rare cancers in children
TRANSCRIPT
-
8/4/2019 Rare Cancers in Children
1/15
Rare Cancers In Children
By Kyle J. Norton
All article and E books written by Kyle J. Norton are for information and education only,
please consult with your doctor and related field specialist before applying.
Rare cancer in childhoodCancer in childhood are rare, approximately 1 in every 600 children willdevelop any type of cancer before the age of 15 due to abnormal cells
growth in part of a child body.
Wilms' tumor of kidney
Wilm's tumor of kidney also known as nephroblastoma is rare cancer of the
kidneys that only occurs in children. About 75% occurs in normal children
and only (25%) is associated with other developmental abnormalities.
Symptoms1. Abdominal swelling
2. An abdominal mass you can feel
It happens to approximate 15% of all cases
3. Fever
A general cause of cancer
4. Blood in the urine
-
8/4/2019 Rare Cancers in Children
2/15
Due to cancer has caused damage to the kidney
5. Loss of appetite
A general cause of cancer
6. Weight loss
Unintentional weight loss over 10% is common symptom of cancer
7. Anemia
Due to the cancer has affected the function of erythropoietin in production of
hemoglobin.
8. Hypertension
Due to secretion of renin by the tumor.
9. Etc
Causes and risk factors
1. Gene mutation
a. Mutations of the WT1 gene on chromosome 11 p 13 are found inapproximately 20% of Wilms' tumors.
b. A inactivated gene on the X chromosome, WTX, is found in
approximately 30% of Wilms' tumor cases.
2. Race
People of African descent have the higher risk of Wilms' tumor.
3. Gender
Female are also more at risk than male to develop Wilms' tumors.
4. Age
Increased risk of Wilms' tumor if the children is under 5 of ages
5. Family history
Approximately less than 3% of children with Wilms' tumor have at least one
relative with the same cancer
6. Heredity
Birth defects such as Aniridia, Hemihypertrophy, Cryptorchidism, etc.,
according to statistic has a strong link to Wilms' tumor
7. Etc.
Diagnosis and test
1. Abdominal swelling2. An abdominal mass you can feel
It happens to approximate 15% of all cases
3. Fever
A general cause of cancer
4. Blood in the urine
Due to cancer has caused damage to the kidney
-
8/4/2019 Rare Cancers in Children
3/15
5. Loss of appetite
A general cause of cancer
6. Weight loss
Unintentional weight loss over 10% is common symptom of cancer
7. Anemia
Due to the cancer has affected the function of erythropoietin in production of
hemoglobin.
8. Hypertension
Due to secretion of renin by the tumor.
9. Etc
Grades
The Grades of Wilms' Tumor of Kidney are depending to the tendency of
spreading. Low grade cancers usually grow more slowly and are less likely
to spread while high grade cancer indicates otherwise.
Stages
Wilms' Tumor of Kidney is classified as 5 stages
1. Stage 0
If the cancerous cell have not penetrated in deeper tissue but in the surface
of the kidney.
2. Stage I
In stage I, the cancerous cells are no longer in the surface but have invaded
into deep the prostate lining, but still completely inside the kidney.
a. Stage IA
The cancer is not 3 mm (1/8 inch) deep and 7 mm (1/4 inch) wide.
a.1. Stage IA1:
The invasion area is 3mm(1/8 inch) deep and & less than 7mm (1/4 inch)
wide.
a.2. Stage IA2:
The invasion area is 3 mm but 5 mm (about 1/5 inch) deep and & less
than 7 mm (about 1/4 inch) wide.b. Stage IB:
The cancer in this stage have invaded the connective tissue but less than 5cm
(2 inch)
b.1. Stage IB1:
Cancer is 4 cm large (1 3/4 inches).
b.2. Stage IB2:
-
8/4/2019 Rare Cancers in Children
4/15
Cancer is 4 cm (1 3/4 inches) but less than 5cm (2 inch)
3. Stage II
In stage II, the cancerous cells have spread to distant tissues, but is still
within the kidney.
4. Stage III
In this stage, cancerous cells has spread to the tissues immediately
surrounding the kidney.
5. Stage IV
In this stage, cancerous cells has spread to the tissues immediately outside of
the affected kidney into other distant parts of the body.
Diagnosis and tests1. Blood test of creatinine
a. A blood test measures the level of creatinine in the blood.
b. Creatinine clearance
Collection of the samples of urine to compare the level of creatinine from
the urine with the one from the blood.
2 Ultrasound
Ultrasound allows your doctor to visualize and assess the size and to check
for any abnormality and surrounding area with image taken from the test.
3. CT Scan (computerized tomography)
A CT scan generates a large series of two-dimensional X-ray images taken
around a single axis of rotation, to create a three-dimensional picture of the
inside of the body in details. The pictures are viewed by your doctor to see
the extent of the tumors abnormalities, such as spreading of cancer to the
nearby structure and lymph nodes.
4. MRI scan (magnetic resonance imaging)
MRI (magnetic resonance imaging) is one of many advanced technologyused to visualize internal structures cross sectional imaging of your body
used effectively in providing the better details of the metastasis of cancer in
the lymph nodes and surrounding areas.
4. Chest X ray
Check X ray is to check the lung for spreading of the cancer.
-
8/4/2019 Rare Cancers in Children
5/15
5. Biopsy
A sample of the effected area is taken by a thin tube-like instrument, under
local anesthesia or general anesthesia examined by a pathologist under
microscopy to view the type and stage of the cancer.
6. Etc.
Treatments
Once the location, stage and grade of the cancer is determined, treatments
are include
1. Surgery and chemotherapy
Surgery is the first treatment used to remove as much of cancer as possible
and to accurate determine if there is any spread.
2. Chemotherapy
a. If the cancer has spread, chemotherapy with use of drugs such as
vinristine, actinomycin,adrianycin, platinum drugs, etc. The cure of Wilm's
cancer is very high, even the cancer has spread to distant part of the body.
Chemotherapy is most use to treat with advance stage of cancer combined
with radio therapy. Chemo is recommended to shrink the tumor if surgery is
not possible.
b. Side effects
b.1. Nausea
b.2. Vomiting
b.3. Hair loss
b.4. Fatigue
b.5. Anemia
b.6. Mouth sores taste and smell changes
b.7. Infection
b.8. Etc.
3. Radiotherapy
a. Sometime doctors give radiation for kidney tumors after surgery andbefore chemotherapy. Radiation may be used to kill any cancer cells
remaining in the body locally. By using high-energy x-rays or other types of
radiation, radiation therapy kills the cancer cells and keep them from
growing or regrowing.
b. Side effects
b.1. Fatigue
-
8/4/2019 Rare Cancers in Children
6/15
b.2. Chest pain
b.3. Heart problem
b.4. Short of breath
b.5. Skin discoloration or pinkness, irritation.
b.6. Etc.
4. Etc.
Rare Cancers In Childhood - Retinoblastoma
Retinoblastoma is an uncommonly rapid spreading cancer arises from cells
of eye of retina, the light-detecting tissue of the eye. It is rare caver in
childhood, in US approximately 300 children are diagnosed withretinoblastoma each year. About 3 out of 4 children with retinoblastoma
have a tumor in only one eye and 1 in 4, both eyes are affected. Although the
cancer can develop quickly, can be cured in most cases. 90% of
Retinoblastoma diagnosed within the first three years of the child's life.
Types of retinoblastoma
1. Hereditary Retinoblastoma
Is caused by the mutation of gene Rd at birth. it can affect not only the cells
of the eye, but in all of the body's cells- If multiple tumors are present in
both eyes, the term assigned is multi-focal retinoblastoma. Retinoblastomaeffects approximately 70% of patient in all cases.
2. Sporadic Retinoblastoma
Retinoblastoma is caused abnormal cells growth in the retina other than
hereditary .
Causes and risk factors
1. Gene
Retinoblastoma is caused by changes in or absence of a gene called RB1located on chromosome 13q14 resulting in the inability of RB1 to produce a
tumor suppressor protein that normally helps to regulate the cell cycle of
cells of the retina, causing retinoblastoma. Chikdren with inherited
retinoblastomas are more likely to be bilateral.
2. Radiation therapy
Children who had radiation to treat other cancer are at increased risk of
-
8/4/2019 Rare Cancers in Children
7/15
retinoblastoma.
3. Family history
Increased risk of retinoblastoma if you have a family history of the disease.
4. Age
The cancer tends to develop in children before age of 3.
5. Etc.
Symptoms
1. Abnormal appearance of the pupil
The pupil located in the center of the iris of the eye that allows light to enter
the retina. In retinoblastoma, the cells of the retina have become cancerous,
causing abnormal appearance of the pupil.
2. Leukocoria
Leukocoria is an abnormal white reflection from the retina of the eye caused
by abnomal cells growth in the retina.3. Deterioration of vision
4. Faltering growth or delayed development.
5. A red and irritated eye
6. Cross-eyed
7. Eye enlargement
8. Etc.
Stages
Stages of Retinoblastoma depends to the size and location of the tumor.
1. Intraocular retinoblastoma
Cancer is inside one or both eyes and has not spreading to the surrounding
tissue and nearby lymph node.
2. Extraocular retinoblastoma
Cancer has spread to the surrounding tissue, lymph node and distant parts of
the body
Diagnosis and tests
After recording the family history and complete physical exams includingeye exam with with dilated pupils to allow the doctor to look through the
lens and pupil to the retina.
1. Eye exams
If the child has some of the above symptoms, the first test which you doctor
order is the eye exam with a ophthalmologist including including the retina
and the optic nerve with the use of general anesthesia.
-
8/4/2019 Rare Cancers in Children
8/15
1. Blood test
Blood test to check for the nonavailability of the RB1 gene.
2. Ultrasound
Ultrasound allows your doctor to visualize and assess the size and to check
for any abnormality and surrounding area with image taken from the test.
3. CT Scan (computerized tomography)
A CT scan generates a large series of two-dimensional X-ray images taken
around a single axis of rotation, to create a three-dimensional picture of the
inside of the body in details.The pictures are viewed by your doctor to see
the extent of the tumors abnormalities, such as spreading of cancer to the
nearby structure and lymph nodes.
4. MRI scan (magnetic resonance imaging)MRI (magnetic resonance imaging) is one of many advanced technology
used to visualize internal structures cross sectional imaging of your body
used effectively in providing the better details of the metastasis of cancer in
the lymph nodes and surrounding areas.
5. Etc.
Preventions
If your family carry a genetic passing through of mutation of gene RB1, it is
for the best interest of the child to have a genetic testing to assess the risk of
retinoblastoma, so it can be diagnosed early for cure and with preservation
of the child vision.
Treatments
1. Surgery
a. The aims of surgery is to cure and to preserve vision, if the tumor small.
Otherwise, surgery is to remove as much of cancer as possible. Sometimes
the tumor is very large and the vision in the eye is lost, enucleation may be
necessary.b. Risks and side effects
Surgical and anesthesia risks
2. Radiotherapy
a. Sometime doctors give radiation for retinoblastoma after surgery and
before chemotherapy. In retinoblastoma Radiation may be used as treatment
-
8/4/2019 Rare Cancers in Children
9/15
of retina with photocagulation with the use of high-energy x-rays or other
types of radiation, radiation therapy kills the cancer cells and keep them
from growing or regrowing.
b. Side effects
b.1. Fatigue
b.2. Chest pain
b.3. Heart problem
b.4. Short of breath
b.5. Skin discoloration or pinkness, irritation.
b.6. Etc.although there will be some effect on the surrounding tissue.
Radiotherapy for retinoblastoma is usually used in situations when other
treatments have not been successful.
3. Chemotherapy
a. If the cancer has spread, chemotherapy with use of drugs to cureretinoblastoma even the cancer has spread to distant part of the body.
Chemotherapy is most use to treat with advance stage of cancer combined
with radio therapy. Chemo is recommended to shrink the tumor if surgery is
not possible.
b. Side effects
b.1. Nausea
b.2. Vomiting
b.3. Hair loss
b.4. Fatigue
b.5. Anemia
b.6. Mouth sores taste and smell changes
b.7. Infection
b.8. Etc.
4. Photocoagulation
a. In retinoblastoma, photocoagulation is used to destroy abnormal blood
vessels with aim to treat tumors in the eye by using a laser which produces
light in the visible green wavelength that can be absorbed by hemoglobin in
red blood cells.b. Risks and side effects
b.1. Loss of vision, worsening visual acuity,
b. 2. Reduced night vision, and
b.3. Hemorrhaging in the eye
b.4. Etc.
-
8/4/2019 Rare Cancers in Children
10/15
5. Etc.
Rare Cancers In Childhood - Neuroblastoma
Rare cancer in childhood
Cancer in childhood are rare, approximately 1 in every 600 children will
develop any type of cancer before the age of 15 due to abnormal cells
growth in part of a child body.
Neuroblastoma,
An extracranial solid cancer arises from nerve tissue found in infants and
children as a result of untrollable cells growth caused by genetic mutation. Itis classified into 3 risk categories: low, intermediate, and high risk. The
disease occurs in 1 out of 100,000 children.
Symptoms
1. Fever
Abnormally consistent fever symptoms may be a symptoms of
neuroblastoma, it happens to about approximately 25 percent of patients.
2. Pain
Complained about constant abdomen pain may also be a symptom of
neuroblastoma as over 65% neuroblastoma center at the abdomen.3. Loss of appetite
A general symptom of any form of cancer
4. Weight loss
Any unintentional weight loss over 10% is a sign of cancer.
5. Bone pain or tenderness
if the cancer has spreads to the bone
6. Difficulty breathing or a chronic cough
if the cancer has spread to the lung
7. Enlarged abdomenAs a result from a large tumor or excess fluid accumulation.
8. Pale skin
Cancer has interfered with production of red blood cells
9. Paralysis of the hips, legs, or feet
It may be caused the enlarge tumor has interfered with nerve function in
controlling the movement of lower extremities
-
8/4/2019 Rare Cancers in Children
11/15
10. Loss of body balance
May be due to the cancer has interfered with function of vestibulocochlear
nerve
11. Uncontrolled eye movements
AS cancer has interfered with one or all cranial nerves
12.Etc.
Causes and risk factors
1. Gene
Neuroblastoma arises from nerve tissue found in infants and children, as a
result of uncontrollable cells growth caused by genetic mutation. Children
with below genetic disorders are at risk of the cancer
a. Neurofibromatosis
Neurofibromatosis is a genetically-inherited disorder of nerve tissue grows
benign tumors.b. Fetal hydantoin syndrome
Fetal Hydantoin Syndrome is a rare disorder caused by exposure of a fetus to
the anticonvulsant drug phenytoin (Dilantin).
c. Beckwith-Wiedemann Syndrome
BeckwithWiedemann syndrome (BWS) is an overgrowth disorder affecting
many parts of the body an unusual rate.
d. Etc.
4. Family history
Risk of the cancer increases if you have a family history of the cancer.
5. Age
Children below 15 years of age are at increased risk of neuroblastoma
6. Heredity
The cancer may be genetic passing through from your parent affecting
approximately 2% of all cases.
7. Etc.
Diagnosis and tests
After recording the family history and physical exam, including lumps,
sweeling, and any other signs of the disease1. 24 hours urine tests
If you doctor suspected that it may be Neuroblastoma, the first tesrt will be
24 hours urine test for level of the markers - homovanillic acid (HMA) and
vanillyl mandelic acid (VMA). A sign of Neuroblastoma if higher than
normal amount of homovanillic acid (HMA) and vanillyl mandelic acid
(VMA) is found.
-
8/4/2019 Rare Cancers in Children
12/15
2. Blood chemistry test
A sign of neuroblastoma if the blood chemitry test came back with elevation
of markers of hormones dopamine and norepinephrine.
3. CT Scan (computerized tomography)
A CT scan generates a large series of two-dimensional X-ray images taken
around a single axis of rotation, to create a three-dimensional picture of the
inside of the body in details.The pictures are viewed by your doctor to see
the extent of the tumors abnormalities, such as spreading of cancer to the
nearby structure and lymph nodes.
4. Ultrasound
Ultrasound allows your doctor to visualize and assess the size and to check
for any abnormality and surrounding area with image taken from the test.
5. Biopsy
A sample of the effected area is taken by a thin tube-like instrument, under
local anesthesia or general anesthesia examined by a pathologist under
microscopy to view the type and stage of the cancer.
6. Chest X ray
Check X ray is to check the lung for spreading of the cancer.
7. Etc.
Grades
The Grades of Neuroblastoma are depending to the tendency of spreading.
Low grade cancers usually grow more slowly and are less likely to spread
while high grade cancer indicates otherwise.
Stages
Neuroblastoma is classified as 5 stages
1. Stage 0If the cancerous cell have not penetrated in deeper tissue but in the surface
of the nerve tissue.
2. Stage I
In stage I, the cancerous cells are no longer in the surface but have invaded
into deep the prostate lining, but still completely inside the nerve tissue.
-
8/4/2019 Rare Cancers in Children
13/15
a. Stage IA
The cancer is not 3 mm (1/8 inch) deep and 7 mm (1/4 inch) wide.
a.1. Stage IA1:
The invasion area is 3mm(1/8 inch) deep and & less than 7mm (1/4 inch)
wide.
a.2. Stage IA2:
The invasion area is 3 mm but 5 mm (about 1/5 inch) deep and & less
than 7 mm (about 1/4 inch) wide.
b. Stage IB:
The cancer in this stage have invaded the connective tissue but less than 5cm
(2 inch)
b.1. Stage IB1:
Cancer is 4 cm large (1 3/4 inches).
b.2. Stage IB2:
Cancer is 4 cm (1 3/4 inches) but less than 5cm (2 inch)
3. Stage II
In stage II, the cancerous cells have spread to distant tissues, but is still
within the nerve tissue.
4. Stage III
In this stage, cancerous cells has spread to the tissues immediately
surrounding the nerve tissue.
5. Stage IV
In this stage, cancerous cells has spread to the tissues immediately outside of
the affected nerve tissue into other distant parts of the body.
Treatments
Treatment depends to the location, grade and stage of the cancer.
1. Surgery
a. The aim of the surgery is to cure, if the cancer has not spread and the
location is fieasible for operation. your surgeon will remove as much of the
tumor as possible. If cancer can not remove completely then radiotherapy tokill cells locally or chemotherapy to kill the remaining cancerous cells in the
body.
b. Risks and Side effects
Surgical and anesthesia risk
2. Radiotherapy
-
8/4/2019 Rare Cancers in Children
14/15
a. Sometime doctors give radiation for kidney tumors after surgery and
before chemotherapy. Radiation may be used to kill any cancer cells
remaining in the body locally. By using high-energy x-rays or other types of
radiation, radiation therapy kills the cancer cells and keep them from
growing or regrowing.
b. Side effects
b.1. Fatigue
b.2. Chest pain
b.3. Heart problem
b.4. Short of breath
b.5. Skin discoloration or pinkness, irritation.
b.6. Etc.
3. Chemotherapy
a. If the cancer has spread, chemotherapy with use of drugs very effectivelyto cure neuroblastoma, even the cancer has spread to distant part of the body.
Chemotherapy is mostly used to treat with advance stage of cancer
combined with radio therapy. Chemo is recommended to shrink the tumor if
surgery is not possible. In some cases, high doses of chemotherapy may be
recommended.
b. Side effects
b.1. Nausea
b.2. Vomiting
b.3. Hair loss
b.4. Fatigue
b.5. Anemia
b.6. Mouth sores taste and smell changes
b.7. Infection
b.8. Etc.
4. Monoclonal antibody therapy
a. Monoclonal antibody therapy is the use of antibodies attach to the
substances by killing the cancer cells, keeping them from spreading given by
infusion.b. Most common risks and side effects
b.1. Heart problem and low blood pressure
b.2. Skin rashes, itching and infection
b.3. Fever and muscle pain
b.4. Fatigue, tiredness and headache
b.5. Diarrhea
-
8/4/2019 Rare Cancers in Children
15/15
b.6. Nausea and vomiting
b.7. Etc.
5. Stem cell transplant
a. In Neuroblastoma, stem cells of a donor or are removed from the blood or
bone marrow of the patient are frozen and stored. After other treatments are
completed, the stored cells are infused back to the body.
b. Risks and side effects
b.1. Bone marrow suppression
b.2. Infection
b.3. Graft-Versus-Host Disease
b.a. Graft Failure
b.5. Cancer Relapse
b.6. Etc.
6. Etc.
Recommended Reading: Super Food Library
The Nature Super Food For Health Living and Longevity
And Look 10-20 Years Younger Than Your Biological Age
For other cancer articles visit
http://medicaladvisorjournals.blogspot.com/2011/07/cancers-from-b-to-t-
most-common-types_26.html
For more health article, visithttp://medicaladvisorjournals.blogspot.com
Or follow me on http://twitter.com/kylejnorton
Author biography
kyle J. Norton - I have been studying natural remedies for disease prevention
for over 20 years and working as a financial consultant since 1990. Health
Researcher and Article Writer. Master in Mathematics and BA in World
Literature and Literary criticism.
http://d240demluou8yzrf76rxbp7o2f.hop.clickbank.net/?tid=FOODSFORTHOUGHThttp://d240demluou8yzrf76rxbp7o2f.hop.clickbank.net/?tid=FOODSFORTHOUGHThttp://medicaladvisorjournals.blogspot.com/2011/08/For%20other%20cancer%20articles%20visit%20http:/medicaladvisorjournals.blogspot.com/2011/07/cancers-from-b-to-t-most-common-types_26.htmlhttp://medicaladvisorjournals.blogspot.com/2011/08/For%20other%20cancer%20articles%20visit%20http:/medicaladvisorjournals.blogspot.com/2011/07/cancers-from-b-to-t-most-common-types_26.htmlhttp://medicaladvisorjournals.blogspot.com/http://twitter.com/kylejnortonhttp://d240demluou8yzrf76rxbp7o2f.hop.clickbank.net/?tid=FOODSFORTHOUGHThttp://d240demluou8yzrf76rxbp7o2f.hop.clickbank.net/?tid=FOODSFORTHOUGHThttp://medicaladvisorjournals.blogspot.com/2011/08/For%20other%20cancer%20articles%20visit%20http:/medicaladvisorjournals.blogspot.com/2011/07/cancers-from-b-to-t-most-common-types_26.htmlhttp://medicaladvisorjournals.blogspot.com/2011/08/For%20other%20cancer%20articles%20visit%20http:/medicaladvisorjournals.blogspot.com/2011/07/cancers-from-b-to-t-most-common-types_26.htmlhttp://medicaladvisorjournals.blogspot.com/http://twitter.com/kylejnorton