Management of malignancy-related ascites
1Gastrointestinal Oncology Division, John Theurer Cancer Center, Hackensack University Medical Center in New Jersey.
Oncology Nursing Forum
|December 28, 2014
Summary
This case study details a metastatic colon cancer patient
Area of Science:
- Oncology
- Gastroenterology
Background:
- Metastatic colon cancer presents significant treatment challenges.
- Personalized treatment strategies are crucial for managing advanced disease.
Observation:
- A 65-year-old male with metastatic colon cancer received multiple lines of therapy.
- Treatment included FOLFOX, FOLFIRI, bevacizumab, panitumumab, and liver-directed therapies.
- The patient's Kras wild type status influenced treatment selection.
Findings:
- Sequential chemotherapy regimens (FOLFOX, FOLFIRI) were administered.
- Targeted therapy with bevacizumab and panitumumab was utilized.
- Radioembolization and chemoembolization were employed as liver-directed treatments.
Implications:
- Demonstrates a complex treatment pathway for metastatic colon cancer.
- Highlights the use of diverse therapeutic modalities in refractory disease.
- Emphasizes the importance of monitoring treatment response and toxicity.
Related Concept Videos
Ascites
2
DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...
2
Esophageal Varices-II: Clinical Features and Management
828
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
828
Nephrotic Syndrome III : Nursing Management
504
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
504
Chronic Pancreatitis II: Collaborative Care
538
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
538
Pleural Effusion II: Symptoms and Management
1.2K
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
1.2K
Pneumonia V: Nursing management and Prevention
4.1K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
4.1K

