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    Medical & Nursing Management For Cervical Cancer

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    Promise Encinares
    The document discusses medical management for cervical cancer including surgery, radiation therapy, and systemic therapy options. Surgery includes conization, LEEP, hysterectomy, radical trachelectomy, and exenteration. Radiation therapy can be external-beam or internal/brachytherapy. Chemotherapy is often combined with radiation therapy, and targeted therapies and immunotherapies are also options. Nursing management includes client education on prevention, screening, and post-operative care like monitoring for bleeding in the first few days.

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    Medical & Nursing Management For Cervical Cancer

    Uploaded by

    Promise Encinares
    834 views11 pages
    The document discusses medical management for cervical cancer including surgery, radiation therapy, and systemic therapy options. Surgery includes conization, LEEP, hysterectomy, radical trachelectomy, and exenteration. Radiation therapy can be external-beam or internal/brachytherapy. Chemotherapy is often combined with radiation therapy, and targeted therapies and immunotherapies are also options. Nursing management includes client education on prevention, screening, and post-operative care like monitoring for bleeding in the first few days.

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    The document discusses medical management for cervical cancer including surgery, radiation therapy, and systemic therapy options. Surgery includes conization, LEEP, hysterectomy, radical trachelectomy, and exenteration. Radiation therapy can be external-beam or internal/brachytherapy. Chemotherapy is often combined with radiation therapy, and targeted therapies and immunotherapies are also options. Nursing management includes client education on prevention, screening, and post-operative care like monitoring for bleeding in the first few days.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    834 views11 pages

    Medical & Nursing Management For Cervical Cancer

    Uploaded by

    Promise Encinares
    The document discusses medical management for cervical cancer including surgery, radiation therapy, and systemic therapy options. Surgery includes conization, LEEP, hysterectomy, radical trachelectomy, and exenteration. Radiation therapy can be external-beam or internal/brachytherapy. Chemotherapy is often combined with radiation therapy, and targeted therapies and immunotherapies are also options. Nursing management includes client education on prevention, screening, and post-operative care like monitoring for bleeding in the first few days.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 11

    Medical Management for

    Cervical Cancer
    The treatment of cervical cancer depends on
    several factors, including the type and stage of
    cancer, possible side effects, and the woman’s
    preferences and overall health.

    1. SURGERY:
    •Conization- is the use of the same procedure as a
    cone biopsy to remove all of the abnormal tissue. 
    •Loop electrosurgical excision procedure (LEEP)- is
    the use of an electrical current passed through a thin
    wire hook. The hook removes the tissue. It can be
    used to remove microinvasive cervical cancer.
    Cone Biopsy
    Loop electrosurgical excision procedure (LEEP)
    •Hysterectomy is the removal of the uterus and cervix.
    Hysterectomy can be either simple or radical. A simple
    hysterectomy is the removal of the uterus and cervix. A
    radical hysterectomy is the removal of the uterus, cervix,
    upper vagina, and the tissue around the cervix. A radical
    hysterectomy also includes an extensive pelvic lymph node
    dissection.
    •Radical trachelectomy- is a surgical procedure in which the
    cervix is removed, but the uterus is left intact. It includes
    pelvic lymph node dissection (see above). This surgery may
    be used for young patients who want to preserve their
    fertility.
    •Exenteration- removal of the uterus, vagina, lower colon,
    rectum, or bladder if cervical cancer has spread to these
    organs after radiation therapy. This is for cervical cancer that
    has spread beyond the cervix
    2. RADIATION THERAPY
    The most common type of radiation treatment is called
    external-beam radiation therapy, which is radiation given
    from a machine outside the body. When radiation
    treatment is given using implants, it is called internal
    radiation therapy or brachytherapy.
    For early stages of cervical cancer, a combination of
    radiation therapy and low-dose chemotherapy is often
    used. The goal of radiation therapy combined with
    chemotherapy is to increase the effectiveness of the
    radiation treatment. This combination is given to control
    the cancer in the pelvis with the goal of curing the cancer
    without surgery. It may also be given to destroy
    microscopic cancer that might remain after surgery.
    3. SYSTEMIC THERAPY
    •Chemotherapy -For women with cervical cancer,
    chemotherapy is often given in combination with radiation
    therapy.
    •Targeted therapy- treatment that targets the cancer’s
    specific genes, proteins, or the tissue environment that
    contributes to cancer growth and survival. This type of
    treatment blocks the growth and spread of cancer cells while
    limiting damage to healthy cells.
    •Immunotherapy- also called biologic therapy, is designed to
    boost the body's natural defenses to fight the cancer. It uses
    materials made either by the body or in a laboratory to
    improve, target, or restore immune system function.
    Nursing Management for
    Cervical Cancer
    Client Education
    Teach clients:
    • Avoid risky sexual practices,; do not have sex at
    an early age, do not have multiple partners;
    avoid high risk sexual activities.
    • Consult with a health care professional about
    having an HPV vaccination for boys and girls as
    early as 9 years old and up to 26 years old, but
    necessarily between 10-11 years of age
    (ACOG,2015)
    • Follow the USPSTF guidelines for routine Pap
    smears
    • If your mother took DES to prevent miscarriage,
    maintain a careful preventive screening schedule
    • Eat nutritious food and have routine care for
    illness that weaken immune system.
    • Talk to your partner about your expectation of
    sexual health before becoming intimate.
    Post- operative Nursing Management

    • Assess patient’s condition


    • Give careful attention to post opt. bleeding
    • Provide close monitoring and care for first 2-3
    days
    • Early ambulation
    • Close monitoring the patient undergoing
    cryosurgery for hemorrhage and hypothermia
    • Instruct the patient to follow up visit.

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