Female and Male Reproductive System Cancers.pptx

Female and Male Reproductive System Cancers.pptx - Female...

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Female and Male Reproductive Disorders
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Cancers of the Female Reproductive Tract Overview Medical Concerns vs. Psychosocial Disparities Cervical cancer more common in Hispanic, African-American and Native American women Higher death rates from cervical cancer in African-Americans compared to Caucasians Endometrial cancer more common in Caucasian women, but Black women more likely to die Ovarian cancer more common in Caucasians
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Cervical Cancer Overview Common worldwide U.S – death rates have steadily fallen Etiology/Pathophysiology Slow progression from normal cells to dysplasia to invasive Ca Repeated injury to cervix Risk factors HPV infection***** Early sexual activity Multiple sex partners
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Cervical Cancer Clinical Manifestations Early Asymptomatic May have some leukorrhea Late Bloody or brown discharge Bleeding between periods Diagnostics Pap testing HPV DNA tests Colposcopy Biopsy
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Collaborative Care Prevention Vaccine – Gardasil, Cervarix Why so early? Why boys? Minimizing risk factors Parent Education Early detection Get the gals in for screening! Staging – see Table 54-11 on pg 1364 Treatment Measures to preserve fertility Surgery, radiation, chemotherapy or combination
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What do you say? You are the nurse in a clinic discussing the importance of immunizations with a parent. The parent says “Giving my daughter the HPV vaccine will just encourage her to have sex.” How might you respond?
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Endometrial Cancer Overview Most common reproductive Ca in women Usually diagnosed early Etiology/Pathophysiolog y Associated with unopposed estrogen effects Endometrial hyperplasia Adenocarcinoma of lining of endometrium Risk Factors Age (55 – 75) Nulliparity Early menarche Late menopause Obesity Smoking Diabetes Protective factors Oral contraceptives Pregnancy
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