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Oncology
• Study of cancer
Oncology Nursing
• Branch of nursing that deals with the care
and treatment of clients with cancer
Incidence and Prevalence
• Males: 4 most common types of cancer are – prostate, lung
and bronchus, and colorectal
• Females: 4 most common types of cancer are – breast, lung
and bronchus and colorectal
Carcinogenesis
Initiation
Promotion
Progression
Comparison
Benign Tumor Malignant Tumor
• U – Unexplained anemia
• S – Sudden weight loss
GUIDELINES FOR EARLY DETECTION
OF COMMON CANCERS
Breast Cancer
• BSE
• most cheapest
• done a week after menstrual period while taking a
shower facing the mirror standing up or lying down
• Tail of Spence: most common site of breast tumor
• Mammography
• Baseline mammography: done 35-39 years
• Yearly mammogram: starts at 40
• If with familial history of breast cancer: started at 30
Cervical Cancer
• Pap smear
• Done 2 weeks after menses
• Done annually for 2 consecutive year; then every 3
years until age 65 if findings are normal
• Prep: no douche, no intravaginal meds, no sex for 24
hours before test
• Who should undergo Pap Smear???
• Sexually active
• Have multiple partners
• Commercial sex workers
Colorectal Cancer
• Yearly digital rectal exam @ 40 and above
• Yearly occult blood test @ 50 and above
• Sigmoidoscopy every 3 years @ 50 and
above
• Colonoscopy every 10 years
Prostate Cancer
• Digital rectal exam for men
• Prostate Specific Antigen (PSA)
determine a blood test, confirms
diagnosis
Lung Cancer
• Chest X-Ray every 6 months for
patients who have history of smoking
2 packs per day
• Sputum cytology
Nursing Care/Interventions
Health Promotion
• Increase consumption of fresh vegetables
• Increase fiber
• Increase intake of Vitamin A and Vitamin C
• Practice weight control
• Reduce fat intake
• Practice moderation in consumption of:
• Salt cured, smoked and nitrate-cured foods
• STOP SMOKING cigarettes!
• REDUCE ALCOHOL intake!
• Avoid exposure to the sun
Diagnostic Tests
(Confirmatory/
Determination of Location)
• X-ray
• CT scan
• UTZ
• MRI
• Nuclear imaging
• Angiography
Direct Visualization
• Sigmoidoscopy
• Cystoscopy
• Endoscopy
• Bronchoscopy
• Exploratory surgery: lymph node biopsy to
determine metastasis
Other nonspecific tests
• CBC, differential
• Electrolytes
• Blood chemistry
• Liver enzymes
Tumor Markers
• PSA (Prostate-specific antigen)
• For Prostate cancer
• CEA (Carcinoembryonic antigen)
• For Colon cancer
• Alkaline Phosphatase
• For Bone metastasis
• BRCA1 & BRCA2
• For Breast and Ovarian Cancer
Tumor Staging
(TNM System)
Treatment
Treatment Options
• Surgery
• Chemotherapy
• Radiation Therapy
•C– CURE
•C – CONTROL
•P – PALLIATION