case study (1)

pdf

School

York University *

*We aren’t endorsed by this school

Course

Subject

Nursing

Date

Nov 24, 2024

Type

pdf

Pages

Uploaded by BrigadierMaskScorpion70

7. If the patient is now diagnosed with prostate cancer and has been found to have tumour in less than half of one lobe, what is his T stage? What other information do you need for further staging? The T stage is T2a. PSA levels, gleason score, and a biopsy (+the clinical stage found) 8.The patient’s Gleason score is 3. What is the Gleason score? How is it determined? Why is it significant? Gleason score is a scoring system which is taken into account by giving two Gleason scores. The first one is for the most common patterns that we see and the second is the second most common pattern. You combine both scores by adding to get the final Gleason pattern score. It is determined by removing the cancer cells surgically, biopsy, or removal of the prostate. Since Gleason score is 3 the cancer growth is slow. Significance: The gleason score rates the aggressiveness of the cancer. 9. What is this patient’s overall stage? What are the patient’s treatment options? What are the pros and cons of each option? T2a N0 M0 Surgery and brachytherapy are the two treatment options available - with surgery having a higher impotence rate and also a higher chance of urinary incontinence. In this case, surgery can be offered for T2 ( generally in good health ). The forms of cancer include: - Radical retropubic prostatectomy ( most common ) + nerve sparing - Preservation of sexual function - Laparoscopic radical prostatectomy - Nerve sparing is possible - Radical perineal prostatectomy - no tissue spare Some long term complications with surgery include impotence (40-76%) and urinary incontinence (6-35%). Another option is LDR permanent brachytherapy — 5 year survival rate - Con: Impotence ( 20% ) + urinary incontinence (10-15%)

Discover more documents: Sign up today!

Unlock a world of knowledge! Explore tailored content for a richer learning experience. Here's what you'll get:

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Related Documents

389035913 Concept Analysis.docx

sanchara Assignment.docx

398295176-EBP.docx

MOD4 QI Proposal Metrics Benchmarks Audit Tool Template 11_22_ (1) (2) (1).docx

Discussion Thread 2.docx

Screenshot 2023-07-31 at 6.20.33 PM.png

The H1N1 virus.docx

Medical_Surgical_Nursing_10th_Edition_Lewis_Test_Bank.pdf (3) (1)-265.pdf

6635-W2-D2.docx

340824154_Choose_Topic.docx

Screenshot 2023-12-10 at 11.50.00.png

6512-W1-D9.docx

Recommended textbooks for you

Comprehensive Medical Terminology

Nursing

ISBN:9781133478850

Author:Jones

Publisher:Cengage

An Illustrated Guide To Vet Med Term

Biology

ISBN:9781305465763

Author:ROMICH

Publisher:Cengage

Principles Of Pharmacology Med Assist

Biology

ISBN:9781337512442

Author:RICE

Publisher:Cengage

3-2-1 Code It

Biology

ISBN:9781337660549

Author:GREEN

Publisher:Cengage

Essentials of Pharmacology for Health Professions

Nursing

ISBN:9781305441620

Author:WOODROW

Publisher:Cengage

Comprehensive Medical Assisting: Administrative a...

Nursing

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Cengage Learning

SEE MORE TEXTBOOKS

Recommended textbooks for you

Comprehensive Medical Terminology
Nursing
ISBN:9781133478850
Author:Jones
Publisher:Cengage
An Illustrated Guide To Vet Med Term
Biology
ISBN:9781305465763
Author:ROMICH
Publisher:Cengage
Principles Of Pharmacology Med Assist
Biology
ISBN:9781337512442
Author:RICE
Publisher:Cengage
3-2-1 Code It
Biology
ISBN:9781337660549
Author:GREEN
Publisher:Cengage
Essentials of Pharmacology for Health Professions
Nursing
ISBN:9781305441620
Author:WOODROW
Publisher:Cengage
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning