casestudy_skincancer

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Eastern Idaho Technical College *

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100

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Anatomy

Date

Apr 3, 2024

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docx

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2

Uploaded by ElderElectron12836

Anatomy & Physiology Name __________________ Mr. Scheffel Period__________________ Clinical Case Study Skin Cancer: The Case of the Aging Surfer Seth, a thirty-eight year-old white male of Scandinavian descent, has lived his entire life in Southern Florida. He is very concerned with maintaining a "healthy" appearance. Seth is very athletic and especially enjoys surfing. He has been surfing since the age of twelve and he started making surfboards while he was in high school. After obtaining a college degree in marketing Seth decided to start his own business making surfboards and giving surfing lessons for a local resort near his home. During a routine physical examination the physician assistant that Seth sees commented on the presence and appearance of a small growth (approximately 2-cm in diameter) above Seth's right eyebrow. This growth was shiny with a pearly border, a central ulcer and engorged surface blood vessels. The physician assistant was concerned that this might be a tumor and asked Seth a number of questions to aid in the diagnosis. Seth reported that he noticed this growth approximately six months ago but thought nothing about it since he often developed "pimples" when he was working on surfboards because of the heat and dust. Seth noticed that the growth would occasionally bleed, but he thought the bleeding most often occurred when he absently scratched above his eyebrows when he was working. Seth also reported that after bleeding the growth would "crust over" and appear to heal, but not disappear. Seth also thinks the lesion has increased in size, but he can't be certain. The physician assistant asks Seth to come back in two days to visit with the attending physician and encourages Seth to be sure to use sunscreen whenever possible, especially when he is surfing or teaching surfing classes. Upon returning to see the physician, Seth is told that he probably has a basal cell carcinoma . This, the physician explains, is a cancer that while not benign , rarely metastasizes and grows very slowly. This type of cancer usually occurs in areas that have the greatest exposure to the sun (i.e. the face, head, and neck). While this cancer would probably not metastasize, the physician suggests surgical removal to minimize damage to any underlying tissues and a histological examination of the excised tissue to confirm the diagnosis. Seth is concerned that if this is indeed cancer, he will have to undergo radiation and/or chemotherapy and suffer from both hair loss and nausea like his mother did when she was being treated for breast cancer. The physician assures Seth that these treatments are not required for basal cell carcinoma and explains that this cancer usually remains localized to the specific area of the skin and does not usually spread to other tissues, so radiation and chemotherapy would not be necessary. Seth then asks why it is necessary to remove the tumor if it will not spread and is told that while the tumor does not spread to other body areas it will continue to grow and also invade deeper layers of the skin, such as the dermis, and destroy normal tissues. Seth agrees to the procedure and schedules a follow-up appointment to discuss the results of the biopsy the following week. At the follow-up appointment, Seth is told that the lesion was indeed a basal cell carcinoma. He is told that it will be important for him to try to use both sunscreens, specifically those containing para-aminobenzoic acid or PABA, and protective clothing as much as possible to minimize the effects of the ultraviolet (UV) rays of the sunlight. Seth is also told that while he should not be overly concerned, he should also pay close attention for similar lesions in the future since a person with a single basal cell carcinoma is likely to develop additional carcinomas in the future. Vocabulary Terms ulcer : an open sore or lesion of the skin or mucous membrane tumor : a mass of tissues that arise when the normal regulation of the cell cycle ceases to function properly carcinoma : a cancer arising in epithelial tissue that is usually enclosed by connective tissue benign : when referring to cancer, a tumor that is usually surrounded by a fibrous capsule and grows to a certain size and then stops growing metastasize : when referring to cancer, the spread of a tumor from the initial site to other body regions Analysis Questions :
Anatomy & Physiology Name __________________ Mr. Scheffel Period__________________ 1. Describe the anatomy of the skin relative to the relationship of its layers to the type of cancer Seth was diagnosed with. 2. Identify both the primary risk factors of Seth’s case and any other risk factors that may lead to the development of such cancers. 3. How do chemotherapy and radiation therapy act as treatments for cancer? 4. Why does chemotherapy cause the side effects of hair loss and nausea?
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