CASE2: GYNECOLOGICAL Covered by:

Arwa H. Al-Onayzan.
TUMORS (CERVICAL ID: 215007943.
CANCER) Serial number: 44
 OUR CASE
Amira is 60 years old and has 5 children.
 She enjoyed good health.
 She went through menopause 7 year ago.
 She used aspirin and statin as preventive measure
from CVD.
 Last weak, she noticed some light vaginal bleeding.
 The GP take smear and the result is “Pap IV”.
 She referred to a gynecologist who diagnose:
 An invasive stage IIIa cervical carcinoma.
 LEARNING OBJECTIVE
Mrs. Amira agrees to intensive chemo
radiation therapy. (What is this?)
What disciplines are involved in the treatment
process and what are there respective tasks?
Is there one person who can and should take
on the role of ‘case manger’?
 INTRODUCTION
 Cervical cancer is a cancer arising from the cervix.
 Mostly caused by (human papillomavirus infection).
 Symptoms (abnormal vaginal discharge and pain).
 Diagnosis by (Pap smear).
 Treatment is depend on the tumor stage.
 CASE QUESTION
 Mrs. Amira agrees to intensive
chemo radiation therapy. (What is
this?)
 WHAT IS CHEMO-RADIATION
THERAPY?
 Is a treatment that combines chemotherapy with radiation
therapy.
 For some stages of cervical cancer, this is the preferred
treatment. Why?
 Because the chemo helps the radiation work better.
 Chemo drugs most often used to treat advanced cervical
cancer include:
 Cisplatin.
 Carboplatin.
 5-fluorouracil (5-FU).
 CON…
 Radiation and chemo given together (called concurrent
chemoradiation)
 Two types of radiation therapy most used to treat cervical
cancer include:
1. External beam radiation therapy:
 Aim x-rays at the cancer from outside the body.
 The procedure itself is painless.
1. Brachytherapy:
 Puts a source of radiation in or near the cancer.
WHAT DISCIPLINES ARE INVOLVED IN
THE TREATMENT PROCESS AND WHAT
ARE THERE RESPECTIVE TASKS?
 DISCIPLINES INVOLVED IN
TREATMENT PROCESS
 Multi-Disciplinary Approach to Cancer Care:
Medical collaboration integral in the treatment of cancer.
The optimal management of patients with cancer is critically
dependent on:
A. The medical disciplines.
•E.x: Oncologist, GP and Radiologist.
B. Paramedical disciplines.
•E.x: nurses, social workers and spiritual adviser.
 MEDICAL DISCIPLINE IN CERVICAL
CANCER CARE
 Oncologist  (specializes in diagnosing and treating cancer).
 Radiotherapist  (helps the patient get into the right position
for treatment and then actually gives the treatment)
 Gynecologist  specializes in diagnosing and treating female
health issues.
 Anesthesiologist  specializes in giving drugs or other agents
(like gasses) that cause a total loss of feeling or relieve pain.
 GP the first contact with the patient not specialist.
 Pathologist  determines whether a tumor is cancer, and, if
cancer, the exact cell type (where it started) and grade (how fast it
likely will grow).
 PARAMEDICAL DISCIPLINE IN CERVICAL
CANCER CARE
 Nurses  (in ward and clinic).
 Social worker  (dealing with social, emotional, and environmental
problems that may come with illness or disability).
 Psychologist  (Assesses a person’s mental and emotional status and
provides testing and counseling services)
 Assistance  (physician assistance, laboratory assistance)
 Psychiatrist  (provide counseling and prescribe medicines or
other treatments).
 Spiral advisor  (provide spiral support to the patients).
IS THERE ONE PERSON WHO CAN
AND SHOULD TAKE ON THE ROLE
OF ‘CASE MANGER’?
 IS THERE ONE PERSON WHO CAN
AND SHOULD TAKE ON THE ROLE
OF ‘CASE MANGER’?
Yes.
 Case manager:
 The member of the cancer care team who coordinates the patient’s care
throughout diagnosis, treatment, and recovery; often a nurse or cancer
nurse specialist.
 The goal of case management is that one person directs or oversees the
patient’s care. For example, a case manager may help the patient get
through the complexities like health insurance company.
 SUMMARY
 General information about cervical cancer.
 Chemo-radiation therapy of cervical cancer.
 Medical and Paramedical disciplines of cancer care.
 QUIZ
Q1- Give 2 examples of medical discipline?
Q2- This picture is example of:
A. External beam radiation therapy.
B. Brachytherapy.
ANY QUESTION!
 REFERENCE
 Cancer.org. (2017). Health Professionals Associated With Cancer
Care. [online] Available at:
https://www.cancer.org/treatment/finding-and-paying-for-
treatment/choosing-your-treatment-team/health-professionals-
associated-with-cancer-care.html [Accessed 27 Sep. 2017].
 Cancer.org. (2017). Chemotherapy for Cervical Cancer. [online]
Available at: https://www.cancer.org/cancer/cervical-
cancer/treating/chemotherapy.html [Accessed 27 Sep. 2017].
 Emedicine.medscape.com. (2017). Cervical Cancer Treatment
Protocols: Treatment Protocols. [online] Available at:
http://emedicine.medscape.com/article/2005259-overview
[Accessed 27 Sep. 2017].