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CARTILAGE CORDOMA OIP (NURSING MANAGEMENT (Monitor fluid intake and output…
CARTILAGE CORDOMA
DEFINITION
Cancer occurring in the skull base and spine.
CAUSES
SNP variation on DNA sequence.
Inherited genetic traits
Chromosomal abnormalities.
Multiple hereditary exostoses
Maffucci Syndrome
PATHOPHYSIOLOGY
The notochord disappears when the embryo is 8 weeks old.
Some notochord cells remain on skull base & spine.
Notochord helps in the development of the spine in embryos.
These cells turn into cancer called chordoma.
Chordoma tumours develop from notochord tumours.
MANAGEMENT
Complete surgical removal of tumour.
Chemotherapy
Radiation therapy
Limb salvage surgery
CLINICAL MANIFESTATIONS
Weakness of lower back.
Loss of bladder control
Pain and tenderness on legs
Urinary incontinence.
Palpable masses on lower back.
DIAGNOSTIC TESTS
Magnetic resonance imaging
Core needle biopsy
Computerised tomography
Incisional biopsy
NURSING MANAGEMENT
Monitor fluid intake and output daily.
Administer prescribed analgesia accordingly.
Monitor vital signs continuously.
Health educate patient about the disorder.
Nurse patient in a calm environment.
Reassure patient about the proposed treatment regimen.
