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Radiation therapy 1 > Cancer Management And Patient Care > Flashcards

Flashcards in Cancer Management And Patient Care Deck (29):
1

Signs and symptoms of breast cancer?

Breast and axilla lump
-change in breast shape or size
-skin change
-nipple change-inverted or discharge

2

What is fungation?

Necrosis of the tissue
Ulcer open wound

3

What is peaud orange?

Pickering of the skin very much looks like orange skin

4

Patient setup for breast ?

Stable comfortable
Reproducible
Most common - supine in immobilisation devices-breast board
Arms outside beam-reduces cardiac dose
Sternum horizontal-reduce lung tissue
Reduce folds in breast

5

Why do we want to reduce folds in breast?

To reduce skin irritation

6

If subclav field is used do you need to check skin folds?

Yes

7

Prone equipment?

Slings
Breast boards

8

Critical structures of the breast?

Heart
Lung
Contralateral breast
Spinal cord
Depending on field arrangement for SCF

9

What are the staging of skin irritation to the breast?

1-erythema
2-dry desquamation
3-moist desquamation
4-exfoliative dermatitis

10

What is desquamation?

Shedding of skin

11

Side effects breast (acute)

Erythema
Desquamation

12

What is the common breast fractionation?

50gy in 25 but with an extra 10 gym in 5 fraction to the surgical site

13

Late changes of breast?

Fibrosis
Telangiectasia-dilation of capillaries of face
Breast shrinkage

14

What are acute changes?
What are late changes?

During treatment
Well after treatment

15

What is a skin reaction?

Side effect of radiation

16

Patient care treatment?

Avoid abrasion to skin
Use soap alternative
Wear loose garments
Gentle arm exercises started after surgery
Aqueous cream use frequently

17

What is better meplilex film or aqueous cream?

Depends but mepilex

18

What is palliative care?

Quality rather quantity of care
Symptomatic relief
Reduce tissue size
Restore normal function

19

Palliative examples?

SVC obstruction
Spinal cord compression
Osteoltytic bone metastasis
Brain metastases

20

Symptoms and treatment of spinal cord compression?

Pain in local area to another location
Motor deficits, sensory deficits
Autonomic dysfunctions
Surgical interventions
Beware of other psychosocial needs and dignity

21

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

22

Hyperfraction doses?

For pain relief

23

Side effects of spinal cord compression?

Nausea
Cramping
Diahhroea
Erythema
Flatulence
Fatigue

24

Management for palliative treatment?

Stable and reproducible positions pillows, soft tops and foam wedges
Field size larger for movement and margin greater for PTV

25

Prostate management?

Biopsy
TRUS biopsy
Increased urinary obstruction
Elevated PSA
Sacral, sciatic and perineal pain

26

Clinical management treatments

Watchful waiting
Surgery
Hormone therapy- testosterone and androgen
Ultrasound
Cryotherapy
Radiation therapy

27

Prostate preparation?

Bladder and bowel preparation
Empty bowel full bladder 500-600 ml

28

Radiation induced procitis?

Talengictasia of rectum

29

Two types of surgery for prostate?

Radical retro pubic prostatectomy
Robotic surgery
Potency rates of 80% can survive