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Nursing Management of a Patient with Papillary CA,Thyroid Ethelbert M. Calub Christine Deserie B. Cunanan Our Lady of Fatima University

no consult. and most treatable.000 new cases of papillary thyroid cancer diagnosed in the United States every year. although the reason for this is not understood. firm mass w/ dignitition (-) consult. There are more than 10. complains of noisy breathing 1 year PTA (+) hoarseness.. Pathophysiology Papillary cancer is the most common. 8months PTA (+) corn-sized anterior neck mass ® non-hyperemic. non-tender. In fact. thyroid.Thyroid I. change in voice character(+). Most people develop papillary thyroid cancer before age 40. a 59 years old male with Papillary CA. Most people with papillary thyroid cancer can be completely cured with surgery. . and it is much more common in women than in men.L. papillary cancer comprises at least 70% of all diagnosed thyroid cancers.Nursing Management of Patient with Papillary CA. medications was prescribed but patient didn’t comply. Advised biopsy out patient refuse. Some dyspnea still w/ hoarseness. type of thyroid cancer. (-) medication.

You may notice that the lymph nodes in your neck right under your jaw bones tend to become enlarged when you have a sore throat and shrink when you are feeling better. and apoptotic and cell-cycle inhibitory factors such as tumor suppressors. Up to one third of patients with differentiated thyroid cancer experience tumor dedifferentiation. characterized by early and late genetic events. if the glands do not become smaller in a few weeks. These include proliferative factors such as growth hormones and oncogenes. but instead. you or your doctor may notice an enlarged lymph node or gland in your neck which does not shrink. There are lymph nodes all over your body that help to fight infection and the nodes near an infected area tend to become enlarged until the infection is gone. a thyroid lump may be too small to feel. Alterations of several molecular factors have been associated with thyroid malignancy. Occasionally. Physiological behaviour depends on tumor type. Thyroid cancer is thought to reflect a continuum from well differentiated to anaplastic. However. accompanied by increased tumor grade and loss of thyroid-specific functions such as iodine accumulation.The majority of people with papillary thyroid cancers do not even know they have the disease until a doctor notices a painless thyroid lump. that could be a signal that the lymph glands are abnormal. The pathophysiology of thyroid cancer is not completely defined. .

non-tender.9⁰c. Nodal spread is common with thyroid lymphomas. Some dyspnea still w/ hoarseness. undifferentiated carcinoma with a high propensity for local invasion and metastatic spread. The patient’s blood pressure has been monitored to avoid hypotension. place and time. complains of noisy breathing 1 year PTA (+) hoarseness. a 59 years old male with Papillary CA.Papillary carcinoma tends to spread to local lymph nodes. 8months PTA (+) corn-sized anterior neck mass ® non-hyperemic. no IV fluids administered. Advised biopsy out patient refuse. pulse rate 75bpm. medications was prescribed but patient didn’t comply. whereas follicular and Hurthle cells more often spread haematogenously. was alert and oriented to person. respiratory rate was 24cpm.L.. aggressive. The patient’s surgical incision was total thyroidectomy . (-) medication. Anaplastic thyroid cancer is a rare. thyroid. The patient’s temperature was 36. change in voice character(+). firm mass w/ dignitition (-) consult. patient’s skin was warm and dry. blood pressure of 100/70 with upper airway obstruction to thyroid malignancy. no consult. Nursing Physical Assessment I. History I.L.

The patient’s height was 5’6” (1.68m) and her weight was 53kg. CT scan. Chest PA. The urine output from 07001200 was 500 ml. with mild diffuse hepatic parenchymal disease. The patient was ambulatory and was able to perform independent activities of daily living. heart is normal size and configuration. ultrasound of whole abdomen the liver was in normal size. multiple contrast-enhanced axial images reveal an ill defined large contrast enhancing solid mass along the right anterior neck extending from the omo-hyoid down to the pre-thyroid area. bilateral. gallbladder is normal in size. both kidneys are in normal size but with increased parenchymal echogenecity and loss of corticomedullary differentiation. Related Treatments The patient has undergone electrocardiogram and the result was normal. lung fields are clear and normo aerated. Pulmonary vascularity is within normal limits bony thoracic cage and soft tissue envelope are unremarkable.w/ neck dissection. moderate renal parenchymal disease with simple cysts. The patient has endotracheal tube intact. Sulci are intact. total laryngectomy. pancreas and spleen are in normal size.6 lbs). (116. I.L appeared frail and thin with paresis. measuring .

about 5x4x8cm. There are few slightly enlarged lymph nodes in the jugulo-digastric.5 cm. anterior commissure with diffuse swelling of the vocal cords. The adjacent muscles and thyroid lamina are infiltrated with partial lysis of the lower thyroid cartilage. The mass measures 2. There is tumor extension to the para-laryngeal space. pre-epiglottic space. with severe luminal stenosis. . The right thyroid gland is displaced posteriorly by the mass with intrinsic small ill defined nodular lesion. The left thyroid is not enlarged.5 x 1. An ill defined solid mass is seen in the right supraglottic region involving the aryepiglottic fold. The larynx is also displaced to the left. submandibular and sublingual regions.