Class notes
Breast Cancer Nursing Notes
- Course
- NUR 211
- Institution
- Wilkes Community College
Notes with the main, MUST KNOW, points to remember about Breast Cancer for nursing school exams and NCLEX.
[Show more]
Seller
Follow
Content preview
BREAST CANCERBenign Malignant
-
us .
> =
well diff.
Benign
'Malignant well diff-undiff.
=
↳ cells
invade & metastasize
carcinoma from ectoderm (skin/glands) & endoderm/mucous memb linings
-
=
.
-
sarcoma =
from mesoderm Imuscle Bone falt . ,
Lymphoma/Leukemia from hematopoietic system
-
=
*
Histologic grading :
appearance of cells a degree of differentiation
poor diff
< =
poor prognosis
well diff =
better prognosis
Grades for tumors Grade 1 (Best)
-
:
Grade 4/5 (worst)
* Extent) Spread of disease-staging
L
Stage o Cancer in situ (Best
:
Stage 4 Metastasis (worst :
TNM Classification System (3 parameters) :
* dont
-
stage Leukemia
Tumor size/invasiveness WITNIM
2
Presence/absence of Spread (lymph nodes)
3
Metastasis to organs
Prevention/Early Detection
8.
1 Limit
. alcohol Adeg rest 6-8hrs
.
2 Exercise 130 min/5XwK) a Sunscreen 15
.
spf
3
. Norm 10 . Reduce stress
.
weight
. Reg 11 Balanced diet (veggies fruit whole grain fiber
4
. exams .
, , ,
5
. Reg colorectal screen It fat preserv
, , smoked/salt cured meat , nitrite
. Avoid
6
smoking
.
1
Reg mammo. I pap
I
7 WarningSigns of Cancer ·
Diagnostics
C Change Bowel) bladder 1Cytology Studies (Pap test)
:
A :
a sore (don't healt 2Chest X-ray
U bleeding/discharge
:
unusual 3 CBC liver funct
,
↑
thickening/lump 4 Mammo US CT MRI
:
,
.. ,
1 Indigestion /diff. Swallowing
: 5 Tumor markers (CEA ,
AFP
,
O : Obv Change .
in wart PSA CA-125) .
N Nagging :
cough/hoarseness 6 Genetic Markers (BRCA1/2)
·
-
Avoid : ·
False reassurance Generalizing > jepordize
Redirecting
·
trust
, BREAST CANCER
Biopsy : 1
Percutaneous (throughskin)
-
Endoscopic (lung/esoph / colon) lesions
2
.
3
Surgery I not easily accessible
↳
laparotomy thoracotomy craniotomy
, ,
sticks
Biopsy Needles
:
Fine Needle (small gauge) needle
>
-
1
multiple
More accurate Large Core lactual piece of tissue
-> >
3 Excisional (surgical removal entire lesion /mass) * In -
OR
4 Incisional (part removed "punch") -
5 vacuum-assisted (needle only once can be rotated -
= Goal
:
cure Surgical
·
cures Basal cell Skin * risk for recurrence =
Radiation for high risk recurrence
·
afterx is -
·
chemotherapy (months - >
yrs) complete
* ↑ Mitotic rate more
likely to recur
=
-
Goal :
Control :
Initial +X
(for those we
Maintenance
therapy
·
can't
completely
eradicate) ·
Monitor for S/S recurrence/progression a pain
Goal Palliation Radiation therapy ↓ tumor size Symptoms
:
-
-
relieve
-
Isymptom controll
relief) -
& I risk its more advanced
Risk factors female
-
: -
combined hormone therapy
-4 age (dG5 low risk) After age 55 risk ↑
= *
dramatically
Genetics (1st degree) doubles risk
&
-
* Hormones :
Estrogen/Progesterone : turnor promoters (stimulate grown
10% Cancer rit this
-
Genes
BRCA1 BRCA2 Mutations risk
-
: =
Tumor suppress. gene (These inhibit if working normal
*
other genes =
PALB2 TP53 CHEK 2 PTEN ATM
, , , , ,
NBM CDH STKI , .
*
Can DNA test for this
-
Men -↑ :
risk should have CBE yearly (age 35)
↑ risk prostate
-
cancer
ovaries main source of estrogen
-
=
Patho : lobules prod gland "lobular"
-
milk
-
:
ducts milk lobule to hipple "ductal"
passageway-connects
-
:
↳ "in sith"
within duct or invasive invade duct wall
: :
lung brain
~ Metastatic it has spread (common bone liver
:
:
, ,
,
-
Factors affecting prognosis 1) Tumorsize 2) node involvement 3) differentiation
4) Estrogen/Progester oneStatus (PR) 5) HER-2 /protein reg :
cell growth)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller courtneywood1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.39. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now