Pediatric Cancer Predisposition Clinic

我的孩子得了癌症. Why might they be seen in the Pediatric Cancer Predisposition Clinic? 

At the Pediatric Cancer Predisposition Clinic, we specialize in the diagnosis and management of children and young adults with inherited cancer predisposition syndromes (CPS). Children with a CPS have an increased risk for developing certain cancers. 关于 10%–15% of all pediatric cancers are related to cancer predisposition syndrome. 关于 50% of these patients do not have a family history of cancer. A CPS diagnosis can influence a patient’s cancer prevention, surveillance and treatment. In addition, this information may be important to relatives.

At the Pediatric Cancer Predisposition Clinic, we see patients who have a wide range of cancerous and noncancerous tumors, 包括, 但不限于: 

  • 肾上腺皮质癌
  • Atypical teratoid rhabdoid tumor (ATRT) and malignant rhabdoid tumors (MRT)
  • Brain cancer (包括 high grade glioma, subependymal giant cell astrocytoma (SEGA), 脉络膜丛癌, 脑膜瘤, 成神经管细胞瘤)
  • 心脏横纹肌瘤
  • 囊性肾瘤
  • Gastrointestinal stromal tumor (GIST)
  • Gonadoblastoma
  • 肝母细胞癌 
  • Kidney cancer (包括 Wilms tumor)
  • Leukemias (包括 hypodiploid pre-B ALL, AML, JMML, and myelodysplastic syndrome)
  • Multi-nodular甲状腺肿
  • 粘液瘤
  • 骨肉瘤
  • Ovarian cancer (包括 small cell carcinoma of the ovary, stromal tumors and Sertoli-Leydig cell tumor)
  • 胰腺癌
  • 嗜铬细胞瘤/副神经节瘤
  • 甲状旁腺癌
  • 垂体胚细胞瘤
  • Pleuropulmonary胚细胞瘤
  • 视网膜成血管细胞瘤
  • 横纹肌肉瘤
  • 视网膜母细胞瘤/ pineoblastoma
  • 肉瘤
  • Skin cancer (melanoma, squamous cell carcinoma, basal cell carcinoma)
  • Testicular cancer (包括 large cell calcifying Sertoli-Leydig cell tumor)
  • 甲状腺癌
  • 尿路上皮细胞癌 

In the Pediatric Cancer Predisposition Clinic, we see patients with pediatric cancer along with other health issues and/or a family history of cancer, 包括:

  • 不止一种癌症
  • 鲜明的面部特征
  • Developmental delays, atypical behaviors, learning problems or intellectual disability
  • Abnormal growth (large/small head, very large or small size, asymmetric growth)
  • Birth defects (such as cleft palate, 心脏缺陷, 不正常的听力和视力, 胎记或血管病变)
  • Abnormal blood counts and/or immune system issues
  • Tumor testing suggestive of an inherited defect
  • Family history of the same or related cancers

We also see patients with these specific cancer predisposition syndromes that include pediatric-onset cancers:

  • Birt-Hogg-Dube综合症
  • 卡尼复杂
  • Constitutional mismatch repair deficiency syndrome 
  • Diamond-Blackfan贫血
  • DICER1综合症
  • Fanconi贫血
  • Hereditary leukemia (包括 inherited bone marrow failure disorders)
  • 遗传性黑素瘤
  • 遗传性神经母细胞瘤
  • Hereditary paraganglioma-pheochromocytoma syndrome
  • 遗传性视网膜母细胞瘤
  • Li-Fraumeni综合症 
  • 多发性内分泌瘤
  • Nevoid basal cell carcinoma syndrome (Gorlin syndrome)
  • Rhabdoid tumor predisposition syndrome
  • Shwachman-Diamond综合症
  • 结节性硬化症
  • 希佩尔-林道综合征 
  • WT1-Related Wilms tumor syndromes

全球十大外围足球平台

If you believe your child’s personal or family history of cancer is concerning, or if you would like to learn more about genetic counseling and testing in general, ask your oncology team about making a referral for genetic counseling. 您可以直接与我们联系 410-955-3071

我们的团队

我们的团队 consists of geneticists and genetic counselors who have expertise in pediatric cancer predisposition syndromes, as well as a clinic coordinator. To ensure timely and accurate diagnosis, we work to have patients scheduled as soon as possible. 我们与…密切合作 小儿肿瘤小组; when patients need inpatient hospital care, we may consult with the oncology teams who are managing their care.

遗传学家

儿科肿瘤学家

遗传咨询师

克里斯蒂·史密斯,Sc.M., C.G.C.

克里斯蒂·史密斯

行政人员

Dana Goins,诊所经理