Pathophysiology Unregulated cell growth and uncontrolled cell division result in the development of neoplasm. Basal cell keratinization causes basal cells,

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Presentation transcript:

Skin Cancer: A malignant, primary tumor of the epidermal layer of the skin.

Pathophysiology Unregulated cell growth and uncontrolled cell division result in the development of neoplasm. Basal cell keratinization causes basal cells, which also causes tumor growth in the basal layer of the epidermis. Melanoma occurs when a tumor arises from the melanocytes of the epidermis. Squamous cell carcinoma occurs when a tumor arises from the keratinocytes of the epidermis.

Risk Factors/Causes: Prolonged exposure to UV rays. Hereditary Chemical irritates Radiation Friction or chronic irritation Immunosuppressive drugs Precancerous lesions

Signs/Symptoms: Basal cell cancer appears as a waxy nodule with telangiectasia. Melanoma cancer appears as irregular, circular, broadened lesions with hues of tan, black, or blue. Squamous cell cancer appears as small, red nodule lesions that begin as an erythematous macule or plaque with indistinct margins. Pruritus Local soreness A change in color, size, or shape of existing lesions. Oozing, bleeding, or/and crusting lesions.

Lab/Diagnostics Tests: Skin biopsy

Medical Treatments: Cryosurgery with liquid nitrogen Chemosurgery Radiation therapy Cryosurgery with liquid nitrogen Chemosurgery Antineoplastic Immunotherapy Analgesic Antiemetic Wound care

Complications: Metastasis Recurrence Curettage and electrodesiccation Surgical excision Lymph dissection

Nursing Diagnosis: Pain Fear Disturbed body image

Nursing Interventions: Assess the skin Assess vital signs and intake/output Administer medication Provide post chemotherapy and post radiation therapy. Instruct the patient on staying out of the sun. Check the skin regularly for moles as well as for changes in existing moles, freckles, and/or birth marks.