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25 Cards in this Set

  • Front
  • Back
CHARACTERISTICS OF ALL CANCERS
1.UNREGULATED GROWTH OF CELLS
2.MUTATIONS OF CELL
3.MALIGNANT NEOPLASMS=CANCEROUS
WHAT CAN HAPPEN IF CANCER UNTREATED
CAN INVADE ADJACENT TISSUE
CAN SPREAD BY BLOOD AND LYMPHATICS TO DISTANT SITES=METASTASIS
TO FIND TXT (MD) FOR CANCER, DEPENDS ON __
CELL TYPE
-EACH TYPE OF CANCER RESPONDS TO TXT DIFFERENTLY
DIFFERENTIATION
MATURATION OF CELL
WELL DIFFERENTIATED=BENIGN
POORLY DIFFERENTIATED=ANAPLASTIC MALIGNANT
HOW DOES A CELL BECOME CANCEROUS?
CARCINOGENISIS-->
1.INITIATION-CARCINOGENS
2.PROMOTION-MAKES IT GROW UNREGULATED
3.PROGRESSION-GROWS AND SPREADS TO SITES
HOW LONG CAN IT TAKE CANCER TO DEVELOP
10-20 YRS
CANCER CAN DEVELOP IF__
80 PERCENT OF ALL CANCERS OCCUR AGE__
IF YOU HAVE 1 CANCER__
EARLY DIAGNOSIS=
-IMMUNE SYS FAILS
-AGE 55 AND UP
-YOU ARE PRONE TO HAVING INCREASED CHANCE OF DEVELOPING ANOTHER CANCER
-BETTER PROGNOSIS
CELLS CONTAIN PROTEINS CALLED__
TUMOR SPECIFIC ANTIGENS (TSA)
CEA
USED FOR ABDOMINAL CANCERS
-IF LEVELS HIGH,MD STARTS TO LOOK FOR MALIGNANCY
PSA
PROSTATE SPECIFIC ANTIGEN
CA 15-3
BREAST CANCER ANTIGEN
-WILL BE ELEVATED IF BREAST CANCER PRESENT
SCREENING RECOMMENDATIONS
-IMAGING TESTS
-STAGING:TNM (TUMOR NODE METASTASIS)
-GRADE:BASED ON DIFFERENTIATION
-AFFECTS MANY SYS
-PROBLEMS OF METASTASIS
-TXT GOAL:CURE,CONTROL,PALLIATION
SURGERY
LOCAL TXT
DX-BIOPSY
BIOPSY-TUMOR AND SURROUNDING REMOVED
INCISIONAL BIOPSY
WEDGE OF TISSUE REMOVED
NEEDLE BIOPSY
-UNDER ANESTHESIA
-NEEDLE INSERTED IN AREA
-TUMOR REMOVED
PRIMARY TXT
REMOVE TUMOR AND SURROUNDING TISSUES AND STRUCTURES "CLEAR MARGINS"
PROPHYLACTIC
FAMILY HISTORY
EXP:IF PT HAS HISTORY OF OVARIAN CANCER (IN FAM),PERSON MAY BET OVARIES REMOVED
PALLIATIVE
COMPLICATIONS
-SURGERY TO REMOVE PAIN
RECONSTRUCTIVE
TO IMPROVE FUNCTION AND COSMETICS
INGESTION
-BODY SECRETIONS
-RADIOACTIVE
CUMULATIVE
LIFE TIME DOSE
-IF PT HAS RADIATION IN 1 AREA, PT CANNOT HAVE RADIATION AGAIN IN SAME AREA
NSG CARE:DONT WANT TO WASH OFF MARKINGS
S/E OF RADIATION
LOCALIZED IN AREA RADIATED
-HAIR LOSS
-THROMBOCYTOPENIA
-ANEMIA
-LEUKOPENIA
-C/O OF FATIGUE
HEALTH TEAM WEARS A FILM BADGE-DETERMINES RAD(RADIATION ABSORBED DOSE)
-EXPOSURE TO RADIATION
NSG CARE WITH RADIATION
-NO LOTION,MED ON SKIN
-AVOID INJURY
-ANOREXIA
STOMATITIS-XEROSTOMIA (NO ETOH,MOUTH SWABS,GIVE BAKING SODA,SALT,H20)
-BMS
-ALOPECIA
-SYSTEM SPECIFIC
CHEMOTHERAPY
AFFECTS RAPIDLY DIVIDING CELLS
PT GIVEN 2-3 DIFFERENT DRUGS (FOR EACH CYCLE)
WORSE S.E. SEEN IN 10-14 DAYS
LIFE THREATENING S.E.**BMS** BONE MARROW SUPPRESSION
OTHER S.E. OF CHEMO
1.GI
2.ALOPECIA
3.STOMATITIS (MOUTH AND ESOPHAGUS)
4.NADIR-THE LOWEST COUNT OF WBC/RBC