditism with female external genitalia, focal segmental glomerulosclerosis and gonadoblastoma) are linked to Wilms tumor