Principles of Cancer Treatment Flashcards

1
Q

reveals where there are metabolic changes in the body (blood flow, o2 flow, etc)

A

PET scan

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2
Q

this diagnostic procedure is the most useful for staging

A

CT scan

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3
Q

therapy given after primary tx

A

adjuvant therapy

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4
Q

therapy given before primary tx

A

neo-adjuvant

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5
Q

3 goals of cancer tx

A

cure
control
palliation

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6
Q

T or F: the margins don’t have to be clear for the CA to be considered cured

A

false, the margins must be clear

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7
Q

this type of skin CA rarely metastasizes, is curable, and is 90 percent related to sun exposure

A

basal cell

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8
Q

this type of skin CA is characterized by “red, white, and blue” lesions and can penetrate and spread

A

melanoma

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9
Q

T or F: having good vitamin D levels increases the chances of tx of melanoma being successful

A

TRUE

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10
Q

breast cancer tx in which radioactive seeds are implanted in the breast

A

mammosite

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11
Q

duration of mammosite tx

A

2x for 5 days

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12
Q

T or F: radiation therapy requires no prior planning

A

flase, it takes 1-2 hours to plan and prepare

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13
Q

when is the chance of fatigue the highest for radiation pts

A

week 3: increased energy demand to repair cells

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14
Q
skin reactions
hair loss
altered taste
diarrhea
rectal irritation
fatigue
fibrosis and scarring
SE of what?
A

radiation therapy

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15
Q

bracytherapy

A

internal forms of radiation

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16
Q

what is I 131 given for

A

radiation therapy for thyroid ca

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17
Q

T or F: it is safe to be around others following seed implantation and I 131 ingestion

A

false, person is radioactive

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18
Q

example of unsealed source of brachytherapy

A

I 131

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19
Q

example of sealed source of brachytherapy

A

mammosite and prostate seeds

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20
Q

not confined to one body area
eliminated as waste
can be harmful to others
sealed or unsealed??

A

unsealed ( I 131)

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21
Q

temporary or permanent implant near tumor
solid implant that patient emits radiation while in place
waste products not radioactive
sealed or unsealed??

A

sealed (mammosite/prostate seeds)

22
Q

T or F: when one dies they are no longer radioactive

A

FALSE

23
Q

chemo is rarely used to treat this type of CA

A

prostate

24
Q

common forms of tx for prostate CA

A

radiation
surgery
hormone therapy

25
Q

major SE of I 131

A

slowness because of hypothyroid

26
Q

most important way to protect yourself when caring for a radioactive pt

A

time and distance

27
Q

type of biopsy in which no anesthetic is needed and a small amt of a tumor is aspirated using a needle

A

fine needle aspiration

28
Q

palpable mass
suspicious mammogram
suspicious clinical exam
what will be done?

A

fine needle aspiration

29
Q

type of biopsy in which an anesthetic is required and a larger tissue sample is obtained

A

core needle biopsy

30
Q

type of biopsy done when atypical CA cells are found and more tissue is needed

A

excision biopsy

31
Q

these 3 things should be evaluated in the initial assessment

A

emotional state
fatigue
pain

32
Q

since CA pts are at high risk for a blood clot, what should be done?

A

get them moving

low dose anticoag prophylactically

33
Q

hot nodes

A

nodes with high levels of radiation

34
Q

sentinel nodes

A

nodes closest to the site of the tumor

35
Q

disadvantage of fine needle aspiration

A

may not get the tumor cells the first time and can give a false negative

36
Q

T or F: there is a chance of tumor seeding (CA spreading) after a biopsy is performed

A

true

37
Q

type of biopsy that shows where the tumor is draining and shows what nodes should be removed

A

sentinel lymph node biopsy

38
Q

what do margins refer to in CA

A

cell boarder

39
Q

a certified oncology nurse that acts as an advocate and helps collaborate with other members of medical team, also serves as an educational resource for pt and family

A

nurse navigator

40
Q

skin teaching related to radiation therapy

A

pat dry
avoid sun
loose fitting clothing
no deodorant

41
Q

xerostomia is a major SE of what tx

A

radiation

42
Q

most important rules related to radiation therapy

A

if it hurts don’t do it

if you are tired rest

43
Q

cytotoxic agents destroy cancer cells or prevent replication by interfering with RNA or DNA

A

chemotherapy

44
Q

agents use the body’s own immune system to mount an immune response

A

biotherapy

45
Q

this modality is used to dx, stage, and support other modalities

A

surgery

46
Q

exposure and dosage are the primary terms associated with this therapy

A

radiation therapy

47
Q

agents are used against hormone receptor-positive cancers

A

hormonal therapy

48
Q

allogeneic, autologous, and syngeneic are exaples of this tx modality

A

bone marrow/stem cell transplant

49
Q

tx is given prior to surgery in an effort to reduce tumor bulk and limit the surgical procedure

A

neoadjuvant tx

50
Q

tx is given after surgery in an effort to treat metastatic or microscopic disease

A

adjuvant tx