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14 Cards in this Set
- Front
- Back
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T or F: Spinal cord tumors are intramedullary tumors within the spinal cord
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True
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What percentage of spinal cord tumors are astrocytomas vs ependymomas vs other tumors?
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60% = astrocytomas
16% = ependymomas Remainder = medulloblastomas, dermoid tumors, & lipomas |
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What grade of tumor are the majority of spinal cord tumors?
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Low -grade histology
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What types of spinal cord tumors are considered high-grade?
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1. Anaplastic astrocytomas
2. Glioblastoma multiforme (GBM) |
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What percentage of all Pedi CNS tumors do spinal tumors account for?
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4-6% - most btwn 10-16yrs
Males = Females |
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What are some common symptoms of spinal cord tumors?
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Spine deformities
Pain Motor weakness Sensory disturbances |
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What diagnostic tool is used to best asses for a spinal cord tumor?
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MRI *best
Xray - may detect scoliosis w/wide spinal canal |
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Are spinal cord tumors generally fatal?
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No - 85-90% are non-fatal
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What percentage account for the fatal/high-grade types of spinal cord tumors?
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10-15% high-grade astrocytomas
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Do high-grade astrocytomas of the spinal cord typically respond to radiation treatment?
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No - they don't respond to aggressive surgery, radiation therapy, or chemo
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If someone has a deficit from a spinal cord tumor prior to treatment, are they likely to reverse that deficit after treatment?
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No - usu. those w/deficits prior to surgery have >risk that deficits will persist post Op.
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What treatment is often used to treat spinal cord tumors?
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Radiation
(limited chemo use) |
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What type of spinal cord tumor is more easily surgically resected?
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Ependymomas - typically clearly demarcated from nearby normal spinal cord
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What are the 4 goals of nursing assessment and Intervention with the diagnosis of a CNS tumor?
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The patient will experience minimal complications related to 1. the onset of the tumor; 2. treatment
The patient & family will 3. be adequately informed re:diagnosis, disease work-up, and treatment; 4. cope adequately with the diagnosis |
