Dipak-001/mistril_dataset huggingface dataset:
user: what research (or clinical trials) is being done for Childhood Craniopharyngioma ?

assistant: Patients may want to think about taking part in a clinical trial.
                    For some patients, taking part in a clinical trial may be the best treatment choice. Clinical trials are part of the medical research process. Clinical trials are done to find out if new treatments are safe and effective or better than the standard treatment.   Many of today's standard treatments are based on earlier clinical trials. Patients who take part in a clinical trial may receive the standard treatment or be among the first to receive a new treatment.   Patients who take part in clinical trials also help improve the way diseases will be treated in the future. Even when clinical trials do not lead to effective new treatments, they often answer important questions and help move research forward.   Check the list of NCI-supported cancer clinical trials that are now accepting patients with childhood craniopharyngioma. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. Talk with your child's doctor about clinical trials that may be right for your child. General information about clinical trials is available from the NCI website.
                
                
                    Patients can enter clinical trials before, during, or after starting their treatment.
                    Some clinical trials only include patients who have not yet received treatment. Other trials test treatments for patients who have not improved. There are also clinical trials that test new ways to stop a disease from recurring (coming back) or reduce the side effects of treatment.   Clinical trials are taking place in many parts of the country. See the Treatment Options section that follows for links to current treatment clinical trials. These have been retrieved from NCI's clinical trials database.
user: What causes Childhood Ependymoma ?

assistant: The cause of most childhood brain tumors is unknown.
user: What are the symptoms of Childhood Ependymoma ?

assistant: The signs and symptoms of childhood ependymoma are not the same in every child. Signs and symptoms depend on the following:         - The child's age.    - Where the tumor has formed.        Signs and symptoms may be caused by childhood ependymoma or by other conditions. Check with your child's doctor if your child has any of the following:         - Frequent headaches.    -  Seizures.    - Nausea and vomiting.    - Pain or stiffness in the neck.    - Loss of balance or trouble walking.    - Weakness in the legs.    - Blurry vision.    - Back pain.    - A change in bowel function.    - Trouble urinating.    -  Confusion or irritability.
user: How to diagnose Childhood Ependymoma ?

assistant: Tests that examine the brain and spinal cord are used to detect (find) childhood ependymoma. The following tests and procedures may be used:         -   Physical exam and history : An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patients health habits and past illnesses and treatments will also be taken.    -   Neurological exam : A series of questions and tests to check the brain, spinal cord, and nerve function. The exam checks a persons mental status, coordination, and ability to walk normally, and how well the muscles, senses, and reflexes work. This may also be called a neuro exam or a neurologic exam.    -   MRI (magnetic resonance imaging) with gadolinium : A procedure that uses a magnet, radio waves, and a computer to make a series of detailed pictures of areas inside the brain and spinal cord. A substance called gadolinium is injected into a vein and travels through the bloodstream. The gadolinium collects around the cancer cells so they show up brighter in the picture. This procedure is also called nuclear magnetic resonance imaging (NMRI).    -   Lumbar puncture : A procedure used to collect cerebrospinal fluid (CSF) from the spinal column. This is done by placing a needle between two bones in the spine and into the CSF around the spinal cord and removing a sample of fluid. The sample of CSF is checked under a microscope for signs of tumor cells. The sample may also be checked for the amounts of protein and glucose. A higher than normal amount of protein or lower than normal amount of glucose may be a sign of a tumor. This procedure is also called an LP or spinal tap.
                    Childhood ependymoma is diagnosed and removed in surgery. If the diagnostic tests show there may be a brain tumor, a biopsy is done by removing part of the skull and using a needle to remove a sample of the brain tissue. A pathologist views the tissue under a microscope to look for cancer cells. If cancer cells are found, the doctor will remove as much tumor as safely possible during the same surgery.     The following test may be done on the tissue that was removed:         -   Immunohistochemistry : A test that uses antibodies to check for certain antigens in a sample of tissue. The antibody is usually linked to a radioactive substance or a dye that causes the tissue to light up under a microscope. This type of test may be used to tell the difference between brain stem glioma and other brain tumors.         An MRI is often done after the tumor is removed to find out whether any tumor remains.
user: What is the outlook for Childhood Ependymoma ?

assistant: Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options depend on:         - Where the tumor has formed in the central nervous system (CNS).    - Whether there are certain changes in the genes or chromosomes.    - Whether any cancer cells remain after surgery to remove the tumor.     - The type of ependymoma.     - The age of the child when the tumor is diagnosed.     - Whether the cancer has spread to other parts of the brain or spinal cord.     - Whether the tumor has just been diagnosed or has recurred (come back).         Prognosis also depends on the type and dose of radiation therapy that is given.
user: what research (or clinical trials) is being done for Childhood Ependymoma ?

assistant: New types of treatment are being tested in clinical trials.
                    Information about clinical trials is available from the NCI website.
                
                
                    Patients may want to think about taking part in a clinical trial.
                    For some patients, taking part in a clinical trial may be the best treatment choice. Clinical trials are part of the cancer research process. Clinical trials are done to find out if new cancer treatments are safe and effective or better than the standard treatment.   Many of today's standard treatments for cancer are based on earlier clinical trials. Patients who take part in a clinical trial may receive the standard treatment or be among the first to receive a new treatment.   Patients who take part in clinical trials also help improve the way cancer will be treated in the future. Even when clinical trials do not lead to effective new treatments, they often answer important questions and help move research forward.
                  
                 
                    Patients can enter clinical trials before, during, or after starting their cancer treatment.
                    Some clinical trials only include patients who have not yet received treatment. Other trials test treatments for patients whose cancer has not gotten better. There are also clinical trials that test new ways to stop cancer from recurring (coming back) or reduce the side effects of cancer treatment.   Clinical trials are taking place in many parts of the country. See the Treatment Options section that follows for links to current treatment clinical trials. These have been retrieved from NCI's listing of clinical trials.
user: What are the stages of Childhood Ependymoma ?

assistant: Key Points
                    - The area where the tumor is found and the childs age are used in place of a staging system to plan cancer treatment.    - The information from tests and procedures done to detect (find) childhood ependymoma is used to plan cancer treatment.
                
                
                    The area where the tumor is found and the childs age are used in place of a staging system to plan cancer treatment.
                    Staging is the process used to find out how much cancer there is and if cancer has spread. There is no standard staging system for childhood ependymoma. Treatment is based on where the cancer is in the body and the age of the child.
                
                
                    The information from tests and procedures done to detect (find) childhood ependymoma is used to plan cancer treatment.
                    Some of the tests used to detect childhood ependymoma are repeated after the tumor is removed by surgery. (See the General Information section.) This is to find out how much tumor remains after surgery.
user: What are the stages of Childhood Central Nervous System Germ Cell Tumors ?

assistant: Key Points
								                    - Childhood central nervous system (CNS) germ cell tumors rarely spread outside of the brain and spinal cord.
								                
								                
								                    Childhood central nervous system (CNS) germ cell tumors rarely spread outside of the brain and spinal cord.
								                    Staging is the process used to find out how much cancer there is and if cancer has spread. There is no standard staging system for childhood central nervous system (CNS) germ cell tumors. The treatment plan depends on the following:         - The type of germ cell tumor.    - Whether the tumor has spread within the CNS or to other parts of the body.    - The results of tests and procedures done to diagnose childhood CNS germ cell tumors.     - Whether the tumor is newly diagnosed or has recurred (come back) after treatment.
user: What causes Childhood Central Nervous System Germ Cell Tumors ?

assistant: The cause of most childhood CNS germ cell tumors is not known.
user: What are the symptoms of Childhood Central Nervous System Germ Cell Tumors ?

assistant: Signs and symptoms of childhood CNS germ cell tumors include unusual thirst, frequent urination, early puberty, or vision changes. Signs and symptoms depend on the following:         - Where the tumor has formed.    - The size of the tumor.    - Whether the tumor makes hormones.        Signs and symptoms may be caused by childhood CNS germ cell tumors or by other conditions. Check with your childs doctor if your child has any of the following:         - Being very thirsty.    - Making large amounts of urine that is clear or almost clear.    - Frequent urination.    - Bed wetting or getting up at night to urinate.    - Trouble moving the eyes or trouble seeing clearly.    - Loss of appetite.    - Weight loss for no known reason.    - Early or late puberty.    - Short stature (being shorter than normal).    - Headaches.    -  Nausea and vomiting.    - Feeling very tired.    - Having problems with school work.
user: What is the outlook for Childhood Central Nervous System Germ Cell Tumors ?

assistant: Certain factors affect prognosis (chance of recovery). The prognosis (chance of recovery) depends on the following:          - The type of germ cell tumor.    - The type and level of any tumor markers.    - Where the tumor is in the brain or in the spinal cord.    -  Whether the cancer has spread within the brain and spinal cord or to other parts of the body.     - Whether the tumor is newly diagnosed or has recurred (come back) after treatment.
user: what research (or clinical trials) is being done for Childhood Central Nervous System Germ Cell Tumors ?

assistant: Check the list of NCI-supported cancer clinical trials that are now accepting patients with childhood central nervous system germ cell tumor. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. Talk with your child's doctor about clinical trials that may be right for your child. General information about clinical trials is available from the NCI website.
            					
                    New types of treatment are being tested in clinical trials.
                    Information about clinical trials is available from the NCI website.
                
                
                    Patients may want to think about taking part in a clinical trial.
                    For some patients, taking part in a clinical trial may be the best treatment choice. Clinical trials are part of the cancer research process. Clinical trials are done to find out if new cancer treatments are safe and effective or better than the standard treatment.   Many of today's standard treatments for cancer are based on earlier clinical trials. Patients who take part in a clinical trial may receive the standard treatment or be among the first to receive a new treatment.   Patients who take part in clinical trials also help improve the way cancer will be treated in the future. Even when clinical trials do not lead to effective new treatments, they often answer important questions and help move research forward.
                
                
                    Patients can enter clinical trials before, during, or after starting their cancer treatment.
                    Some clinical trials only include patients who have not yet received treatment. Other trials test treatments for patients whose cancer has not gotten better. There are also clinical trials that test new ways to stop cancer from recurring (coming back) or reduce the side effects of cancer treatment.    Clinical trials are taking place in many parts of the country. See the Current Clinical Trials section that follows for links to current treatment clinical trials. These have been retrieved from the NCI's listing of clinical trials.
user: What is (are) Skin Cancer ?

assistant: Key Points
                    - Skin cancer is a disease in which malignant (cancer) cells form in the tissues of the skin.    - Nonmelanoma skin cancer is the most common cancer in the United States.    - Being exposed to ultraviolet radiation may increase the risk of skin cancer.
                
                
                    Skin cancer is a disease in which malignant (cancer) cells form in the tissues of the skin.
                    The skin is the body's largest organ. It protects against heat, sunlight, injury, and infection. Skin also helps control body temperature and stores water, fat, and vitamin D. The skin has several layers, but the two main layers are the epidermis (top or outer layer) and the dermis (lower or inner layer). Skin cancer begins in the epidermis, which is made up of three kinds of cells:         -  Squamous cells: Thin, flat cells that form the top layer of the epidermis. Cancer that forms in squamous cells is called squamous cell carcinoma.    -  Basal cells: Round cells under the squamous cells. Cancer that forms in basal cells is called basal cell carcinoma.    -  Melanocytes: Found in the lower part of the epidermis, these cells make melanin, the pigment that gives skin its natural color. When skin is exposed to the sun, melanocytes make more pigment and cause the skin to tan, or darken. Cancer that forms in melanocytes is called melanoma.
                
                
                    Nonmelanoma skin cancer is the most common cancer in the United States.
                    Basal cell carcinoma and squamous cell carcinoma are also called nonmelanoma skin cancer and are the most common forms of skin cancer. Most basal cell and squamous cell skin cancers can be cured.    Melanoma is more likely to spread to nearby tissues and other parts of the body and can be harder to cure. Melanoma is easier to cure if the tumor is found before it spreads to the dermis (inner layer of skin). Melanoma is less likely to cause death when it is found and treated early.    In the United States, the number of cases of nonmelanoma skin cancer seems to have increased in recent years. The number of cases of melanoma has increased over the last 30 years. Part of the reason for these increases may be that people are more aware of skin cancer. They are more likely to have skin exams and biopsies and to be diagnosed with skin cancer.   Over the past 20 years, the number of deaths from melanoma has decreased slightly among white men and women younger than 50 years. During that time, the number of deaths from melanoma has increased slightly among white men older than 50 years and stayed about the same among white women older than 50 years.   The number of cases of childhood melanoma diagnosed in the United States is low, but increasing over time. The number of childhood deaths from melanoma has stayed about the same.   See the following PDQ summaries for more information about skin cancer:         -   Skin Cancer Prevention     -  Skin Cancer Treatment     -  Melanoma Treatment     -  Genetics of Skin Cancer
user: Who is at risk for Skin Cancer? ?

assistant: Being exposed to ultraviolet radiation may increase the risk of skin cancer. Anything that increases your chance of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer. People who think they may be at risk should discuss this with their doctor.    Being exposed to ultraviolet (UV) radiation and having skin that is sensitive to UV radiation are risk factors for skin cancer. UV radiation is the name for the invisible rays that are part of the energy that comes from the sun. Sunlamps and tanning beds also give off UV radiation.   Risk factors for nonmelanoma and melanoma cancers are not the same.         -  Nonmelanoma skin cancer risk factors include:               - Being exposed to natural sunlight or artificial sunlight (such as from tanning beds) over long periods of time.      - Having a fair complexion, which includes the following:                        - Fair skin that freckles and burns easily, does not tan, or tans poorly.         - Blue or green or other light-colored eyes.          - Red or blond hair.                      - Having actinic keratosis.       - Past treatment with radiation.      - Having a weakened immune system.       - Being exposed to arsenic.             -  Melanoma skin cancer risk factors include:               - Having a fair complexion, which includes the following:                         - Fair skin that freckles and burns easily, does not tan, or tans poorly.          - Blue or green or other light-colored eyes.          - Red or blond hair.                     - Being exposed to natural sunlight or artificial sunlight (such as from tanning beds) over long periods of time.       - Having a history of many blistering sunburns, especially as a child or teenager.       - Having several large or many small moles.      - Having a family history of unusual moles (atypical nevus syndrome).      -  Having a family or personal history of melanoma.       - Being white.
user: What is (are) Ovarian Germ Cell Tumors ?

assistant: Key Points
                    - Ovarian germ cell tumor is a disease in which malignant (cancer) cells form in the germ (egg) cells of the ovary.     - Signs of ovarian germ cell tumor are swelling of the abdomen or vaginal bleeding after menopause.     - Tests that examine the ovaries, pelvic area, blood, and ovarian tissue are used to detect (find) and diagnose ovarian germ cell tumor.     - Certain factors affect prognosis (chance of recovery and treatment options).
                
                
                    Ovarian germ cell tumor is a disease in which malignant (cancer) cells form in the germ (egg) cells of the ovary.
                    Germ cell tumors begin in the reproductive cells (egg or sperm) of the body. Ovarian germ cell tumors usually occur in teenage girls or young women and most often affect just one ovary.    The ovaries are a pair of organs in the female reproductive system. They are in the pelvis, one on each side of the uterus (the hollow, pear-shaped organ where a fetus grows). Each ovary is about the size and shape of an almond. The ovaries make eggs and female hormones.      Ovarian germ cell tumor is a general name that is used to describe several different types of cancer. The most common ovarian germ cell tumor is called dysgerminoma. See the following PDQ summaries for information about other types of ovarian tumors:          -  Ovarian Epithelial, Fallopian Tube, and Primary Peritoneal Cancer Treatment     -  Ovarian Low Malignant Potential Tumors Treatment
user: What are the symptoms of Ovarian Germ Cell Tumors ?

assistant: Signs of ovarian germ cell tumor are swelling of the abdomen or vaginal bleeding after menopause. Ovarian germ cell tumors can be hard to diagnose (find) early. Often there are no symptoms in the early stages, but tumors may be found during regular gynecologic exams (checkups). Check with your doctor if you have either of the following:          - Swollen abdomen without weight gain in other parts of the body.     - Bleeding from the vagina after menopause (when you are no longer having menstrual periods).
user: How to diagnose Ovarian Germ Cell Tumors ?

assistant: Tests that examine the ovaries, pelvic area, blood, and ovarian tissue are used to detect (find) and diagnose ovarian germ cell tumor. The following tests and procedures may be used:          -   Physical exam and history : An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patients health habits and past illnesses and treatments will also be taken.    -   Pelvic exam : An exam of the vagina, cervix, uterus, fallopian tubes, ovaries, and rectum. A speculum is inserted into the vagina and the doctor or nurse looks at the vagina and cervix for signs of disease. A Pap test of the cervix is usually done. The doctor or nurse also inserts one or two lubricated, gloved fingers of one hand into the vagina and places the other hand over the lower abdomen to feel the size, shape, and position of the uterus and ovaries. The doctor or nurse also inserts a lubricated, gloved finger into the rectum to feel for lumps or abnormal areas.    -   Laparotomy : A surgical procedure in which an incision (cut) is made in the wall of the abdomen to check the inside of the abdomen for signs of disease. The size of the incision depends on the reason the laparotomy is being done. Sometimes organs are removed or tissue samples are taken and checked under a microscope for signs of disease.    -   CT scan (CAT scan): A procedure that makes a series of detailed pictures of areas inside the body, taken from different angles. The pictures are made by a computer linked to an x-ray machine. A dye may be injected into a vein or swallowed to help the organs or tissues show up more clearly. This procedure is also called computed tomography, computerized tomography, or computerized axial tomography.    -   Serum tumor marker test : A procedure in which a sample of blood is checked to measure the amounts of certain substances released into the blood by organs, tissues, or tumor cells in the body. Certain substances are linked to specific types of cancer when found in increased levels in the blood. These are called tumor markers. An increased level of alpha fetoprotein (AFP) or human chorionic gonadotropin (HCG) in the blood may be a sign of ovarian germ cell tumor.