GU Male and female reproductive Flashcards
internal beam radiation
Puts a radiation device in the body and radiates the body from the inside out
trachelectomy
cancer of the cervix
surgery that removes the cervix, the upper part of the vagina and surrounding supporting tissues
fertility sparing
brachytherapy
radioactive seeds inserted into the body
external radiation
radioactive treatment placed near the tumor
radiates the body from the outside in
less systemic effects
breast cancer risk factors
female
increases with age
personal and family history
brca gene
hormonal factors
exposutre to radation
hx of benign breast disease
obesity
high fat diet
alcohol intake
early detection of breast cancer
mammography annually beginning at 40 or earlier if you have increased rist
in 20’s do monthly self breast exam
teaching a self breast exam
do 5-7 days after period starts or once a month for postmenopausal women
identification of normal abnormalities
shower and soapy hands to glide
include top of breast and underatrm
breast cancer diagnostic tests
mammo
galactography
untrasound
mri
biopsy percutaneous (fine needle)
surgical excision
breast cancer surgical management
conversion treatment- lumpectomy (Tumor and some surrounding tissue)
total masectomy (cut off the boobies and lymph node)
modified radical biopsy
sentinel node biopsy and axilary node biopsy
breast reconstruction surgert
nonsurgical breast cancer management
radiation therapy (external, brachy)
chemo
hormonal therapy
estrogen and progesterone receptor assay –> moms genetic coding is checked and meds are given for the specific type of cancer
selective estrogen receptor modulators (tamoxifen)
aramatase inhibitors anastrolozole letrozole exemestane
pre op breast cancer assessment
emotional support
you do not know what shes going through
education on complications (infection, hematoma, pain)
breast cancer surgery complications
lymphedema - we are removing lymph nodes, pressure dressings and exercises to prevent it, keep arms at breast level or elevated
very dramatic lots of fluid and impossible to get rid of
hematoma/seroma formation- never want to hear that there is pressure in the area
infection
post op breast cancer hand and arm care
potential for lymphedema formation
no blood pressure, injection, or blood draws from the affected arm
perform arm exercises (arm raises, hand crawls, rope turning) 3x a day for 20 minutes pain meds given prior
prevent lifting over 10 pounds
post op breast cancer drain management
will go home with drains and need to know how to change them safely
removed when less than 30 mL drainage in a 24 hour period usually 7-10 days
drain site and incision care
palliative cancer treatment
radiation chemo pain control
i know i cant be cancer free so let me control my symptoms
