Chapter 4
Cancer
Terms
Tumors or Neoplasms: Swelling or new
growth. Can be benign or malignant.
Benign: Noncancerous and usually
localized.
Malignant: Cancer, rapidly dividing cells
that accumulate uncontrollably, invade
normal tissue can metastasize or generate
tumors at distant sites.
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
2
Etiology of Cancer
Endogenous: Genetic
Age
Sex
Race
Heredity
Hormones
Immunity
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
3
Etiology of Cancer (cont)
Environmental: Geographic/Occupational
Tobacco/Alcohol
Industrial Chemicals
Radiation
Diet
Chronic Infections
Medicines
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
4
Signs and Symptoms of Various Cancers
Lung
Cough
Blood in sputum
Painful breathing/Shortness of breath
Loss of appetite
Breast
Lumps in breast tissue
Tenderness
skin irritation
Nipple changes/discharge/ulceration
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
5
Signs and Symptoms of Various
Cancers
Stomach
Mild pain in upper abdomen
Fatigue
Loss of appetite
Colorectal
Blood in stool
Changes in bowel habits
Polyps (some are benign, some cancerous)
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
6
Signs and Symptoms of Various
Cancers
Liver
Abdominal pain
Weight Loss
Fatigue
Abdominal Swelling
Loss of appetite
Jaundice
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
7
Signs and Symptoms of Various
Cancers
Female Reproductive Tract
Types: Cervical, Uterine, Ovarian
Signs and symptoms:
• Pelvic pain
• Irregular bleeding (too much or too little)
• GI/Urinary difficulties: Constipation/Bloating
Male Reproductive Tract
Types: Prostate, Testicular
Signs and symptoms:
• Pain, Swelling, Difficulty urinating, Bloody urine.
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
8
Signs and Symptoms of Various
Cancers
Esophageal/Laryngeal
Difficulty swallowing
Pain
Weight loss
Voice hoarseness
Bladder
Blood in the urine
Increased urination
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
9
Signs and Symptoms of Various
Cancers
Head and Neck
Neck pain, swelling
Bleeding
Difficulty: swallowing, chewing, talking
Lymphoma
Hodgkins or Non-Hodgkins
Painful swelling of lymph nodes
Fatigue
fever, indigestion
Night sweats
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
10
Signs and Symptoms of Various
Cancers
Leukemia
Fatigue
Weight loss
Paleness
Repeated infections
Fever
Bruising easily
Nosebleeds and other hemorrhages
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
11
Signs and Symptoms of Various
Cancers
Pancreatic
Weight loss
Nausea
Diarrhea
Weakness
Jaundice
Upper abdominal pain
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
12
Signs and Symptoms of Various
Cancers
Melanoma
Small growths on the skin
• Increase in size
• Change in color
Thyroid
Thyroid nodules
Hoarseness
Dyspepsia
Dysphagia
Fatigue
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
13
Signs and Symptoms of Various
Cancers
Kidney
Blood in the urine
Flank pain
Palpable mass
Nervous System
Depend on location
Paralysis
Personality changes
Speech difficulties
Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc.
14