Pediatric sarcomas form a heterogeneous group of mesenchymal skeletal and extraskeletal malignancies [1]. Over the last few decades a multimodal treatment approach has improved dramatically the prognosis for children with localized Ewing sarcomas (EWS) and rhabdomyosarcoma (RMS) (65–70% event-free survival rate) [2, 3]. Though EWS and RMS are considered radiosensitive, the proportion of patients whose primary tumors are treated with external-beam radiotherapy (EBRT) alone has steadily declined over the past 30 years [4]. Increased awareness of the late effects of radiotherapy (particularly second malignancies and growth disturbances) and advances in imaging and orthopedic surgery has increased the use of surgical management for these tumors [5]. Due to the fact that complete resection is often difficult or morbid to perform, adjuvant EBRT still plays an important role in local control (LC) promotion [2, 3]. The challenge of achieving LC with a suitable therapeutic ratio is especially demanding in the pediatric population and results in a very narrow therapeutic window in which to balance benefits and late effects. The known detrimental effects of irradiating large volumes with EBRT, impulsed limited radiation therapy alternatives such us intraoperative radiation therapy (IORT) as an adapted technical opportunity to be explored in innovative practice [6]. Several collaborative groups are trying to determine the optimal radiation therapy dose and volume necessary to further
On the contrary, there is mounting evidence that continued exposure of individuals to low levels of
This cancer is a bone cancer that attack the bones, especially large bones. This cancer is named osteogenic sarcoma(Osteosarcoma) for medical term (“Osteosarcoma”, n.d.). Osteosarcoma mostly affects people under 25 years old, and it can affect old people but it is really rare(“Osteosarcoma: An Introduction.”, 2012). When this cancer attacks, it grows bones, and any type of bone (“Bone cancer”,2013). This cancer is an ancient disease that we started to recognize in 1805. Most of the symptoms are on the bones (“Bone cancer”,2013). It also is not contagious so its not passed from person to person like other diseases.
American Cancer Society says, “The term neuro refers to nerves, while blastoma refers to a cancer that affects immature or developing cells.” It is usually found in the small glands on top of the kidneys. The glands are called adrenal glands. Places where it can develop are the belly, chest, neck, pelvis, and bones. Possible symptoms can include fatigue (a feeling of tiredness or exhaustion or a need to rest because of lack of energy or strength), loss of appetite, and fever. Mayo Clinic says, “There may be a lump or compression of tissues in the affected area.” Treatments for the cancer include surgery or chemotherapy. For smaller tumors that have not spread, surgery is usually the only treatment needed. American Cancer Society, “If the tumor is in the abdomen (belly), the surgeon may do the biopsy with the aid of a laparoscope. This is a long, thin tube with a tiny video camera on the end. It is put into the abdomen through a small incision to allow the surgeon to see inside. The surgeon then makes a second small incision to reach inside the abdomen with long, thin instruments and remove pieces of tumor.” Alex’s original tumor of Neuroblastoma was in her adrenal gland. They did a similar process to Alex for the surgery, except for that they had to make an incision near the kidney to remove the tumor from her
Would a person say the number forty-three, out of all the numbers in existence, is small? That person would probably say yes, but what if someone said forty-three children a day are diagnosed with cancer (Duncan, Geoff). With the widespread of cancer, one should try to envision themselves as a pediatric oncologist because of the comfortable environment of the work, the great gain of knowledge and salary, and benefits of healing people.
the American Cancer Society there are benign tumors, which are rare and often develop in
is done for this type of tumor is to treat the symptoms and palliative care of the
Then, craniotomy is performed to open the skull, and the surgeon removes a bone piece out of the skull. Then the tumor is removed as much as possible. The bone is then restored back, and the incision on the scalp is closed. Sometimes surgery is not viable in case the tumor has developed in the brain stem or some other complex parts.
The extensiveness of treatment for an ABC depends on the location, severity, and progression of the disease. Although the treatment spectrum ranges from minimally invasive to more invasive procedures, the standard of therapy is to resect the lesion and prevent it from returning in the future (Dhanasekaraprabu et al., 2013). However, complete resection is not always possible. For instance, it is difficult to completely remove lesion tissue from the proximal region of the metaphysis, and incomplete removal of the tissue leaves the patient susceptible to the development of another lesion at the site (Dormans et al., 2004). Cysts located at the proximal region of the femur are especially at an increased risk of recurrence (Mankin et al. 2005).
Rhabdomyosarcoma is an awfully common childhood and adolescent sarcoma characterized by skeletal muscle differentiation (Carroll & Nodit, 2013). According to the American Cancer Society (2014), rhabdomyosarcoma is a lot more prevalent in children due to the fact that rhabdomyblasts start to form approximately seven weeks into the development of an embryo and these are the cells that
There are hundreds and hundreds of various types of cancer, but the number one thing that cancers all have in common is that they occur when abnormal cells in a part of the body begin to grow uncontrollably. Osteosarcoma or osteogenic sarcoma is a type of cancer that starts by an abnormal growth of cells in the bones. Osteosarcoma is not considered to be a common type of cancer in general; however, it is the most frequently diagnosed bone tumor in adolescents and young adults accounting for nearly 3% of childhood cancers (Childhood Cancer Types/Common Cancers in Children", n.d.). It is important as advanced practice nurse to be aware of this very common condition in children, so that they receive the best care and treatment options available.
At present, the best approach to treating mesothelioma tumors is surgery. In any case, the nature of mesothelioma tumors makes it hard for specialists to totally uproot them. It additionally makes the procedure more focused on getting rid of the minute cells after
At today’s visit the patient is awake, alert and oriented. He reports that he has loss 8 lbs recently. He has a poor appetite and has not been taking his megace. He reports generalized neoplasm pain, which he describes as aching with a severity of 4/10. He reports that his pain does not radiate and there are no aggravating factors. He reports that his pain is manage with his current pain regimen of
As established in the National Cancer Institute, “Cancer is the leading cause of death worldwide for children and adolescents in America, accounting for more than 91,250 children that lose their lives to this disease” (National Cancer Institute). Cancer is not considered a terminal illness, but more of a chronic illness because of the intense treatment that the individual has to endure. As a result of this treatment the chances of survival for children suffering from pediatric cancer has increased around 80 percent. The increment in the survival rate has made it possible for many parents to not have to go through the acceptance that they are about to lose their child to a terminal illness, but have coping strategies that will make them adapt to the fear of the reoccurrence of that illness. This illness has a great impact on the patient as well as the family because not only do they have to adapt to this illness physically, but also mentally. Research has shown that there are both short term and long term effects that come into effect when the child is both in treatment and also years after the treatment. The type of cancers that these adolescents have to endure range from leukemia, brain tumors and other cancerous tumors that have appeared in recent medical studies. These tumors can either be benignant, an acute case that is non-cancerous or malignant, a cancerous case that will need intense treatment over an extended period of time.While many would say there is more of a
Surgery is the oldest type of treatment for cancer. In its earlier use, surgery was not as successful as it is today. This was due to the difficulties involved with the anesthesias, excessive blood loss,
Ewing's sarcoma is a rare type of cancer that grows in the bones. It is usually found in longer bones of the arms or legs. The thigh bone (femur) is the bone most often affected, followed by the bones of the pelvis, lower leg, upper arm (humerus) and chest.