Flashcards in Cancer Management And Patient Care Deck (29):
Signs and symptoms of breast cancer?
Breast and axilla lump
-change in breast shape or size
-nipple change-inverted or discharge
What is fungation?
Necrosis of the tissue
Ulcer open wound
What is peaud orange?
Pickering of the skin very much looks like orange skin
Patient setup for breast ?
Most common - supine in immobilisation devices-breast board
Arms outside beam-reduces cardiac dose
Sternum horizontal-reduce lung tissue
Reduce folds in breast
Why do we want to reduce folds in breast?
To reduce skin irritation
If subclav field is used do you need to check skin folds?
Critical structures of the breast?
Depending on field arrangement for SCF
What are the staging of skin irritation to the breast?
What is desquamation?
Shedding of skin
Side effects breast (acute)
What is the common breast fractionation?
50gy in 25 but with an extra 10 gym in 5 fraction to the surgical site
Late changes of breast?
Telangiectasia-dilation of capillaries of face
What are acute changes?
What are late changes?
Well after treatment
What is a skin reaction?
Side effect of radiation
Patient care treatment?
Avoid abrasion to skin
Use soap alternative
Wear loose garments
Gentle arm exercises started after surgery
Aqueous cream use frequently
What is better meplilex film or aqueous cream?
Depends but mepilex
What is palliative care?
Quality rather quantity of care
Reduce tissue size
Restore normal function
Spinal cord compression
Osteoltytic bone metastasis
Symptoms and treatment of spinal cord compression?
Pain in local area to another location
Motor deficits, sensory deficits
Beware of other psychosocial needs and dignity
Palliative spinal cord dose compression
8gy in 1 fraction- emergency situation
12 gy in 2 fraction a week apart
20gy in 5 given in one week
30gy in 10 given in 2 weeks
For pain relief
Side effects of spinal cord compression?
Management for palliative treatment?
Stable and reproducible positions pillows, soft tops and foam wedges
Field size larger for movement and margin greater for PTV
Increased urinary obstruction
Sacral, sciatic and perineal pain
Clinical management treatments
Hormone therapy- testosterone and androgen
Bladder and bowel preparation
Empty bowel full bladder 500-600 ml
Radiation induced procitis?
Talengictasia of rectum