Download - cervical cancer presentation
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JOY AWALEMEDICAL SURGICAL SEMINAR
CERVICAL CAN-CER
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-A malignant neoplasm of the cervix or cervical area
DEFINITION
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CAUSEHUMAN PAPILLOMA VIRUS
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RISK FACTORS : -Sex at young age.
Smoking
Multiple sexual partners.
Depressed im-mune system.Family history.
Long term use of contraceptives Pills
Having sex with the person infected with
HPV
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TYPES OF CERVICAL CANCER
SQUAMOUS CELL CARCINOMA
ADENOCARCINO-MAS
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SIGNS & SYMPTOMS
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Abnormal vaginal bleeding
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Bleeding or pain after sexual intercourse
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Bleeding after menopause
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Heavier and larger menstrual pe-riods
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Unusual vaginal discharge
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Discomfort while urinating
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Pelvic pain
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Leg pain
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Weight loss
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Constant fatigue
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PHYSICAL SIGNS : -
The cervix bleeds on touch.It is friable.It is fixed and lost it mobility.Induration of cervix.
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PATHOPHYSIOLOGY
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PATHOPHYSIOLOGY
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PATHOPHYSIOLOGY
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STAGING OF CERVICAL CANCER
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DIAGNOSTIC EVALUATIONS
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1. PHYSICAL EXAMINATION
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2. PV EXAMINATION
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2. PAP SMEAR TEST
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COLPOSCOPY
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BIOPSY
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BIOPSY
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Other investigations to determine the extent of tumor:- 1.CT Scan. 2.MRI. 3.Cytogram. 4.Barium X-ray studies.
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TREATMENT
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CHEMOTHERAPY
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SURGICAL MANEGMENT
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LASER SURGERY
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L.E.E.P
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CRYOSURGERY
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HYSTERECTOMY
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RADIATION THERAPY
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EXTERNAL PELVIC RADIATION
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INTERNAL PELVIC RADIATION
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PREVENTIVE MEASURESAvoidance of early marriages.Avoid early and frequent intercourse.Strictly avoid monogamous relationships.Restriction of number of children.Improvement of genital hygiene.Periodically clinical cytological screening.Good obstetric care.Avoid smokingNo harm in pregnancies.
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VACCINATION
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NURSING MANAGEMENTListen to the patient’s fear and concerns and offer reassurance when appropriate. encourage patient to use relaxation techniques to promote comfort during diagnostic procedures.Monitor the patient’s response to the therapy.Watch for the complications related to the therapy by listening to and observing the patient.
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NURSING MANAGEMENTMonitor the lab studies and obtain frequent vital signs.Understand the treatment regimen.Give adequate fluid and nutritional intake to promote tissue healing.Explain any surgical procedure or therapeutic procedure to the patient, including what to expect both before and after the procedure.Review the possible complications of any procedure to be done.
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NURSING MANAGEMENTRemind the patient to watch for and report adverse reactions.Reassure the patient that this disease and its treatment shouldn’t radically alter her lifestyle or prohibit sexual intimacy.DISCHARE TEACHING:- Explain the importance of follow up to the oncologist. Perform prescribed abdominal strengthening excercises. Avoid heavy lifting for about 2 months. Avoid activities that increase pelvic congestion. Early ambulation
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PROGNOSIS
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