Module 16- Cancer Patient Flashcards
Cancer refers to a group of _______ diseases where there is ______ of normal cells into ________ ones?
neoplastic
transformation
malignant
Malignant Cancers have the properties of ____, ______, and _____ (said of tumors)
anaplasia
invasiveness
metastasis
______ are epithelial tissue tumors?
Carcinomas
_____ are connective tissue tumors?
Sarcomas
Cancer staging is based on ______ and ____
origin
spread
What does the cancer staging acronym TNM stand for?
Tumor size
presence or absence of lymph Nodes
presence or absence of Metastasis
Epstein-Barr virus is implicated in _____ ______ cancer?
Burkett’s Lymphoma
______ involves the use of DRUGS to kill rapidly dividing cancer cells?
Chemotherapy
Chemotherapy can cause ______ in the oral cavity….this mimics a toothache and is usually _______ located?
Neurotoxicity
Bilaterally
Radiation Therapy uses ____ _____ to treat cancer?
ionizing radiation
Radiation therapy impacts the cancer cell’s ability to ________
replicate
Internal radiation therapy uses sources such as _____ or _____ placed inside the body.
implants
seeds
Which type of radiation therapy uses the least radiation?
internal
The total dose of radiation given depends on what 3 things?
type of tumor
treatment goals
ability to tolerate
Total radiation dose is approximately _____ to _______ centigrays?
3,000
7,000
Radiation therapy is given ______ times a day, _______ times a week, for how long?
1
5
5-12 wks
The most common systemic effect of radiation therapy is?
Skin reaction (sun burn look)
______ or the inability to open your mouth is a common side effect of ______ therapy?
Trismus
Radiation
What is the term for the treatment when a substitute blood stem cell or bone marrow procedure is performed?
Hematopoietic cell transplantation
What are the 3 basic types of Hematopoietic cell transplantations?
Autolgous
Allogenic
Syngeneic
A Syngeneic Transplant comes from?
identical twin
A Allogenic Transplant comes from?
Matched Donor
A Autolgous Transplant comes from?
self
What Transplant Complication is seen during the first 100 days post-transplant?
Acute Graft Versus Host Disease
Acute GVHD starts out as a painful ___ on the ____ and ____ which progresses to the _____
rask
palms
soles
upper trunk
What oral complication is seen with Acute GVHD and when is it seen?
Oral mucositis (severe) 10-14 days posttransplant
What transplant complication affects ALL organs of the body? When does it appear?
Chronic GVHD
2 years posttransplant
A patient with Head and Neck Radiation Therapy should use a once daily?
fluoride gel tray
What can a head and neck radiation patient do in order to decrease likelihood of getting trismus?
exercises 3 x day (open and close mouth 20 times each time)
During Chemotherapy we should do what with our patient?
Consult with medical oncologist first!!!
A patient should rinse with _______ while undergoing cancer treatment, and after? How often should they rinse?
baking soda and water…followed by water
every 2-3 hrs
Cancer patients should avoid _____ swabs because they dry the mouth even more?
lemon glycerin
A cancer patient can swish with ______ before eating to help with pain management?
topical anesthetic (30 min before)
A cancer patient with ____ or _____ NEEDS to pre-medicate before dental treatment?
venous catheter
peripheral catheter
What are 2 common oral infections after hematopoietic cell transplants?
herpes simplex
Candida Albicans
We should delay elective dental procedures for ______ time frame after hematopoietic cell transplants?
1yr
What are 3 STRONG oral complications that could be signs of Chronic GVHD?
mucositis
xerostomia
dental caries
