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30 Cards in this Set

  • Front
  • Back

What is a port wine stain?

this is a vascular malfromation present at birth
does a port wine stain go away on its own?
no it does not
what syndrome is associated with port wine stains? risk factors?
Sturge weber syndrome.

a intertrigeminal distribution of port wine stain.

this puts them at risk for dilated capillaries in the eye, risk for gluacoma and brain vascular anomalies
What is a lymphangioma?
this is a tumor of the lymph vessels characterized by cystic or cavernous spaces
What is a cystic hygroma?
this is found in the deep neck, axilla, mediastinum, or retropreitoneum. it is a subset of lymphangiomas

This is cystic- lymphatic space-
What is the most common teratoma?
sarcoccygeal terotromas
What are benign teratomas called?
mature teratomas (if they are present at birth they are almost always benign)
What are malginant teratomas called?
immature teratoma
what makes up a teratoma?
all 3 germ cell layers
What kind of tumors do you NOT get in kids?
carincomas

What do fetal and neonatal tumors tend to do?

they tend to spontaneously regress- and cytodifferentiae
are pediatric tumors anaplastic ?
NO they are typical - Blastomas
What does Small round blue cell tumor usually indicated?
Wilms tumor, neuroblastoma, and lymphoma

**Characteristic histology of the most prim
what is the most common site of neuroblastomas?
adrenal medulla
What do Homer Wright pseudorosettes mean?
these a poorly differentiated tumor cells- poor prognosis.
NEUROBLASTOMA

Small round blue cell tumor-
are ganglioneuromas benign?
yes they are- this is the benign version of neruoblastoma
what are ganglioneuroblastomas?
this is a differentiation level of neuroblastoma, between true neuroblastoma (rosettes) and ganglionueroma (benign)
What are the clinical presentations of Neuroblastoma?
abdominal mass
fever, weight loss

can be metastatic- bone, orbit- proptosis of eye, and a Blueberry muffin belly
What are the two prognostic factors for kids with neuroblastoma
Stage and Age
What is the age range for excellent prognosis with neuroblastoma?
less than 18 months old
what is the age range for very poor survival of neuroblastoma?
age 5+
How does Ploidy related to prognosis in neuroblastoma?
diploid is BAD- hyperploidy is good
What gene amplification is associated with a very poor outcome in neuroblastoma?
N-MYC
What Trk factor is associated with a good prognosis?
TRK-A is a good factor
What is the most common renal tumor of childhood? benign or malignant?
TESTED!
WILMS TUMOR- this arises from nephorgenic rests
What does Wimls tumor come from?
this comes from nephrogenic rests - things that didnt fully differentiate into kidney
What two genes are associated with wilms tumor?
WT1, and WT2 (wilms tumor)
What is the WT-1 gene related conditions?
Wilms tumor,
No irises
gential malformation
and mental retardation
What is the gene defect in WT-1?
this is a chromosome 11p deletion
What is different about Denys-Drash vs. normal WT-1?
this is male pesudohermaphroditism
Neuropathy
Renal failure (but have irises)