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    Uterine Cancer

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    zyrine jhen
    Uterine cancer, also known as endometrial cancer, is an abnormal growth of cells in the uterine lining. It is usually classified as benign (non-spreading) or malignant (life-threatening and able to metastasize). Risk factors include increased age, race, genetics, endometrial hyperplasia, obesity, hormone replacement therapy, and lifestyle exposures. Symptoms may include unusual vaginal bleeding or discharge. Treatment options include surgical removal of the uterus and ovaries, radiation therapy, hormone therapy, and chemotherapy. Nursing care focuses on pain management, education, nutrition support, and follow up care. Prognosis is generally good if detected early.

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    Uterine Cancer

    Uploaded by

    zyrine jhen
    6K views20 pages
    Uterine cancer, also known as endometrial cancer, is an abnormal growth of cells in the uterine lining. It is usually classified as benign (non-spreading) or malignant (life-threatening and able to metastasize). Risk factors include increased age, race, genetics, endometrial hyperplasia, obesity, hormone replacement therapy, and lifestyle exposures. Symptoms may include unusual vaginal bleeding or discharge. Treatment options include surgical removal of the uterus and ovaries, radiation therapy, hormone therapy, and chemotherapy. Nursing care focuses on pain management, education, nutrition support, and follow up care. Prognosis is generally good if detected early.

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    Uterine cancer, also known as endometrial cancer, is an abnormal growth of cells in the uterine lining. It is usually classified as benign (non-spreading) or malignant (life-threatening and able to metastasize). Risk factors include increased age, race, genetics, endometrial hyperplasia, obesity, hormone replacement therapy, and lifestyle exposures. Symptoms may include unusual vaginal bleeding or discharge. Treatment options include surgical removal of the uterus and ovaries, radiation therapy, hormone therapy, and chemotherapy. Nursing care focuses on pain management, education, nutrition support, and follow up care. Prognosis is generally good if detected early.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT or read online from Scribd
    Download as ppt
    6K views20 pages

    Uterine Cancer

    Uploaded by

    zyrine jhen
    Uterine cancer, also known as endometrial cancer, is an abnormal growth of cells in the uterine lining. It is usually classified as benign (non-spreading) or malignant (life-threatening and able to metastasize). Risk factors include increased age, race, genetics, endometrial hyperplasia, obesity, hormone replacement therapy, and lifestyle exposures. Symptoms may include unusual vaginal bleeding or discharge. Treatment options include surgical removal of the uterus and ovaries, radiation therapy, hormone therapy, and chemotherapy. Nursing care focuses on pain management, education, nutrition support, and follow up care. Prognosis is generally good if detected early.

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    Uterine Cancer

    By: 4E
    Uterine Cancer: Description
    • Abnormal growth of tumor
    in the uterine lining
    (endometrium)
    • Usually called
    ENDOMETRIAL CANCER.
    Uterine Cancer: Description
    • Tumor:
    Tumor growth of extra cells that form a mass

    Classified as:
    1. Benign: do not spread to other parts of body
    • Fibroid
    • Endometriosis
    • Endomettrial hyperplasia

    2. Malignant: life threatening; can metastasize


    ANATOMY & PHYSIOLOGY: UTERUS
    • Uterus:
    – hollow, pear-shaped organ where fertilized egg retain and nourish
    – Located in the pelvis between the bladder and the rectum
    Parts:
    •Corpus/Body: middle part

    •Fundus: dome shaped top of


    the uterus

    •Cervix: narrow, lower


    portion of the uterus
    ANATOMY & PHYSIOLOGY: UTERUS
    • Wall of the uterus:

    – ENDOMETRIUM (inner)
    – MYOMETRIUM (middle)
    – PERIMETRIUM
    (outermost)
    Uterine Cancer: Pathophysiology
    Predisposing Factors:
    Precipitating Factors: -Age: over 50 yrs old
    -Hormone Replacement Therapy (HRT): -Race: black Americans
    ESTROGEN -Genetic
    -Obesity: increase ESTROGEN -Disease: Endometrial hyperplasia,
    -Lifestyle: exposure to carcinogens colorectal menstruation
    -Sexual Activity: nulliparity -Physiologic changes:Early menstruation,
    Late menopausal stage, amenorrhea

    Excessive Increase estrogen

    Suppress LH & FSH

    Slows ovarian cycle

    increase reformation of endometrial lining and slow regeneration


    Normal cells continuously growing and old cells do not die

    Extra cell form together

    TUMOR

    ENDOMETRIAL CANCER

    Watery, malodorous Bladder


    UNUSUAL vaginal bleeding Pain
    vaginal discharge dysfunction
    Uterine Cancer: Management
    A. Surgical
    1. Hysterectomy: surgical
    removal of the uterus
    2. Bilateral Salphingo-
    oophorectomy: surgical
    removal of both fallopian
    tube and ovaries.
    Uterine Cancer: Management
    3. Dilation and curettage-
    the dilation
    (widening/opening) of the
    cervix and surgical removal of
    part of the lining of the uterus
    and/or contents of the uterus
    by scraping and scooping
    (curettage)
    Uterine Cancer: Management
    B. Medical
    1. Staging of Cancer
    – Stage I: tumor limited to the endometrium
    – Stage II: endocervical glandular involvement only
    – Stage III: tumor invades serosa or adnexa, or malignant peritoneal
    cytology ;metastasis to pelvic or para-aortic lymph nodes
    – Stage IV: invasion of the bladder or bowel ;distant metastasis,
    including intraabdominal or inguinal lymph nodes
    Uterine Cancer: Management
    2. Radiation Therapy: high-energy radiation to shrink tumors and kill cancer
    cells
    – External:
    – Internal: radiation delivered from radiation sources (radioactive
    materials) placed inside or on the body
    Uterine Cancer: Management
    3. Hormonal Therapy: progesterone agents
    4. Chemotherapy : for metastasis and recurrent disease.
    Uterine Cancer: Nursing Care Plan
    A. ASSESSMENT:
    1. Physical Assessment
    i. Identify risk factors?
    a. Exposure to carcinogens
    b. Hereditary history of any CA
    c. Marital status
    d. Sexual activity
    e. Start of menstruation
    f. Menopausal
    g. Past health history
    Uterine Cancer: Nursing Care Plan
    ii. Check for any discharges/ bleeding?
    a. Color (watery, blood-streaked)
    b. Odor (foul)
    iii. Pain?
    a. Pelvic area
    b. During intercourse
    c. urination
    Uterine Cancer: Nursing Care Plan
    2. Diagnostic and Laboratory Studies
    2.1 Pelvic Exam: An examination of the organs of the female reproductive
    system; a speculum (an instrument for opening and widening certain
    passages of the body) is used to open the vagina and aid in visualizing the
    uterine cervix
    2.2 Pap Smear: medical procedure in which a sample of cells from a
    woman's cervix (the end of the uterus that extends into the vagina) is
    collected and spread (smeared) on a microscope slid
    2.3 Transvaginal UTZ: A technique in which sound waves are sent out by
    an ultrasound probe that has been inserted in the vagina. The waves go
    through the vaginal wall and bounce off the ovaries, and a computer uses
    the ultrasound echoes to create a picture (a sonogram)
    2.4: Biopsy:
    Uterine Cancer: Nursing Care Plan
    Nursing Diagnosis:
    1. Acute/Chronic Pain R/T tumor growth
    2. Fear R/T Cancer treatment option
    3. Knowledge Deficient R/T disease process and intervention
    4. Disturbed body image R/T surgical treatment.

    Planning:
    1. Help client in understanding the disease, diagnosis, and treatment.
    2. Provide means to decrease pain felt.
    Uterine Cancer: Nursing Care Plan
    Nursing Intervention:
    1. Relieving Pain
    1.1 Administer pain medications as prescribed and monitor patient’s
    response.
    1.2 Encourage use of relaxation techniques to help promote
    comfort.

    2. Relieving Fear
    1.1 Support patient through the disease process and reinforce
    information given by health care provider about treatment options.
    1.2 Prepare for radiation therapy and surgery.
    Uterine Cancer: Nursing Care Plan
    3. Nutrition
    1.1 Encourage intake of calories and protein to promote healing,
    maintain strength, and keep a healthy weight.

    4. Support client on side effects of chemo therapeutic drugs.

    5. Follow up care
    Uterine Cancer: Nursing Care Plan
    Prognosis:
    Cancer of the uterus grows slowly and women are altered to a
    problem by abnormal bleeding from the vagina. Most cancers are
    detected and treated at an early stage.
    Cure rates following surgery are very high.

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