1. Lesson 11 Tumor Learning aims & demands Lead-in New words Skimming Scanning Post-reading (Discussion)

2. Learning Aims & Demands Be able to tell the basic symptoms, treatments & causes of tumors Improve the reading, speaking and listening skills Be aware of the importance of health & courage to face the severe diseases.

3. Step 1: Lead-in

4. Fight cancer

5. Step 2 Reading

6. hepatocellular 肝细胞的

7. word match cancer consum(e) gene radiat(e) --therapy --(a)tion --tic chemo-- --ous ----(p)tion cancerous adj. 癌的 consumption n. 消费 genetic adj. 基因的 radiation n. 辐射，放射 chemotherapy n. 化学疗法

8. 1. If a _______ is _______, it means it can often be removed and in most cases, it doesn ’ t come back. 2. ________ is a kind of flammable liquid containing _______. 3. Sometimes it's necessary to do a _______ to reach a diagnosis. 4. Lung cancer is a kind of ________ disease.

9. Step 2: Skimming (fast reading) 1. What is a tumor? 2. What are possible causes of tumors? 3. What are the common tests for tumors? 4. Is benign tumor cancerous?

10. Passage structure What is tumor? Causes Symptoms Exams & Teststreatment prevention ⒈ ⒉ ⒊ 4-5 ⒍ ⒎

11. Step 3: Scanning (Detailed reading) A tumor is an _________ growth of body ______. Some tumors are ________, the others are _________. Para1: What is tumor?

12. In general, tumors appear to occur when there is a problem with the dividing of cells in the body. cell New cells are not needed. The balance of cell division and death is disturbed.

13. Problems with the body ’ s immune system can lead to tumors. Para 2: Causes 免疫系统

17. Symptoms depend on the type and location of the tumor. Para 3: Symptoms

19. Common symptoms  chills  night sweats  weight loss  fatigue  insomnia  ache  malaise  vomit  fever  loss of appetite  constipation  coughing

20. What ’ s a biopsy for? What are CT scans or MRI for? What is PET scan for? Para 4-5: Exams & Tests A biopsy is performed to determine whether a tumor is benign or malignant. CT scans or MRI are for determination the exact location of the tumor and its extent. Positron emission tomography (PET) scans is used to visualize certain tumors types.

21. common tests to tumors

22. Para 6: treatment Case 1: Benign brain tumor Case 2: Confined bone tumor Case 3: Malignant brain tumor Case 4: Lung tumor which can’t be removed with surgery

23. Dos Don ’ ts Para 7: prevention smoking chewing tobacco heavy alcohol consumption healthy eating diet exercise regularly maintain a healthy weight reduce sun exposure exposure to radiation/toxic chemicals

24. Step 4: Post-reading Discussion: As a nurse, how do you offer reassurance?