Podcast
Questions and Answers
What is the primary purpose of a sentinel node biopsy?
What is the primary purpose of a sentinel node biopsy?
- To perform a mastectomy
- To predict the prognosis of patients with a breast lump (correct)
- To provide immediate treatment for malignancy
- To remove the tumor completely
Which type of anesthesia is most commonly used for an open breast biopsy?
Which type of anesthesia is most commonly used for an open breast biopsy?
- General anesthetic for all patients
- Local anesthetic exclusively
- General anesthetic for comfort but can use local (correct)
- Regional anesthetic only
What does a negative sentinel node biopsy indicate?
What does a negative sentinel node biopsy indicate?
- Adjunct therapy will follow immediately
- The patient has a higher likelihood of survival (correct)
- More immediate surgery is needed
- The patient requires axillary node dissection
What is typically done during an open breast biopsy with wire localization?
What is typically done during an open breast biopsy with wire localization?
What is typically the next step following a positive sentinel node biopsy?
What is typically the next step following a positive sentinel node biopsy?
What consideration should be factored for patients undergoing a simple mastectomy?
What consideration should be factored for patients undergoing a simple mastectomy?
What occurs after a sentinel node dissection with malignant results?
What occurs after a sentinel node dissection with malignant results?
What is a key feature of open breast biopsy procedures?
What is a key feature of open breast biopsy procedures?
What is the role of the perioperative nurse regarding patient positioning?
What is the role of the perioperative nurse regarding patient positioning?
What is the initial action required for breast surgeries regarding instruments?
What is the initial action required for breast surgeries regarding instruments?
What should be done if cancer cells are detected in the breast biopsy?
What should be done if cancer cells are detected in the breast biopsy?
Which action is NOT recommended when handling instruments used in a biopsy procedure?
Which action is NOT recommended when handling instruments used in a biopsy procedure?
What procedural step must be taken if the pathology returns with negative results for cancer cells?
What procedural step must be taken if the pathology returns with negative results for cancer cells?
What must a nurse do with the sterile specimen container for a biopsy?
What must a nurse do with the sterile specimen container for a biopsy?
Which of the following is a correct description of a fine needle aspiration biopsy?
Which of the following is a correct description of a fine needle aspiration biopsy?
What is a common protocol for the minor instrument tray during breast procedures?
What is a common protocol for the minor instrument tray during breast procedures?
Which arteries supply blood to the breast?
Which arteries supply blood to the breast?
What is the primary lymphatic drainage area for the breast?
What is the primary lymphatic drainage area for the breast?
What is the most common form of breast cancer?
What is the most common form of breast cancer?
What is the recommended position for a patient undergoing breast surgery?
What is the recommended position for a patient undergoing breast surgery?
Why is specimen handling important in breast surgeries?
Why is specimen handling important in breast surgeries?
What role does patient anxiety play in the context of a breast cancer diagnosis?
What role does patient anxiety play in the context of a breast cancer diagnosis?
Which of the following nerves contribute to the nerve supply of the breast?
Which of the following nerves contribute to the nerve supply of the breast?
What is a primary consideration in preoperative nursing care for breast surgery patients?
What is a primary consideration in preoperative nursing care for breast surgery patients?
Study Notes
Breast Anatomy and Cancer Overview
- Breast cancer primarily affects women, with less than 1% of cases in men.
- Infiltrating Ductal Carcinoma is the most prevalent form of breast cancer.
- Early detection significantly improves survival rates.
Blood Supply and Nerve Supply
- Blood supply to the breast includes the Internal Mammary Artery, Anterior Aortic Intercostal Arteries, and Pectoral Branch of Axillary Arteries.
- Lymphatic drainage follows blood vessels, primarily involving axillary and internal thoracic nodes.
- Nerve supply consists of anterior cutaneous branches of upper intercostal nerves and branches of the cervical plexus.
Nursing Considerations
- The emotional impact of a breast cancer diagnosis can be significant on patients and families.
- Patient anxiety due to cancer diagnosis and body image changes necessitates sensitive care.
- Patient positioning during surgery is typically supine; adherence to ORNAC Standards is essential for safety.
Instrumentation and Counting
- A minor instrument tray is required for all breast surgeries, with initial and final counts conducted for accuracy.
- Common instruments should be placed on a mayo tray for accessibility, ensuring contamination prevention.
Specimen Handling and Procedural Considerations
- Maintain sterile setup until pathology results are confirmed; a new surgical gown/gloves may be necessary if cancer cells are detected.
- Specimens are sent for pathology immediately in sterile containers.
- Surgical instruments must remain separated to ensure clean technique post-biopsy.
Surgical Interventions
- Various biopsy types include Fine Needle Aspiration, Core Needle Biopsy, and Open Breast Biopsy, each with varying anesthetic requirements.
- Open Breast Biopsy can involve wire localization for targeted tissue removal.
Sentinel Node Biopsy
- A sentinel node is the first lymph node impacted by a tumor and predicts prognosis.
- Negativity in sentinel node biopsy indicates a higher survival likelihood; positivity requires further axillary node dissection.
- A Geiger-counter device aids the surgeon in identifying the sentinel node during the procedure.
Mastectomy Procedures
- Simple Mastectomy involves the removal of the entire breast, applicable for benign or localized malignant conditions.
- Modified Radical Mastectomy coupled with Axillary Node Dissection helps stage cancer and is performed after malignant sentinel node results, preserving critical nerves.
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Description
Explore the essential concepts in Breast Surgery through Module 11. This quiz encompasses normal breast anatomy and instrument isolation techniques relevant to surgical procedures. It's designed for those studying or practicing in the field of surgical care.
