Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
What is surgical treatment indicated for as a multimodal therapy in childhood cancer?
|
- diagnostic biopsy
- Staging & "second-look" procedure - Complete resection of tumor - Debulking of tumors not fully resected - Debridement of necrotic tissue - Complications - Palliation of symptoms - supportive care (LT venous access, G-tubes) |
|
|
What do biopsies include?
|
- fine-needle aspirations
- Tru-Cut needle biopsies for larger specimens - open procedures to remove entire lymph node or sections of tumor |
|
|
When are larger biopsies indicated?
|
When molecular testing must be done
|
|
|
How is surgery used for staging a disease?
|
- when treatment depends on location and extent of disease involvement
- "second-look" to evaluate response to non-surgical therapies |
|
|
When is a complete resection indicated?
|
when a tumor can be fully removed without compromising vital structures
|
|
|
What tumors have higher cure rates when "clean margins" are established with resection?
|
Rhabdomyosarcoma
|
|
|
When resection is done to a limb of a pediatric patient, do they prefer amputation or salvage?
|
At all costs amputation is avoided in pediatrics when ever possible
- limb salvage therapy is prefered |
|
|
What does debulking involve?
|
Removing portion of tumor mass when it is not possible to remove more than 90%.
- can be first line or after treatment |
|
|
What does minimally invasive surgery allow providers?
|
Good visualization of tumor without open surgery
Quicker recovery time - therefore earlier initiation of therapy |
|
|
How is the tumor "well visualized" in a minimally invasive surgery?
|
Several small incisions are made and endoscope is inserted along w/other instruments to achieve resection or debulking.
|
|
|
What population of patients may have an endoscopy and/or colonoscopy to screen for early-onset colorectal cancer?
|
Those who have received TBI or radiation
|
|
|
What are surgeries use robotics?
|
complex minimally invasive surgery
|
|
|
What patient's are not good candidates for general anesthesia?
|
- those w/mediastinal mass w/compression of trachea or a vena cava
|
|
|
What is part of the preOp managment of a patient with a pneochromocytoma diagnosis?
|
They should be alpha blocked
|
|
|
What patients should be given vaccines again Haemophilus influenza, pneumococcus, and meningisitis as part of preOp management?
|
those who will have a splenectomy
(by 4-6 week if possible) |
|
|
What postOp managment after surgery should a patient be closely monitored for in terms of their airway/breathing?
|
Atelectasis = fever, labored breathing, or decreased breath sounds
|
|
|
What postOp managment after surgery should a patient be closely monitored for in terms of their fluid status?
|
Fluid shifts for first few days postOp = facial edema, wt. gain, & decreased urine output
|
|
|
Does fever postOp typically mean an infection?
|
No, most likely atelectasis
|
|
|
What do drain tubes postOp promote after surgery?
|
tubes that function properly promote healing by evacuating fluids that accumulate in surgical sites
- usu. removed when output is <20-30ml/day |
|
|
How is post Op pain typically managed in the first few days after surgery?
|
IV or epidural
|
