Features of cancer diagnosis in children
Oncology / / May 18, 2016
should pay particular attention to the diagnostic features of tumors in children.They are primarily related to the patient's age.This is especially evident in young children.In children aged 2-3 years, it is difficult to find a complaint well-being.The history of the disease (history) have to find out from the parents or caregivers of the child, and it is certainly not equivalent to information received from the patient.It is necessary for the child's behavior, in his appearance suggests well-being and patient complaints.That is why the Children's Oncology objective examination takes such a great place.It should also take into account the fact that in children is much less common tumors visually detectable (observable eyes).As we have already pointed out, in children as a casuistry encountered breast cancer, cervix, stomach, esophagus, rectum - just those tumors that can be observed or by direct inspection, or by endoscopy, so widely introduced into the practice of clinical medicine.From visually observ
However, the most common tumor in childhood, such as nephroblastoma, neuroblastoma, brain tumors, located in difficult to reach areas of research: the retroperitoneal space, the skull.Tumors were localized in these areas are developed for a long time, almost no posing (of course, we are not talking about when a brain tumor affects vital centers).Pushing the surrounding organs and tissues, tumors gradually increase in size and are often detected only when reached significant size or give metastases in distant organs and tissues.Therefore, the diagnosis of tumors in childhood often have to resort to the relatively complex methods of investigation (ultrasound diagnostics, computed tomography).
Features and diagnostic difficulties associated with a variety of so-called "masks", under which often are hidden malignant tumors in children.After all, almost any disease in childhood, and some of the physiological state, your symptoms may be similar to the neoplastic process (and vice versa).Often, especially in younger children, along with the tumor and non-tumor diseases occur, as well as a number of physiological phenomena (the teething process, rachitic changes, etc..).If a child has a malformation, it can hide its clear manifestation of the tumor.
Diagnosis in childhood are carried out with the use of anesthesia.Only the usual examination of the child does not require anesthetic intervention.All other procedures must be used in combination with one or another kind of general anesthesia.This is due to the fact that without anesthesia and immobilization is not possible to obtain reliable data about the disease, and at the same time, the survey does mental injury to a child and breaks the contact with the doctor and nurse.In no one should be held during general anesthesia and some diagnostic procedures, and often possible to have therapeutic effects.