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Squamous cell Carcinoma 20200412_131740 (CLINICAL MANIFESTATION…
Squamous cell Carcinoma
DEFINITION
Malignent epithilial neoplasm
Showing squamous differentiation
By the formation of keratin
Or presents of intercellular bridges
DIAGNOSTIC TESTS
Biopsy
MRI
CT scan
Physical examination
PATHOPHYSIOLOGY
Invasive tumor lobules push downwards
From overlying epidermis and
Detached tumors islands are noted
Cytoplasmic and cystic keratinazation are visible
PHARMACOLOGY
Analgesia
Antibiotics
Topical cream
Chemotherapy
Radiation
HEALTH
EDUCATION
Personal hygiene
Avoid prolonged exposure to sunlight and chamicals
Using sunscreen
CLINICAL
MANIFESTATION
Erythema
Extreme pain
Open sore that don't heal
Scaly red patches
Warts
Swelling
CAUSES
Risk factors
Prolonged exposure to sunlight
Harmful chamicals
Badly burnt skin
NURSING
INTERVENTION
Disturbed body image
Assess patients feeling and self esteem
Identify potential threats to low selfesteem
Encourage patient to verbalize concerns
Allow patient to participate in decision making
Individuals care
Encourage patient to verbalize concerns
Fatigue
Encourage rest between activities
night sleep hours
Encourage patient to ask for assistance with other chores
Reduce workload if possible
Participation in planned activities
Pain
Give analgesia
Nurse patient in comfortable position
Determine cause of pain and treat according
Risk for bleeding
Monitor FBC and fluid and electrolyte
Assess for potential bleeding
Replace lost plamsa and erythrocytes
Minimize bleeding
COLLABORATIVE CARE
Dermatologist
Oncologist
REFERENCE
Smelters S. C. Bare B,G. Hinkle J,L. Cheever K.H.(2015)
