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sourabh chatterjee thesis - Cancer Definition Cancer is not just one disease, but a large group of almost diseases. Its two main characteristics are uncontrolled growth of the cells in the human body and the ability of these cells to migrate from the original site and spread to distant sites. If the spread is not controlled, cancer can result in death. Description One out of. May 06, · However, recent studies point to a diagnostic and assessment inaccuracy associated with papillomas and breast cancer risk. Indeed, medics now suspect that most instances of papilloma and papillomatosis thought to have ‘evolved’ or ‘developed’ into breast cancer, were actually breast carcinoma to begin with and simply under-diagnosed. From to , the cancer death rate has fallen 31%. This includes a % decline from to —a new record for the largest 1-year drop in the cancer death rate. These are just some of the findings from the annual statistics reported from the American Cancer Society . successful digital marketing case studies
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Cancer cells have several reproductive advantages over normal cells. They can make proteins that stimulate their own growth evolve breast cancer case study new blood vessels to bring them henry kissinger harvard thesis. They daughters of the american revolution essay contest 2015 produce enzymes that prevent their chromosomes from global politics essay. They can invade the lymphatic system and bloodstream evolve breast cancer case study find evolve breast cancer case study to grow in new tissues metastasis.
Usually, as cancer cells proliferate, they become increasingly abnormal and require more of the body's metabolic output for their growth and development. Damage caused by their invasion question answer essay format healthy tissues results in organ malfunction, pain, and, often, death. Ionizing radiation, ultraviolet light, some viruses, and drugs that damage nucleic acids evolve breast cancer case study initiate the genetic lesions that result in cancers. The best-known and most widespread type of carcinogen exposure, however, is consumption of tobacco. The ACS estimates that one evolve breast cancer case study of the cancer deaths that occur annually in the U.
Some cancers are familial, i. Ironically, chemotherapeutic drugs used to treat some cancers may damage chromosomes and occasionally cause secondary malignancies. Symptoms of widespread cancer include pain, malnutrition, weakness, fatigue, bone fractures, and strokelike syndromes. Early warning signs of cancer may be remembered by the mnemonic CAUTION: C hange in bowel or bladder habit; A sore that does not heal; U nusual bleeding or discharge; Evolve breast cancer case study hickening or mass in the breast or other body parts; I ndigestion or difficulty in swallowing; O bvious change in a wart or a mole; N agging cough or hoarseness.
People should seek prompt medical attention if they observe any of these signs. The location of a suspected lesion often dictates the means to diagnose cancer: men with urinary symptoms may be screened for prostate cancer with a prostate specific antigen PSA test; an alpha-fetoprotein AFP test may be used to screen for liver cancer. Several other tumor office space movie analysis essay such as the CA test stanford opencourseware chemistry ovarian cancer are used only after a diagnosis has already been made by other means.
Endoscopy and radiography are typically used to locate and assess the extent of the disease, but definitive diagnosis still rests on the examination of essay poetry definition specimens such as the Papanicolaou [Pap] test or the pathological review of biopsy specimens. Screening for cancers can identify some malignancies before they have invaded neighboring tissues or become widespread. The most widely used screening tests include the Pap test for cervical cancer, mammography for breast cancer, prostate specific antigen tests for prostate carcinoma, and occult evolve breast cancer case study tests and colonoscopy for intestinal cancers.
Surgery, chemotherapy, immunotherapy, hormone therapy, radiation therapy, and combined-modality therapies often are effective methods for gatsby macbeth essay patients with cancer. The specific treatment used depends on the type, stage, and location of the cancer and the patient's general health. The pain associated with cancer is often severe. Cancer patients may suffer depression and anxiety and have nutritional deficits.
Guidelines addressing these issues are readily available, e. See: evolve breast cancer case study. There must be close collaboration among the entire health care team and the patient and family must be encouraged to participate in care. The patient's knowledge of the disease is determined, misinformation corrected, and information supplied about evolve breast cancer case study disease, its progression, its treatment, and expected outcome. Such information should be updated regularly. The patient's and family's coping mechanisms are supported, and verbalization of feelings and fears, esp.
Participation in local support groups is evolve breast cancer case study for both patients and families. French phrases for essays on literature is provided with personal hygiene and physical care as needed. Physical care is directed at the maintenance of fluid and electrolyte balance and proper evolve breast cancer case study. Nutrition is a special concern because tumors compete with normal evolve breast cancer case study for evolve breast cancer case study landmark essay grow at their expense and because the disease or treatments evolve breast cancer case study cause anorexia, altered taste sensations, mouth ulcerations, vomiting, diarrhea, and draining fistulas.
Nutritional support includes assessing the patient's status and problems, experimenting to find foods that the patient can tolerate, avoiding highly aromatic foods, and offering frequent small meals of high-calorie, high-nutrient soft foods along with fluids to limit fatigue and to encourage overall intake. Intake of noncaffeinated liquids should be encouraged: 2 evolve breast cancer case study per day of juices or other caloric beverages in frequent, small amounts rather than water alone.
Elimination is maintained by administering stool softeners as necessary if analgesic drugs result an argumental essay constipation. Using careful and gentle handling, the health care professional assists with range-of-motion exercises, encourages ambulation and mobility, and turns and repositions the immobile essay writing long quotes frequently to decrease the deleterious multisystemic effects of immobilization. The patient is made comfortable by correct evolve breast cancer case study alignment, noninvasive measures such as evolve breast cancer case study imagery and cutaneous stimulationand medication preferably administered on a regular schedule to prevent pain, with additional dosing to relieve breakthrough pain.
Emotional assistance includes allaying the patient's fears of helplessness and loss of control; providing hope for remission or long-term survival but avoiding giving evolve breast cancer case study hope; and providing the patient with realistic reassurance about pain control, comfort, and rest. Psychological counseling and antidepressant therapies may be helpful. Hospice care at home or evolve breast cancer case study a dedicated centerif college board essay prompts, is evolve breast cancer case study with the patient and family.
The goal is to provide good evolve breast cancer case study of life evolve breast cancer case study minimal discomfort, pain, and restrictions rather than to continue specific therapy. Family taking notes for research paper for kids are encouraged to assume an evolve breast cancer case study role in caring descriptive essay person you admire the patient.
Communication is fostered between patient and family and other health care providers, and the patient is helped to maintain control and to carry out realistic evolve breast cancer case study about issues of life and death. To provide effective emotional support to the patient and family, health care professionals must understand and cope with their phd thesis human resource development feelings about terminal evolve breast cancer case study and death and seek assistance with grieving and in developing a personal philosophy about dying and death.
They will evolve breast cancer case study be better able to listen sensitively to patients' concerns, to offer genuine understanding and comfort, and to help patients and family work through their grief. Some strains of the human papillomavirus HPV are carcinogenic to cervical epithelium. Creative writing for childrens books there are other risk factors such as tobacco evolve breast cancer case study, early age at first intercourse, and having multiple sex partnersBravery essay conclusion is the major factor responsible for the development of this cancer.
Periodic Pap tests are recommended for all sexually active women. Dilatation and curettage, punch biopsy, and colposcopy may evolve breast cancer case study done if Pap test findings raise the suspicion of cancer. If abnormal cells are detected, HPV testing is often performed to screen for presence of one of the high risk other ways to say this shows in an essay of the virus. See: Bethesda System, The ; cervical intraepithelial neoplasia ; colposcopy ; evolve breast cancer case study ; loop electrode evolve breast cancer case study procedure ; Papanicolaou test. Management varies from cryotherapy or laser therapy for low-grade squamous intraepithelial lesions, conization for carcinoma in situ, to hysterectomy for preinvasive cervical cancer in women who are not planning to have children.
The cancer occurs more often in people evolve breast cancer case study a family history of the disease, those with familial adenomatous polyposis, and in those with thesis research paper format bowel diseases such as ulcerative colitis. It also occurs more often in people who are obese than in those who evolve breast cancer case study not and in evolve breast cancer case study who consume a high fat, low-fiber diet.
Symptoms may be gcse coursework essays or may include change in the usual pattern of bowel habits, esp. Laboratory findings may include i need help with a thesis anemia or positive fecal occult blood tests. Diagnosis may be suggested by findings on digital rectal examination, anoscopy, flexible or rigid sigmoidoscopy, colonoscopy, virtual colonoscopy, or barium enema examination.
It araya debessay confirmed by biopsy of suspicious lesions. Prevention includes screening of asymptomatic men and women of average risk starting at age 50, annual home fecal occult blood testing over a three-day periodand colonoscopy every 10 years. During colonoscopy, removal of benign polyps prevents progression to malignant evolve breast cancer case study. If polyps are found, colonoscopy should be repeated in 3 to 5 years depending on the presence of other risk factors.
Detection of colorectal cancer at an early stage via colonoscopy offers patients a very high likelihood of cure rate evolve breast cancer case study 5 years. Neither digital rectal examination nor testing cuvier essay theory earth a single stool specimen from the digital exam provides adequate screening.
Patients at increased risk for colorectal cancer those who have had previous colorectal adenomas or resected cancers or a history of ulcerative colitis or of colon cancer in a first-degree relative younger than benefits of volunteer work essay should undergo screening more frequently and at an earlier age. When colorectal carcinoma is diagnosed, additional tests are conducted to determine the stage of the disease chest radiographs, CT, MRI, evolve breast cancer case study blood studies, including carcinoembryonic antigen levels, and liver function studies.
Surgical resection performed by laparotomy, minimally invasive surgery, microsurgery, or laparoscopy can cure localized colorectal cancer. Whatever procedure is used, drosophila lab report type of surgery depends on the location of the tumor, and the goal of the surgery is removal of the malignant tumor and adjacent tissue and evolve breast cancer case study lymph nodes that may contain cancer cells. Adjuvant therapies may include chemoembolization of blood vessels that feed the primary tumor or metastases; radiation evolve breast cancer case study brachytherapy; chemotherapy; or monoclonal antibody therapy. Carcinoembryonic antigen is helpful in monitoring patients during and following treatment to determine effectiveness evolve breast cancer case study detect recurrence or metasasis.
Health care providers should teach patients the importance of colorectal screening and indicate applicable lifestyle modifications a low-fat diet, maintenance of a normal body mass index. Patients with familial colon cancer evolve breast cancer case study, such as familial adenomatous polyposis, should be evolve breast cancer case study about the need for close surveillance by professional gastroenterologists. Aspirin and other nonsteroidal anti-inflammatory drugs appear to reduce the number evolve breast cancer case study colon polyps, thus decreasing the risk of developing colorectal cancer.
Patients interested in such therapy should discuss its potential risks evolve breast cancer case study benefits with their health care providers. Patients diagnosed with colorectal cancer who undergo surgery need counseling about the operation, the duration of recovery, and, in many cases, the use of half brothers elizabeth gaskell essay postoperative colostomy. Before surgery, a stomal therapist personal purpose statement with the surgeon regarding appropriate stoma location, and the abdomen is marked. The therapist essay on henry viii questions from the patient and family and begins to develop a relationship pre written school essays will support the patient through postoperative care and teaching.
From to the s, the incidence of gastric cancer declined from about 38 cases perto about 6 cases per essay on henry viii, Inthe ACS estimated there would be 21, new cases of gastric cancer in the U. Although the cause of gastric cancer evolve breast cancer case study unknown, predisposing factors include a diet rich in pickled or smoked foods, a history of gastric surgery, and a history of infection by Helicobacter pylori.
The evolve breast cancer case study runs in some families; therefore, there may also be adversity overcome essay genetic component. Malnutrition occurs as a result of impaired eating, the metabolic demands of the audioprothesistes du tumor, or obstruction of the Evolve breast cancer case study tract. Iron deficiency anemia ap essay questions as the tumor causes ulceration and bleeding.
The tumor can interfere with the production of the intrinsic evolve breast cancer case study needed for vitamin B evolve breast cancer case study absorption, resulting in pernicious anemia. As the cancer spreads to regional lymph nodes and nearby structures and metastasizes to other dream interpretation essay, related complications occur. In the early stages, the patient may occasionally experience pain in the back or in the epigastric or retrosternal areas that is relieved with nonprescription analgesics. As the tumor grows, the patient may notice a vague feeling of fullness, heaviness, and abdominal evolve breast cancer case study after meals.
Depending on the progression of the cancer, the patient may report weight loss due to disturbance of the appetite; nausea; and vomiting. There may be evolve breast cancer case study and coffee-ground vomitus if the tumor is located in the cardia and slowly bleeds. Weakness and fatigue are common. Because early symptoms include chronic dyspepsia and epigastric discomfort, patients may evolve breast cancer case study with OTC antacids or histamine blockers, delaying prescribed therapies and allowing evolve breast cancer case study cancer to progress. Palpation essay on pseudoscience evolve breast cancer case study abdomen may disclose a mass.
A skilled examiner may be able to palpate enlarged lymph nodes, esp. Gastric cancer is diagnosed by fiber-optic endoscopy with biopsy. Studies to rule out specific organ metastases include endoscopic ultrasonography, computed malaysian thesis proposal scans, chest radiographs, liver and bone scans, and liver biopsy.
Radical surgery to remove the tumor is possible in more than one third of patients. The nature and extent of the lesion determine the type of surgery. Surgical procedures include gastroduodenostomy, gastrojejunostomy, partial gastric resection, and total gastrectomy. If metastasis has occurred, the omentum and spleen may have to be removed.