Neoplasia (Flemming)

Question 1

What are the 3 methods of treatment for Benign Neoplasms?

Answer 1

• Observation if Benign
• Simple Excision and Removal for Definitive Dx
• In Situ Extirpation to Prevent Further Growth

Question 2

Tell patients that they have CANCER don’t beat around the bush with other words

Answer 2

Tell patients that they have CANCER don’t beat around the bush with other words

Question 3

If you have a hepatocellular carcinoma that metastasized to the lungs, is it now called lung cancer?

Answer 3

NO, this is just a metastasis

*Make sure patients know this too, just because they have cancer in their lungs doesn’t mean they have lung cancer

Question 4

What does it mean if a cancer is in situ?

Answer 4

Lower Risk of Metastais - it hasn’t broken out of its traditional area yet

Question 5

Always let your patients know whether or not the disease is curable

Answer 5

Always let your patients know whether or not the disease is curable

Question 6

What should you tell patients who may try alternative therapies to the traditional ones that are proven to work?

Answer 6

• They can use them as long as they don’t interfere with PROVEN techniques like (Surgery, Radiation, or Chemotherapy)

Question 7

What happened as surgeons tried to provide more and more radical resections to cure cancer?

Answer 7

• Increased Surgical Morbidity
• Negative Impact on the quality of Life

**It didn’t prevent metastasis

Question 8

What factors are most important in trying to truly cure cancer in a patient?

Answer 8

1. Early Detection

2. Multidiscplinary with Surgery, Chemotherapy, and Radiotherapy

Question 9

T or F: Surgical Resection plays a huge role in curative therapy for cancer.

Answer 9

True, in the majority of cases involving the most prevalent types of cancer surgery is essential to curative therapy

Question 10

What do bowel sounds sound like when there is an obstruction?

Answer 10

• Hyperactive and High Pitched

Question 11

Look at X-rays in lecture to know what these things will look like.

Answer 11

Look at X-rays in lecture to know what these things will look like.

Question 12

What is the most common cause of bowel obstruction?

Answer 12

Adhesions - usually caused by scar tissue from another surgery (pay att’n to past medical history)

Question 13

What is a key sign of a nutritional defect in someone with cancer?

Answer 13

Temporal Wasting

Question 14

What is normal serum albumin?

- why would it be low in a cancer patient?

Answer 14

Normal - 3.5

• low because of poor nutrition in these patients

Question 15

Is staging or grading more important with sarcomas?

Answer 15

Grading

• Low Grade Sarcomas grow slowly and pose very little threat of metastasis

Question 16

What does it mean if you take a needle biopsy and the lab reports back and says its nondiagnostic?
- what is your next step?

Answer 16

Nondiagnostic - not enough cells in the sample

Incisional Biopsy would be needed next

Question 17

Above what size does a soft tissue mass require tissue diagnosis BEFORE treatment?

Answer 17

8 to 10 cm

Question 18

At what depth does a malignant melanoma primary lesion require evaluation for metastasis via sentinel lymph node biopsy?

Answer 18

0.75 mm deep

Question 19

What is the most common malignancy in humans?

- what is the most common death of malignancy in humans?

Answer 19

• Basal Cell Carcinoma - most common overall

- Lung - most common cause of death