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Thymoma Stage IV With Adrenal Metastasis
Thymoma Stage IV With Adrenal Metastasis
with
Adrenal Metastasis
CANCER
TABLE OF CONTENTS
1 DEFINITION
NURSING
2 MANAGEMENT
MEDICAL
3 MANAGEMENT
4 DRUGS/CHEMO DRUGS
5 SIGNS AND SYMPTOMS
DEFINITION
Thymoma are forms of cancer that start in a gland called
thymus.
Thymoma forms slowly and rarely spreads beyond your
thymus.
Thymoma Stage IV – is divided into IVA and IVB
• Stage IVA: The thymoma spread widely throughout the pleura (lining of
the lungs and chest wall) and/or pericardium.
• Stage IVB: The thymoma has spread to distant organs. The most
common sites of spread are bone, the liver and the lungs.
Thymoma cancer staged using the TNM system. TNM stands for
tumor, lymph nodes and metastasis.
What is Adrenal Metastasis
Adrenal metastasis are the most common malignant lesions involving the adrenal
glands and the second most common tumor of the adrenal gland after benign
adenomas.
MEDICAL MANAGEMENT
The most effective treatment of adrenal metastases is first to treat the primary cancer,
usually with chemotherapy and/or radiation therapy. Surgical resection is considered in
patients with isolated adrenal metastatic disease or with other resectable or potentially
curable metastasis.
TREATMENTS INCLUDE:
CHEMOTHERAPY
RADIATION THERAPY
SURGERY
SIGNS AND SYMPTOMS
Monitor lab values: CBC, lactate, basic metabolic panel & arterial blood
gases
Draw blood cultures to investigate possible infection
Assess the clients condition. Most recent report of blood counts including hemoglobin,
hematocrit, WBC and platelets.
Prepare for potential complications. Review the procedure and have medication available
for possible anaphylaxis.