Case Study:
A routine mammogram showed a large mass in the right breast of Mrs. H, age 42 years. A biopsy confirmed the presence of a malignant tumor. Mrs. H was concerned because her mother and an aunt had had breast cancer. No metastases were detected at this time. A mastectomy was performed, and a number of axillary and mediastinal lymph nodes were removed. Pathologic examination showed that several nodes from each area contained malignant cells. Given that this case was considered to be stage Ⅲ, it was recommended that Mrs. H have chemotherapy and radiation treatment following surgery and later have her ovaries removed to reduce her estrogen levels.
Directions:
The purpose of the case study assignments is to apply knowledge of the information learned in each module. Read the case study below and think about the associated discussion questions using your best critical thinking skills. Formulate an answer based on the readings and your nursing judgment. Then, create a separate document using AP format to discuss the questions in the case study. Please keep this in mind as you are formulating your answers.
All written work submitted must conform to current APA guidelines and demonstrate college-level writing style using proper spelling, grammar, and punctuation. All written work must be the original work of the student, stated in the student’s own words, except when short segments are quoted in APA format. Follow APA rules by including a cover page, running head, and a reference page.
Discussion Questions
Discuss the differences between a malignant and benign tumor and how they may be used in diagnosing cancer. (See Characteristics of Malignant and Benign Tumors.)
Discuss what other signs and symptoms Mrs. H may expect to experience if the tumor returns. (See Pathophysiology, Local Effects of Malignant Tumors, Systemic Effects of Malignant Tumors.)
Other than the biopsy used in this case, discuss what other diagnostic tests could have been used to diagnose cancer. (See Diagnostic Tests.)
Discuss the reasons why the axillary lymph nodes were removed and it was recommended that the patient continues with chemotherapy and radiation. (See Spread of Malignant Tumors.)
Discuss the different treatments that the patient is going through, including the advantages and disadvantages of each type and overall prognosis. (See Treatment.)
An example of a case study is included in the order.
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