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33 Cards in this Set

  • Front
  • Back
Four leading sites of cancer in the United States.
Lung, Breast, Colorectal, Prostate
Seven characteristics of normal cells.
1=Limited division, 2=Specific morphology, 3=Small nuclear to cytoplasmic ratio, 4=Preform specific functions, 5=Adhere tightly together, 6=Non migratory, 7=Grow in orderly & well regulated fashion.
Cell cycle: 4 phases of the mitotic phase.
Prophase, Metaphase, Anaphase, Telophase
Cell cycle: G0
Resting state
Cell cycle: G1
Preparing for division
Cell cycle: S
Doubles DNA
Cell cycle: M
Divides; splits into 2 cells
Any new or continued cell growth not needed for normal development or replacement of dead and damaged tissues.
Neoplasia
A mass of new tissue that grows independently.
Neoplasm / tumor
8 Malignant cell characteristics
1=Loss of differentiation (look, function) from original, 2=Rapid & continuous growth (No G0 phase), 3=Not contact inhibited, 4=Large nuclear cytoplasmic ratio, 5=Adhere loosely together, 6=Migrate, 7=Grow by invasion (metastasis), 8=Immortal (more deviant as they multiply)
5 common sites of metastasis.
1=Lymph nodes, 2=Liver, 3=Lungs, 4=Bones, 5=Brain
Type of cancer that does not metastasize.
Basal cell carcinoma
Risk factors for cancer
Heredity, Age, Gender, Poverty, Stress, Diet, Occupation, Infection, Tobacco, Drugs & alcohol, Obesity, Sun exposure
Fibro-
From connective or fibrous tissue
Adeno-
From glandular tissue
Lipo-
From fat cells.
-oma
Tumor
Category: solid
Associated with organs.
Category: liquid
Originate from blood cell forming tissues. (e.g. leukemia & lymphomas)
Grading - aggressiveness
Grade 1 = least malignant

Grade 4 = most malignant
TNM staging
Tumor, Node, Metastasis
Tumor marker
(e.g. PSA =Prostate Specific Antigen)
Substance found in the blood, urine and tissues, that can be elevated in cancer.
7 warning signs of cancer
CAUTION
Change in bowel or bladder habits.
A sore that does not heal.
Unusual bleeding or discharge.
Thickening or lump
Indigestion or difficulty swallowing.
Obvious change in the size, color, shape, or thickness of a wart, mole, or mouth sore.
Nagging cough or hoarseness.
Chemotherapy
(therapeutic actions)
Different points in cell cycle; Interrupt metabolism and replication; Interfere synthesis of enzymes or other chemicals, Often used in combination
Chemotherapy: 5 classes of drugs
Alkylating agents
Antimetabolites
Anti-tumor antibiotics
Hormones
Mitotic Inhibitors
Teletherapy
External radiation. Time; Distance; Shielding; 30min treatment; 6-7 weeks.
Brachytherapy
Radioactive material placed in body. Intracavitary; Insert Applicater; Bed rest 1-3 days
Side Effect Care: Alopecia
Educate (temporary or permanent); Wig; Alternatives; Honest approach; Allow to vent fears
Side Effect Care: N/V, anorexia, weight loss
Antiemetics; Psychological factors, Adequate oral intake: foods at room temp, avoid sweet, fatty, spicy & salty foods; Behavior techniques.
Side Effect Care: Oral Complications: Mucositis; Stomatitis; Esophagitis, Xerostomia (dry mouth), Taste Alterations
Salt or baking soda rinses QID; Soft nylon toothbrush; Avoid mouthwash; Fluids, No floss or water piks; "Swish & spit" analgesic; Topical or systemic analgesic; Antibacterial / Antifungal; Dental exams; Dietician
Side Effect Care: Bone Marrow Suppression
Monitor for: Neutropenia, Thrombocytopenia, Anemia
Side Effect Care: Bowel Alterations
Diarrhea: Culture stool; anti-diarrheals, F&E, Na & K
Constipation: Fluids, roughage & fiber; exercise, check for impaction.
Side Effect Care: Sexual Dysfunction
Open discussion; sperm banking, egg cryo, oral contraception; medication, support groups.