A atuação do enfermeiro oncologista no tratamento de lesões oncológicas: um relato de caso

Abstract

Introduction: Breast cancer (CA) is characterized by disordered growth of mutated cells. Breast CA is the most common in women, excluding cases of nonmelanoma skin. Tumor lesions are a consequence of breast cancer. Such lesions are formed by the infiltration of malignant cells in the skin structure, which causes loss of skin tissue continuity. Objective: To describe the evolution of a breast cancer lesion from the dressing change performed by the nursing staff. Method: This is a descriptive case study research conducted in a private reference hospital of the Federal District. The data were obtained through medical records and follow-up of the lesion evolution. Case report: Ana was diagnosed with breast CA in 2017 with invasive breast carcinoma BIRADS V. In 2018, he had a left breast lesion. In 2019, she began to change dressings with the nursing staff at the hospital where she was undergoing chemotherapy. Discussion: The dressing changes lasted three months and were performed daily. Lesion staging was rated 3 and protosan, calcium alginate and hydrogel were used in the lesion. With the removal of the crust, the dressing was made with silver sulfadiazine. At the end of the three months, the lesion was epithelized and with a considerable decrease in exudate. Conclusions: The scientific and technical knowledge of the nursing staff in case care as described above is indispensable, since, among other therapeutic approaches, it is the main responsible for the topical treatment of cancer wounds. However, it is noteworthy that, for a better prognosis, it is necessary to perform the interdisciplinary team in comprehensive care, also providing an improvement in the quality of life and self-esteem of the person.