Exam 23: Neoplastic Disease

AS is a 54-year-old business man who has a family history of lung cancer. AS started smoking at 15; years later, he got what he thought was a very bad cold that lasted for a week, started experiencing pain in his tongue, and was given ibuprofen for pain. He then noticed white sores that were getting bigger in his oral cavity near the tongue. He started feeling generally lousy and was unable to eat because of severe pain; he lost 30 lbs in a month. AS went to the clinic, where they did a biopsy that revealed squamous cell cancer of the tongue. AS has undergone radiation therapy (RT) and surgery to remove the cancer and a restorative surgery was scheduled. Because of the RT, AS has developed mucositis and xerostomia in his oral cavity. All his nodes that were sent to the laboratory tested negative for metastasis, and no further RT was needed. The surgeons felt confident that they had removed all the cancer. HT: 5'11" UBW: 165 lbs WT: 135 lbs Meds: Corticosteroids and antineoplastic (dexamethasone) to reduce inflammation, K depletion, Na retention; and morphine for pain. -What simple and inexpensive recommendation might help AS with his xerostomia?

Breast cancer accounts for what percentage of cancer-related deaths in American women?

Some biological therapies for cancer use live viruses or parasites to stimulate the body's immune system to act against cancer cells.

Which of the following are the two types of cytokines used to treat patients with cancer?

In the Tumor Node Metastases (TNM) Staging System, _______________ means that distant metastases were found.

Where does breast cancer typically metastasize to?

There are two major types of genes that are thought to influence the development of cancer: oncogenes and _______________ genes.

AS is a 54-year-old business man who has a family history of lung cancer. AS started smoking at 15; years later, he got what he thought was a very bad cold that lasted for a week, started experiencing pain in his tongue, and was given ibuprofen for pain. He then noticed white sores that were getting bigger in his oral cavity near the tongue. He started feeling generally lousy and was unable to eat because of severe pain; he lost 30 lbs in a month. AS went to the clinic, where they did a biopsy that revealed squamous cell cancer of the tongue. AS has undergone radiation therapy (RT) and surgery to remove the cancer and a restorative surgery was scheduled. Because of the RT, AS has developed mucositis and xerostomia in his oral cavity. All his nodes that were sent to the laboratory tested negative for metastasis, and no further RT was needed. The surgeons felt confident that they had removed all the cancer. HT: 5'11" UBW: 165 lbs WT: 135 lbs Meds: Corticosteroids and antineoplastic (dexamethasone) to reduce inflammation, K depletion, Na retention; and morphine for pain. -To help combat the mucositis, what would the registered dietitian recommend?

What are the three deadliest cancers in American women (most mortality)?

Immune-enhancing enteral formulas containing mixtures of arginine, glutamine, _______________, and polyribonucleotides have been of interest for surgical patients.

What type of hormone promotes altered gene expression and is linked to prostate cancer?

What are the two agents that have been recognized as useful for appetite stimulation in cancer patients?

Discuss the diagnosis and complications of pancreatic cancer.

What percent of cancer patients are purportedly cured by surgery?

Chemotherapy-induced mucositis commonly occurs _______________ days after chemotherapy is initiated.

_______________ involves the placement of radioactive sources either within an existing body cavity in close proximity to the tumor, or directly within a tumor.

What is the average protein need per day IBW for cancer patients as per ASPEN critical care guidelines and the 2018 American Society for Enhanced Recovery and Perioperative Quality Joint Consensus Statement?

Which of the following best describes a nutrition intervention for emesis?

_______________ are signaling proteins that are produced by white blood cells and help mediate and regulate immune responses, inflammation, and hematopoiesis (new blood cell formation).

Radioimmunotherapy can also deliver radiation to a specific tissue through attachment to a(n) _______________ or other ligands.