Oncology Part 2 Flashcards
Pulmonary System
Most common
The lungs the first organ to filter malignant cells
Lung cancer is the most common primary tumor to
Metastasize to the brain
Pulmonary system is asymptomatic until tumor cells have
Obstructed the bronchi
Reached the parietal pleura
Symptoms of pulmonary metastasis
Dey persistent cough
Pain
Dyspnea
Hemoptysis
Liver metastases are signs of
Advanced cancer
Liver filters blood coming in from the GI tract making it a #1 metastatic site for tumors of
Stomach
Colorectal
Pancreas
Symptoms of liver cancer
Abdominal pain and tenderness
General malaise and fatigue
Anorexia and weight loss
Low grade fever
Metastatic disease in the brain is life threatening and can
Increase ICP
obstruct CSF flow
Change mentation
Reduce sensory and motor function
Primary tumors rarely develop metastases outside the
CNS
Primary brain tumors are likely to be
Benign
Brain metastases are more common than
Primary brain tumor
Nervous system complications deficits
Impaired cognition
Weakness
Visual-perceptual impairment
Nerve pain
Pressure on nerces
Ischemic (throbbing) pain
Interference with blood supply or blockage within hollow organs
Healthy high growth fraction cells
Hair follicles
GI tract
Skin
Reproductive
Bone marrow
Platelet count normal range
150,000-450,000 cells/mm3
WBC normal range
4800-10,800 cells/mm3
Hemoglobin normal
Women: 12-16
Men: 13-18
Hematocrit normal
Women 37-48%
Men 45-52%
Absolute neutrophil count
2500-6000
WBC precaution
<3000
<1000 with fever no exercise wear mask
Hemoglobin precautions
<10
Hematocrit precaution
<25
Absolute neutrophil count precaution
<2500
Monitoring leukopenic patients
Protect patient from anything fresh
(Well done meat, no fresh fruit vegetables flowers)
Monitoring Thrombocytopenic patients
Don’t put patient at risk of bleeding
Anemic paitient monitoring
Conserve patients energy
Head and neck cancers often spread to
Lymph nodes
Head and neck cancers can lead to
Shoulder dysfunction
Lymphedema and pain in face/neck
Impaired jaw opening
Neck extensors weakness/atrophy
Breathing, swallowing or speaking dysfunction
Breast cancer can result in
Adhesive capsulitis
Rotator cuff and biceps tendinopathies
Cervical radiculopathy
Chest wall hypo mobility
Myofascial pain syndromes
