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Med Surge - Cancer

AB
common cancer testsnuclear imag, MRI, PET, Ultrasound
cytologystudy of cells
excisionalremove entire tumor
goals of cancer therapycure, control, palliative, prophylaxis
staging - TNMtumor size, node lymph, metastasis
cancer treatmentsurgery, radiation, chemo, biotherapy, BMT
debulkingremove as much as possible
surgery is the _____ ___ treatmentmost common
nonresectablejust cant get it
2 types of radiationexternal, internal
external radiation is ___ radioactivenot
internal radiation can bea source of radio active
external radiation treatmentoutpatient, reference points, shielding blocks to cover good tissue
internal radiationw/in body, can be sealed or unsealed
sealed sourcesneedles, seeds, wires, catheters
unsealed sourcessuspension or solution - iodine 131
side effects of radiationhair loss, red skin, dryness mouth, fatigue
degree of exposure (3)distance, time, shielding
chemo drugs are calledantineoplactics
chemo interferes withcell production
unsealed source issystemic
classification of drugsalkylating, antimetabolities, antibiotice, vince, hormones
extravasationleakage of chemo into surrounding tissue
vesicantharmful to good tissue
adverse effects of chemoN V, stomatitis, alopecia, myelosuppression
biotherapy BRM's are agentsthat stimulate body's natural immune system
2 types of biotherapyinterferons, interluken-2
nursing management for cancerpain, fatigue, infection, bleeding, hair loss, mental status
lung cancer symptomscough, chest pain, bloody or brown colored sputum
diagnosis of lung cancersputum analysis, biopsy, xray
insidiousslow growing
tumor markersspecific proteins, antigens, hormones that cancer cells release
stereotatic is akagamma knife
brachytherapyshort distanct therapy
radioactive precautionsno kids, no pregnant, 5 minutes, 6 ft distance
I ismalignant cells confirmed
II isspread is limited to local
IIItumor large
IVmetastazie to other parts of body
stem cellscells that can generate and differentiate various tissue types
VOD - venous occlusive diseaseinjury to vessels of liver - 100 days - liver failure
cancerdisease resulting in uncontrolled growth of cells
neoplasmnew growth of abnormal cells
cancer cellsno regulatory mechanims - out of control
neoplasiauncontrolled growth of abnormal cells
benignencapsulated neoplasm - remains localized
malignantnon-encapsulated neoplasm that invades surrounding tissue
metastasisprocess of spreading
In Situremain at original site
primary sitewhere cells 1st form
secondary sitewhere they spread
4 ways metastasis spreadsvascular, lymphatic, implantation, seeding
main classes of tumorslymphomas leukemias sarcomas carcinomas
sarcomas cancers are inCT
carcinomas are inepithelial cells
synergyworking together to produce a greater sum



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