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Cancer Surgery
Cancer Surgery
57
Science
Not Applicable
06/23/2005

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Cards

Term
1881

Hippocrates

bloodletting & lancing

Definition
modern cancer surgery began as early as?

by who?

what was done to release the cancer?

Term
Halstead

radical mastectomy

Definition
who began modern cancer surgery

with what procedure

Term
En bloc
Definition
removal of tumor in one section
Term
radical mastectomy
Definition
removal of the breast,

chest wall muscles,

and

local lymph nodes

Term
disfigurement

loss of function

Definition
the problem with radical mastectomy procedure

causes what?

Term
Johns Hopkins Hospital
Definition
William Halstead is associated with what hospital
Term
75%
Definition
what is the 5 year survival rate for:

radical mastectomy

tumor confined to breast

Term
31%
Definition
what is the 5 year survival rate for:

radical mastectomy

breast tumor with axillary lymph nodes involved

Term
10%
Definition
what is the 5 year survival rate for:

radical mastectomy

breast tumor with supraclavicular lymph nodes involved

Term
surgery
Definition
primary treatment for local control of cancer
Term
multi modality:

surgery

chemo

xrt

Definition
how is cancer best treated
Term
conservative surgery
Definition
type of surgery, sparring lymph nodes and tissue for local control
Term
decrease hospital stay

increase in outpatient services

minimize decrease in function

Definition
combination treatment has led to
Term
multidiscipline approach
Definition
started in the 1980's, this approach to treatment increased survival
Term
slow growing

and

locally confined

Definition
these tumors are most suitable to surgical intervention
Term
border (margin)
Definition
what is removed with the tumor
Term
staging
Definition
before surgery, what should be performed to determine the best therapeutic approach
Term
the initial surgery
Definition
best chance for cure (surgery)
Term
minimize local and systemic spread of cancer
Definition
the aim of cancer surgical techniques
Term
skin folds

cosmetically acceptable

Definition
biopsy guidelines:

where should incision lines be

why

Term
normal tissue for comparison
Definition
biopsy guidelines:

tissue samples must be intact and contain what

why

Term
Sentinel Node
Definition
lymph node closest to the tumor
Term
outpatient
Definition
where are needle biopsies performed
Term
hematoma

and

infection

Definition
are the possible side effects of needle biopsies
Term
needle aspiration
Definition
type of biopsy

needle inserted into tumor percutaneous or during surgery

Term
needle aspiration
Definition
a simple to perform biopsy with less tissue trauma
Term
needle aspiration
Definition
type of biopsy:

risk of needle may miss tumor or malignant cells

may not get enough specimen for definitive diagnosis

possible seeding can occur

Term
excisional biopsy
Definition
type of biopsy:

removal of the whole tumor with an effort to obtain clean margins

Term
excisional biopsy
Definition
most commonly used biopsy method for tumors usually < 3cm and accessible
Term
incisional biopsy
Definition
type of biopsy:

removal of a piece of the tumor

tumors usually > 3cm

Term
needle localization biopsy
Definition
type of biopsy

needle placed by stereotactic guidance

commonly used for breast cancer

Term
sentinel node biopsy
Definition
type of biopsy

injection of blue dye and/or radioactive substance into area of tumor to identify lymph node closest to the tumor site, which is then removed and examined

Term
endoscopy
Definition
tumor visualized through endoscope and a piece of tumor removed with forceps
Term
lapoaroscopy
Definition
tumor visualized through laparoscope and a specimen can be taken using one or more techniques
Term
laparotomy
Definition
exploratory surgery used to rule out metastases to other organs

all types of biopsies can be performed

Term
surgery
Definition
primary choice of treatment for tumors that are localized
Term
lumpectomy
Definition
removal of lump only
Term
quadrantectomy
Definition
removal of one quarter, or quadrant, of the breast
Term
segmental mastectomy
Definition
removal of the cancer as well as some of the breast tissue around the tumor and the lining over the chest muscles below the tumor
Term
in situ tumors
Definition
pre-cancerous tumors

removal is considered preventative

cancer cells are confined to one layer of tissue

high cure rate

Term
radiofrequency ablation
Definition
needle electrode placed directly into hepatic tumor, emits radio waves that creates heat to destroy entire affected area

patients are not canidates for chemo & rt

Term
primary treatment
Definition
Surgery as treatment of choice

removal of entire tumor with clear margins; local excision- skin; wide en bloc resection-tumor, regional lymph nodes, adjacent structures

Term
palliative treatment
Definition
Surgery as treatment of choice

minimize symptoms, enhance patient comfort and quality of life

Term
salvage treatment
Definition
removal of recurrent cancer after more conservative treatments failed; more radical; less chance for success
Term
debulking
Definition
removal of as much tumor burden as possible so that other therapies or treatments can be used
Term
reconstruction
Definition
improve function or cosmetic appearance after surgery
Term
vascular access devices
Definition
surgically implanted devices used long term to facilitate delivery of treatment and increase patient comfort
Term
vascular access devices
Definition
these are examples of ______________.

peripherally inserted central catheters

tunneled central venous catheter

implantable port

Term
tunneled catheters

peripherally inserted central catheters (PICC)

Implantable venous ports

Definition
3 types of vascular access devices (VAD)
Term
tunneled catheter
Definition
type of catheter originally designed for long term administration of parenteral nutrition
Term
superior vena cava
Definition
tunneled cathater tunneled under the skin from the insertion site to where?
Term
months / years
Definition
how long can tunneled catheters be used
Term
chemotherapy

&

bone marrow transplants

Definition
what are tunneled catheters used for in cancer patients
Term
yes

bedside

Definition
is inserting a tunneled catheter considered a surgical procedure?

where removed

Term
PICC

peripherally inserted central catheters

Definition
can be inserted at bedside

not sutured to skin; care important

insertion site is antecubital area which will limit patient

patients w/ neck dissection, mastectomy or rt are candidates

Term
implantable ports
Definition
devices designed to access the peritoneal, arterial, venous or epidural

surgery required for each implant

port is hollow housing of stainless steel, titanium or plastic

venous ports placed in upper chest for intravenous fluid or meds

infrequent flushing needed; won't need a lot of care

Term
gastrointestinal hemorrhage

spinal cord compression

pericardial effusion

Definition
3 types of oncologic emergencies
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