Get Answer: Planning Pretreatment Session Question Guide
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What This Question Is About
This question relates to planning pretreatment session and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves planning pretreatment session. A strong answer should include explanation, application, and examples.
Original Question
You are planning a pretreatment session for the patient described in this case study. The case will be presented by the head and neck surgeon and discussed by other members of the HNC MDT at the head and neck cancer tumor board to review the case, imaging, pathology, and determine appropriate treatment recommendations. Anticipated cancer and treatment-related toxicities will also be discussed. This information will enable you to prepare your discussion to educate your patient during the pretreatment session and follow-up evaluation and treatment sessions. • The patient is a 70 year-old-male who initially presented with a right neck mass • PMH: none • Smoker (40 pack year history), does not drink alcohol • Current diet: patient reported that he is tolerating a regular diet • Patient denied dysphagia, dysgeusia, or hyposalivation • Weight: 214 lbs., lost 20 lbs over the past 2 months • PET/CT: mass in the right base of the tongue, crossing the midline of the base of tongue, extending to the right valleculae and epiglottis. Bilateral neck nodal metastases. No evidence of distant metastases • Fine needle aspiration (FNA) of the right neck node revealed SCC • Direct laryngoscopy performed with biopsy of right base of tongue, valleculae, and epiglottis; biopsy-proven SCC, p16+ • Diagnosis: HPV-mediated oropharyngeal SCC, cT2cN2cM0, stage IVa • Treatment: chemoradiation planned What is the focus of your pretreatment counseling to this patient with biopsy-proven, HPV-mediated oropharyngeal SCC, cT2cN2cMo, stage IVa who was planned to undergo chemoradiation? A. This is early stage cancer; therefore, there are no anticipated treatment-related toxicities. B. Since you have HPV-mediated oropharyngeal cancer, you will have less treatment-related toxicities and your swallow function will be fine. C. Given that you are currently tolerating a regular diet, we don’t anticipate any changes with your diet level during or posttreatment. D. Your physicians have explained that you have been diagnosed with tongue cancer and that you are going to be treated with chemoradiation. We will do a video of your swallow before and after treatment to further evaluate your swallow function and help guide our swallow therapy goals. During and after your cancer treatment (chemoradiation), we anticipate that you will experience swallowing problems and other treatment-related problems, such as painful sores in your mouth, dry mouth, taste changes, weight loss, and less of an appetite. We will see you during treatment for swallow therapy and instruct you on swallowing exercises to lessen the swallowing problems you may experience early and later on after treatment. Along with the dietitian, we will help you determine what you can safely eat during and post treatment to minimize weight loss and keep you nutritionally healthy. Oral care is essential, so we want you to follow the oncology dentist’s recommendations of practicing good oral care and using your fluoride trays
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