Physical Assessment Of Cancer

642 Words2 Pages

Cancer is evitable. It can happen to anyone and does not discriminate. In 2014, more than 1.5 million new cases of cancer were diagnosed, and almost 600,000 people died of cancer in the United States (CDC, 2017). The human body is made up of trillions of cells, and with cancer, it can start anywhere in the human body. As normal cells grow and divide to form new healthy cells needed by the body, cancer cells break this orderly process. Abnormal cancer cells create their own pattern, growing and dividing uncontrollably, and may form growths known as tumors (National Cancer Institute, 2015). Malignant tumors are cancerous and if left untreated, can be life threatening. A diagnosis of cancer can be such an overwhelming and stressful time for patients …show more content…

Diagnosis of cancer involves a comprehensive evaluation of a patient’s history and physical assessment along with a series of tests. Physical examination consists of examining the body for lumps that may indicate tumor, or changes in skin color, or enlargement of organ (Mayo Clinic, 2017). Diagnostic tests also include laboratory testing of blood, urine or other bodily fluids. Cancerous cells produce tumor markers, usually made up of proteins, that are produced at much higher levels that are found in patients with cancer (National Cancer Institute, 2015). Imaging tests can also help medical practitioners and specialists to locate the cancer in the body. Imaging procedures such as computerized axial tomography (CT) scan, Magnetic Resonance Imaging (MRI), Ultrasound, positron emission tomography (PET) scan and x-rays that take detailed images of the organs can show cancer cells and tumors, as well. In most cases, doctors perform a biopsy to confirm a cancer diagnosis. A biopsy is a procedure wherein a tissue sample is removed and examined under a microscope. At Hoag Breast Care Center in Newport Beach, California, the standard of care is minimally invasive needle biopsy. Biologic markers, histologic tumor grade, and lymphovascular invasion are provided with detailed information using minimally invasive needle biopsies (Hoag Memorial Hospital Presbyterian, 2009). Many non-invasive diagnostic exploration procedures …show more content…

There are many staging systems, but the most useful staging system is the TNM system introduced by the American Joint Committee on Cancer (AJCC). This staging system is based on the extent of the tumor (T), the extent of spread to the lymph nodes (N), and presence of metastasis (M) (2017). In most cancer types, TNM designation is widely used. The location and pattern of spread of a tumor is described including tumor size, extent of local growth, lymph node and organ involvement, and presence of distant metastases (Banasik, 2010). The staging of cancer useful in determining treatment options and the chances for a cure (Mayo Clinic, 2017). After the TNM values are determined, they are assigned to an overall stage, assigned in Roman numeral from I to IV, where stage IV is the highest grade which means the cancer is more advanced than in stage 0 or I (American Cancer Society, 2017). Stage 0 is a very early stage of cancer, which has not spread. Stage I refers to the next higher level but often have good prognosis. As the level is getting higher to stages II, III and IV, the prognosis is not usually favorable. This means, the higher the stage of cancer, the more invasive the cancer has

More about Physical Assessment Of Cancer

Open Document