Diagnostic tests

The following are the examination procedures commonly required for the diagnosis and pre-treatment evaluation:

1. Blood test - Blood counts, liver function test, renal function test.

2. X-ray, ultrasound, computerized tomography (CT) scan or magnetic resonance imaging (MRI) - these methods of investigation will help to identify the site of the primary tumour and also the extent of the disease.

3. Tissue examination such as bone marrow examination, lymph node biopsy or excision of mass - to confirm the cancer type.

4. Lumbar puncture - some types of childhood cancer may spread to the brain and central nervous system. An examination of the cerebrospinal fluid by lumbar puncture (spinal tap) may help such diagnosis.

Based on these findings, the doctor will determine the appropriate treatment for the patient. During treatment, some tests or examination will be repeated in order to monitor the response to treatment.

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