Oncology Flashcards
most deadly cancer
lung and bronchus
abnormal cells have invasive characteristics and infiltrate other issues
metastasis
lymphatic spread
travel through lymp
hematogenous spread
blood
angiogenesis spread
new capillaries provide route for tumor cells
- leads to neovascularization
stages of cancer
initation
promotion
progression
benign ending
-oma
difference in apperence of benign and malignant
clearly defined edges
malignant tumor name
accruing to tissue
malignant epithelial tumors
carcinomas
right color cancer
silent
left colon cancer
ribbion stool
carcinoma in situ
not malignant YET
- can progress or regress
HER2
breast cancer
what can cause increase in PSA
BPH
prostatitis
and cancer
- not a definitive diagnosis
tertiary of cancer
soften the impact
OR
prevent second cancer
HPV vaccine ages
2 before 15
3 after
screening for colonoscopy
45
CXR cancer of the lung
not seen
high glucose utilization of cancer can be detected through
PET scan
TNM classiciation
tumor - 4
nodes - 3
M - 0/1
TNM is useful to descrive
clinical spread of disease
sentinel node
node connected to cancer
most common implanted vascular device
mediport
needle to access mediport
non coring needle (Huber)
time for radaition
less time
less damage
distance
20cm from Xray
shielding
lead
induction chemo
shrinkage or disappearance
adjuvant
after surgery
neoadjuvant
before surgery
chemo issue with iV
extravasation
what layer of gloves
double
what type of gown
long sleeved
hematopoetic effects
myelosupression
ANC
absolute neutrophil count
- combines neutrophil and bands
cell lysis can cause damage to what organ
kidney
chemo taste changes
metallic taste
sense of cell
cahcexia
most severe form of malnutrition
cachexia is caused by
hyper metabolic state and production of specific cytokines and catabolic factors by the tumor
is cachexia related to the nutritional intake
no
the cancer causes it
what measures are effective in reducing or preventing stomatitis or mucositits
honey and cryotherapy (ice)
floss when platelets are low?
no
use mouth wash with alcohol
no
know neutropenic precautions
P6 pressure point
3 below wrist
bottom of ANC
nadir
common symptom of superior vena cava syndrome
dyspnea
trunk or extremity swelling, plethora
what is tumor lysis syndrome
destruction of massive numbers of malignant cells by chemotherapy or radiation therapy
what can tumor lysis syndrome cause
hyperuricemia - gout
hyperkalemia - PEAK T wvaes
hyperphos
hypocal - trousea and chovksetk
med for high potassiuj
kayeleate
what to monitor for tumor lysis
fluid
electrolyte
kidney
parenoplastic syndrome
produce hormones
- SIADH
- clubing
- hypercalcemia
SIADH
retain fluids and decrease sodium
why frequent reposition of SIADH
holding onto fluid and the tissue can be compromised
neutropenia is what level
500 ANC
side effects of epogen
seizure
DVT
diarrhea
N/V
stomatitis
leukopenia
hypokalemia
neupogen
thrombocytopenia
neupoenia fever
sepsis
is living will a legal document
no