Clotting, Grief) Questions and Answers
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the ____ stage is non-invasive and non-infiltrating (has not spread) in situ
the ___ stage is confined to the tissue of origin (stays where it is) localized
the ___ stage is spread to surrounding tissue (ovarian to stomach) regional
the __ _stage is when the disease spreads to distant sites (prostate moves to the brain)
distant
staging TNM stands for what? Tumor (size extent, depth of tumor)
Nodes (extent and location of involved nodes)
Metastasis (absence or presence of distant spread and metastasis)
stage __ is the best diagnosis; low end of the scale, usually designates localized disease, and
usually encapsulated or well defined 1
,stage __ is limited local spread 2
stage __ is extensive local and regional spread 3
stage ___ is the worst; high end of the scale and indicates disseminated disease 4
the more ___ the cancer is the increased risk it has of spreading nodular
this is the spread of cancer to a distant site via either lymphatic route or hematogenous route
metastasis
what are treatment options based on? pathology (biopsy)
stage and grade
research
national guidelines (NCCN and ASCO)
the treatment is ultimately about what the ___ wants patient
,what are the 3 treatment goals? curative
control
palliative
with chemotherapy treatment there is ___ which is an increased dose of chemo, ____ which is
control of the chemo, and ____ which is used to shrink the tumor before a surgery
induction
adjuvant
neoadjuvant
other treatment options include: radiation (brachytherapy)
surgery
immunotherapy
this is radiation with a seed brachytherapy
, the goal of ___ is to reduce or eliminate the number of malignant cells (however, it kills all cells)
chemotherapy
_____ chemotherapy kills all of the cells and is not specific; uses alkylating agents, nitrosoureas,
platinum drugs, hormonal therapy, and antitumor antibiotics non-specific
____ chemotherapy kills a specific part in the cell cycle and uses antimetabolities, topoisomerase
inhibitors, and mitotic inhibitors specific
what are ways to give chemotherapy? IM
SQ
IV (most common)
oral
epidural
intraperitoneal
intrathecal (lumbar space)
intravesicular (bladder)
topical
implants (bradytherapy radiation)