Symptoms and diagnosis of tumors in children
Oncology / / August 12, 2017
development of tumor process comes amid growing child organism.Related to this is a number of features of the clinical course of neoplasms in children.Some tumors in children (especially systemic lesions) occur as an acute infectious disease with a sharp violation of the child's general condition and shifts in all organs and systems.Often, this is why the original disease and do not regard the tumor as well as the child's infection.
Any malignant tumor of the child is necessarily accompanied by a number of features expressed in one form or another.In a sick child determine pale skin, weight loss, loss of appetite, malaise, fatigue, low-grade temperature periodically noted, abdominal pain, nausea and sometimes vomiting.Note the changes in the child's behavior: fatigue, irritability, tearfulness.These phenomena may be accompanied by any disease in childhood, but you should always remember that they are escorted and malignant tumor.All these features, together with the local manifestations characteristic
Children, unlike adults, the tumor process, as a rule, is faster, and faster the generalization of the tumor.Sometimes the disease develops gradually, signs of tumors are not expressed.In such cases, the tumor, which has existed since the birth of the child, is found in the 2-3 years of age.
detection of tumors in children is a difficult task.Most of the children arrive for treatment in advanced stages of tumor (up to 35% with metastases to distant organs).For diagnostic difficulties in oncology in general joined the complexity arising from a purely pediatric features.This is due to the small number of available visual forms tumors in children;frequent similarity of symptoms in the early development of malignant neoplasms and most common childhood diseases;location of tumors in hard to reach areas for the study (tumors of the central nervous system, kidney cancer, neurogenic tumor retroperitoneal and mediastinal).All that matters is the lack of experience and knowledge in the field of oncology pediatrician and poor health education among parents.
A small child may rarely talk about their feelings, and the basic information necessary to receive from their parents.Thus it is necessary to pay attention to unusual symptoms that at first glance, it is difficult to relate to the child's condition at the time of inspection.A lot of data can be obtained by inspection and palpation.Swollen lymph nodes, despite the fact that this symptom occurs in almost any illness in children, should alert the doctor.If the excluded causes that could cause lymphadenitis (a regional defeat proved children's infection), in all cases, a puncture of a lymph node.This often allows you to make the correct diagnosis in a timely manner.
is important palpation of the abdomen, which should be carried out without fail, regardless of the reason for seeking medical attention to rule out tumors of the retroperitoneal space, so often found in childhood.In such cases, quite methodically properly conducted palpation, which is almost always possible to suspect the tumor lesion.When obscure data obtained during probing, palpation is recommended with the use of anesthesia and muscle relaxants.
unusual clinical picture, uncertainty and effacement, the symptoms should get a doctor to look for ways to eliminate tumors.Experience has taught that the key to success in a timely manner: the diagnosis of tumors in children is oncological alertness all pediatricians.