Discussion Questions 1. Discuss the differences between a malignant and benign tumor and how they may be used in diagnosing the cancer. (See: Characteristics of Malignant and Benign Tumors) 2. Discuss what other signs and symptoms Mrs. H. may expect to experience if the tumor returns. (See: Pathophysiology Local Effects of Malignant Tumors

Surgical Tech For Surgical Tech Pos Care
5th Edition
ISBN:9781337648868
Author:Association
Publisher:Association
Chapter9: Surgical Pharmacology And Anesthesia
Section: Chapter Questions
Problem 9.5CS
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Case Study 1
A routine mammogram showed a large mass in the right
breast of Mrs. H., age 42. A biopsy confirmed the
presence of a malignant tumor. Mrs. H. was concerned
because her mother and an aunt had breast cancer. No
metastases were detected at this time. A mastectomy was
performed and a number of axillary and mediastinal
lymph nodes were removed. Pathologic examination
showed several nodes from each area contained malignant
cells. Given this case was considered to be stage III, it
was recommended that Mrs. H. have chemotherapy and
radiation treatment following surgery and later have her
ovaries removed to reduce her estrogen levels.
Discussion Questions
1. Discuss the differences between a malignant and benign
tumor and how they may be used in diagnosing the
cancer. (See: Characteristics of Malignant and Benign
Tumors)
2. Discuss what other signs and symptoms Mrs. H. may
expect to experience if the tumor returns. (See:
Pathophysiology, Local Effects of Malignant Tumors,
Systemic Effects of Malignant Tumors)
3. Other than the biopsy used in this case, discuss what
other diagnostic tests could have been used to diagnose
the cancer. (See: Diagnostic Tests)
4. Discuss the reasons why the axillary lymph nodes were
removed and it was recommended that the patient
continue with chemotherapy and radiation. (See: Spread
of Malignant Tumors)
Transcribed Image Text:Case Study 1 A routine mammogram showed a large mass in the right breast of Mrs. H., age 42. A biopsy confirmed the presence of a malignant tumor. Mrs. H. was concerned because her mother and an aunt had breast cancer. No metastases were detected at this time. A mastectomy was performed and a number of axillary and mediastinal lymph nodes were removed. Pathologic examination showed several nodes from each area contained malignant cells. Given this case was considered to be stage III, it was recommended that Mrs. H. have chemotherapy and radiation treatment following surgery and later have her ovaries removed to reduce her estrogen levels. Discussion Questions 1. Discuss the differences between a malignant and benign tumor and how they may be used in diagnosing the cancer. (See: Characteristics of Malignant and Benign Tumors) 2. Discuss what other signs and symptoms Mrs. H. may expect to experience if the tumor returns. (See: Pathophysiology, Local Effects of Malignant Tumors, Systemic Effects of Malignant Tumors) 3. Other than the biopsy used in this case, discuss what other diagnostic tests could have been used to diagnose the cancer. (See: Diagnostic Tests) 4. Discuss the reasons why the axillary lymph nodes were removed and it was recommended that the patient continue with chemotherapy and radiation. (See: Spread of Malignant Tumors)
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