The client with lymphoma asks his nurse why his disease treatment regimen includes radiation and surgery as well as chemotherapy, when his 16-year-old female cousin only had chemotherapy for leukemia. What is the nurse's best response?
A. "Radiation is not used as therapy in girls and women so as not to disrupt their childbearing ability."
B. "Lymphomas can form discrete tumors that can be removed by surgery or treated locally with radiation, but leukemic cells are more widespread."
C. "Your disease is probably more widespread and advanced than your cousin's was, requiring additional types of intensive therapy for cure."
D. "Lymphomas can be cured using multiple therapies and leukemia cannot be cured, only controlled with lifelong injections of chemotherapy."
B
Leukemia is cancer of the blood and it is present throughout the body, although the site of ma-lignant cell production is initially the bone marrow. Both surgery and radiation are local or re-gional treatments and would not be successful in treating systemic disease. Chemotherapy, as systemic treatment, is needed for leukemia. Lymphomas are solid tumors that may be confined to one body area and, therefore, local or regional treatment can be effective.
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