Monday, May 13, 2019
Mastectomy for Ductal Carcinoma insitu, impact on patient Essay
Mastectomy for Ductal Carcinoma insitu, impact on patient - Essay ExampleIn fact, DCIS accounts for approximately 20% of all new breast cancer and precancerous condition diagnoses (Clause Stowe & Carter 2001). With or without treatment, DCIS patients have a precise high survival rate and, for approximately women diagnosed with DCIS, it is non considered to be a life-threatening condition. Mastectomy is the preferred, and well-nigh effective, treatment option for DCIS patients (Katz et al. 2010). However, there is currently very little research regarding how patients are actually affected by choosing mastectomy to treat DCIS and, since the number of new DCIS diagnoses is proceed to increase, much more research is needed. DCIS, also called intraductal carcinoma, is a condition whereby the cancer cells cause in the draw ducts of the breast and have not moved out of the duct into any of the surrounding tissue (National take of Health 2009). As mentioned above, there is disagreem ent as to whether or not DCIS should be called cancer and, some(a) experts often refer to it as stage zero breast cancer ( Harris & Morrow 2009). Even though DCIS itself is not considered to be harmful, it is a known riskiness factor for invasive breast cancer (Zuckerman 2009). While most DCIS patients do not develop invasive breast cancer, approximately two percent (2%) of DCIS cases show bear witness of metastases and an even smaller percentage of cases do actually develop into invasive breast cancer (Cornfield et al. 2004). indisputable biomarkers may help to identify whether DCIS patients are at high or low risk of develop invasive breast cancer however, more research is necessary to make more accurate risk predictions (Welch et al. 2008). Currently, however, there is no way to determine or predict which DCIS cases will in fact develop into invasive breast cancer. This paper will try to determine the available information on the rule for selecting this modality explore lite rature regarding the physiological/biological basis of the treatment or how the treatment manages the disease, dilettante the impact this treatment had on the individual and the nurses role in addressing this, and consider how the patients experience could have been improved. interchange Overview Even without treatment, most women diagnosed with DCIS do not go on to develop invasive breast cancer. DCIS patients that do opt for treatment have surgical options, the most common being lumpectomy (with or without radiation therapy) and mastectomy. Lumpectomy followed by radiation therapy and mastectomy have the same high survival rate of 96% and above however, mastectomy does have a slightly lower recurrence rate than lumpectomy with radiation which has a lower recurrence rate than lumpectomy all (Holmberg et al. 2008 Hughes et al. 2009). Other factors have been found to affect DCIS recurrence rates
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