OET Speaking, Medicine, # 50- Cancer Diagnosis

 OET Speaking, Medicine, # 50 - Cancer Diagnosis


SETTING: Sub-urban Clinic

DOCTOR

Your patient is a 49-year-old accountant, married with two children.  He/she presented three weeks ago with a one-month history of rectal bleeding, diarrhea, and 2 kg weight loss. You ordered a colonoscopy and today the patient is returning for the results. Unfortunately, the patient has a tumor in the descending colon and the biopsy results confirms cancer.

TASK

*   Tell the patient the biopsy results (2cm tumor confined to bowel wall ) and recommended urgent referral to a surgeon.

* Explain that management of the illness after surgery include chemo/radiotherapy depending on the spread of the tumor (but only with the patient's consent)

* Explain that a colonoscopy is unlikely as the tumor is confined to the descending colon.

* Encourage the patient to be optimistic about surgery (eg. success rates are usually high, biopsy indicates that the tumor is limited to the bowel wall)

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