Exam 16: Breast Surgery

In the past,radical procedures,which involved removal of the affected breast and all axillary and thoracic lymph nodes,were used to treat breast cancer.These procedures did not significantly lower mortality.What factor(s)may have contributed to mortality after these procedures?

The goal of breast cancer surgery is removal of the mass with a margin of normal tissue and a good cosmetic result.The choice of procedure depends on the size and site of the mass,the characteristics of the cells,the stage of the disease,and the patient's choice.Select the statement that best reflects the difference between minimally invasive excisional breast biopsy with stereotactic image-guided location and removal of tissue.

Talia Mendelson,a 27-year-old patient who had a lumpectomy for early-onset breast cancer,arrived at the ambulatory surgery center for infusion port insertion.She is scheduled to begin adjuvant chemotherapy next week.Talia is very nervous because during the previous lumpectomy,performed using a local anesthetic,she was not entirely sedated.Talia tells the perioperative nurse that she was uncomfortable and heard everything in the room,but admitted that she did not feel pain.The nurse recognized Talia's anxiety related to the surgical intervention and prepared to implement corrective actions in the OR.What nursing intervention best reflects one that would ensure support or contribute to Talia realizing her expected outcome?

Many breast cancer patients subscribe to various complementary and integrative therapies to provide relief from anxiety,depression,pain,and chemotherapy and radiation therapy related complications and side effects.Quality of life issues become important in providing comfort and life balance.In addition to their oncology physicians and nurses,patients may also receive therapeutic assistance for their cancer care from which group of providers?