Çocukluk Çağı Kanserlerine Eşlik Eden Belirti ve Bulgular

Öz

Çocukluk çağı kanserleri ender, ancak ciddi bir sağlık sorunudur. Gelişmiş ülkelerde çocuk ölüm nedenlerinde ikinci sırada yer alır. Başlangıç belirti ve bulgularının sık görülen diğer hastalıklara benzemesi nedeniyle tanı ve tedavi gecikebilir. Erken tanı, tedavi yoğunluğunu ve ölüm oranını azaltabilir. Tanı gecikmesini önlemek için birinci basamak hekimlerinin çocukluk çağı kanserleri hakkında bilgi sahibi olması ve kanser şüphesinde, gerek- siz girişimlerden önce çocuk onkolojisine danışması gereklidir

Anahtar Kelimeler

• Çocuk,kanser

Signs and Symptoms Accompaying Childhood Cancers

Öz

Childhood cancers are rare, but they constitute a serious health problem. It is the second most common cause of childhood mortality in developed countries. Given the fact that presenting signs and symptoms of cancer are similar to those of common childhood diseases, there may be delays in the diagnosis and treatment. Early detection may reduce intensity of the therapy and mortality rates. To avoid diag- nostic delay, primary care physicians should be knowled- geable about childhood cancers, and if cancer is suspected, early consultation with a pediatric oncologist is needed before aaplication of unnecessary interventions

Anahtar Kelimeler

• Child,cancer

Kaynakça

1. Kilburn LB, Siegel SE, Steuber CP. Clinical assesment and differantial diagnosis of the child with suspected cancer. In: PizzoPA, Poplac D G, eds. Principles and practice of pediatric oncology. 6th ed. Philadelphia, USA: Lippincott Williams and Wolters, 2011: 123-35. almar marqués E, Ca-ada martinez a, et al. Geographical patterns of childhood cancer incidence in Europe, 1988-1997.
2. Report from the automated childhood cancer information system project. Eur J Cancer 2006; 42:1952-60. http://dx.doi.org/10.1016/j.ejca.2006.05.017
3. Özkan A ed, Pediatrik onkoloji. 1. baskı. İstanbul: Nobel Tıp Kitabevleri, 2009: 3-13. mahajan P. Epidemiologic findings of cancer detected in a pediatric emergency department. Clin Pediatr 2009;48:404-9. http://dx.doi.org/10.1177/0009922808323110 symptoms of childhood cancer: A Guide for early recognition. Am Fam Phys 2013;88:185-92. Cancer 2007;110:703-13. http://dx.doi.org/10.1002/cncr.22849
4. Sarjanovic L, et al. Fever of unknown origin in 185 paediat- ric patients: a single-centre experience. Acta Paediatr 2006; :463-6. http://dx.doi.org/10.1080/08035250500437549
5. Evaluation of peripheral lymphadenopathy in children. Pediatr Hematol Oncol 2006;3:549-61. http://dx.doi.org/10.1080/08880010600856907
6. Hematology and Oncology. 5th ed. San Diego: Elsevier, 2011; 8. baskı. İstanbul: Nobel Tıp Kitabevleri, 2009; 131-40. Phys 2002;65:625-32.
7. Crouchman m. Why are brain tumours still being missed? Arch Dis Chil 1996;74:148-51. http://dx.doi.org/10.1136/adc.74.2.148 senting features of brain tumours: a review of 200 cases. Arch Dis Child 2006;91:502-6. http://dx.doi.org/10.1136/adc.2005.090266
8. Wilne S, Collier J, Kennedy C, Koller K, Grundy r, Walker D. Presentation of childhood CNS tumours: a syste- matic review and meta-analysis. Lancet Oncol 2007;8:685- http://dx.doi.org/10.1016/S1470-2045(07)70207-3

9. Hilário mO. Diagnosis of malignancies in children with mus- culoskeletal complaints. Sao Paulo Med J 2005;123:21-3. http://dx.doi.org/10.1590/S1516-31802005000200002
10. Öztürkmen S, akyay a, Biçakçi Z, Karakoç Y, arikan Sm, Celebi-Tayfur a, et al. Delayed diagnosis of acute leukemia in a patient with bone pain and fracture. Turk J Pediatr ;52:552-5. pain as an initial symptom of childhood acute lymphoblastic leukemia: association with nearly normal hematologic inde- xes. J Pediatr 1990;117:233-7. http://dx.doi.org/10.1016/S0022-3476(05)80535-9