Cancer And Lymphatics:
Part II
Jassin M. Jouria, MD
Dr. Jassin M. Jouria is a medical doctor,
professor of academic medicine, and
medical author. He graduated from Ross
University School of Medicine and has
completed his clinical clerkship training in
various teaching hospitals throughout New
York, including King’s County Hospital
Center and Brookdale Medical Center,
among others. Dr. Jouria has passed all
USMLE medical board exams, and has
served as a test prep tutor and instructor
for Kaplan. He has developed several medical courses and curricula for a variety of
educational institutions. Dr. Jouria has also served on multiple levels in the academic field
including faculty member and Department Chair. Dr. Jouria continues to serves as a Subject
Matter Expert for several continuing education organizations covering multiple basic medical
sciences. He has also developed several continuing medical education courses covering
various topics in clinical medicine. Recently, Dr. Jouria has been contracted by the
University of Miami/Jackson Memorial Hospital’s Department of Surgery to develop an e-
module training series for trauma patient management. Dr. Jouria is currently authoring an
academic textbook on Human Anatomy & Physiology.
ABSTRACT
In the human body, cells receive nutrition and oxygen from lymph, a fluid
that is recirculated through the body via an extensive network of vessels.
Upon arriving at one of many nodes found within the body, the lymph is
filtered to discern healthy cells from those carrying disease or infection.
White blood cells then flood infected cells to eradicate illness. However,
cancer can either develop in the lymph nodes around the body, or it can
travel there via the lymphatic vessel network. Understanding the role that
the lymphatic system plays in the development, treatment, and prevention
of cancer is vital for medical professionals who want to provide their patients
with cutting-edge care. This is the second of a two-part series on Cancer and
Lymphatics that discusses normal and disease states.
nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com 1
,Continuing Nursing Education Course Planners
William A. Cook, PhD, Director, Douglas Lawrence, MA, Webmaster,
Susan DePasquale, CGRN, MSN, FPMHNP-BC, Lead Nurse Planner
Policy Statement
This activity has been planned and implemented in accordance with the
policies of NurseCe4Less.com and the continuing nursing education
requirements of the American Nurses Credentialing Center's Commission on
Accreditation for registered nurses. It is the policy of NurseCe4Less.com to
ensure objectivity, transparency, and best practice in clinical education for
all continuing nursing education (CNE) activities.
Continuing Education Credit Designation
This educational activity is credited for 5.5 hours. Nurses may only claim
credit commensurate with the credit awarded for completion of this course
activity.
Pharmacology content is credited for 1 hour.
Statement of Learning Need
Understanding the role of the lymphatic system is vital for all health
professionals, especially nurses who deliver care to patients with a disorder
involving the lymph system. There exist many misconceptions of the role of
the lymphatic system; including prevention and the treatment of disease.
nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com 2
,Course Purpose
To provide nurses with knowledge of the lymphatic system, and
corresponding diseases, prevention and treatment.
Target Audience
Advanced Practice Registered Nurses and Registered Nurses
(Interdisciplinary Health Team Members, including Vocational Nurses and
Medical Assistants may obtain a Certificate of Completion)
Course Author & Planning Team Conflict of Interest Disclosures
Jassin M. Jouria, MD, William S. Cook, PhD, Douglas Lawrence, MA,
Susan DePasquale, CGRN, MSN, FPMHNP-BC – all have no disclosures
Acknowledgement of Commercial Support
There is no commercial support for this course.
Activity Review Information
Reviewed by Susan DePasquale, CGRN, MSN, FPMHNP-BC
Release Date: 12/28/2015 Termination Date: 12/28/2018
Please take time to complete a self-assessment of knowledge, on
page 4, sample questions before reading the article.
Opportunity to complete a self-assessment of knowledge learned
will be provided at the end of the course.
nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com 3
, 1. Tonsils differ slightly from other lymph nodes in the body in that
they lack
a. efferent collector vessels.
b. afferent vessels.
c. lymphocytes.
d. macrophages.
2. True or False: Because of their locations within the thymus
gland, these white blood cells (lymphocytes) may be referred to
as thymocytes.
a. True
b. False
3. Lymphopoiesis refers to
a. poor immune or thymic function.
b. the activation or initiation of the immune response.
c. the movement of lymphocytes through circulation.
d. the creation of lymphocytes in the bone marrow.
4. The __________ is a large lymph node that is positioned along
blood vessels.
a. medulla
b. thymus
c. spleen
d. tonsil
5. Lymphoid organs are those that
a. develop lymphocytes and other cells that protect the body.
b. house the immune system cells.
c. contain macrophages and lymphocytes.
d. All of the above.
nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com 4
Part II
Jassin M. Jouria, MD
Dr. Jassin M. Jouria is a medical doctor,
professor of academic medicine, and
medical author. He graduated from Ross
University School of Medicine and has
completed his clinical clerkship training in
various teaching hospitals throughout New
York, including King’s County Hospital
Center and Brookdale Medical Center,
among others. Dr. Jouria has passed all
USMLE medical board exams, and has
served as a test prep tutor and instructor
for Kaplan. He has developed several medical courses and curricula for a variety of
educational institutions. Dr. Jouria has also served on multiple levels in the academic field
including faculty member and Department Chair. Dr. Jouria continues to serves as a Subject
Matter Expert for several continuing education organizations covering multiple basic medical
sciences. He has also developed several continuing medical education courses covering
various topics in clinical medicine. Recently, Dr. Jouria has been contracted by the
University of Miami/Jackson Memorial Hospital’s Department of Surgery to develop an e-
module training series for trauma patient management. Dr. Jouria is currently authoring an
academic textbook on Human Anatomy & Physiology.
ABSTRACT
In the human body, cells receive nutrition and oxygen from lymph, a fluid
that is recirculated through the body via an extensive network of vessels.
Upon arriving at one of many nodes found within the body, the lymph is
filtered to discern healthy cells from those carrying disease or infection.
White blood cells then flood infected cells to eradicate illness. However,
cancer can either develop in the lymph nodes around the body, or it can
travel there via the lymphatic vessel network. Understanding the role that
the lymphatic system plays in the development, treatment, and prevention
of cancer is vital for medical professionals who want to provide their patients
with cutting-edge care. This is the second of a two-part series on Cancer and
Lymphatics that discusses normal and disease states.
nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com 1
,Continuing Nursing Education Course Planners
William A. Cook, PhD, Director, Douglas Lawrence, MA, Webmaster,
Susan DePasquale, CGRN, MSN, FPMHNP-BC, Lead Nurse Planner
Policy Statement
This activity has been planned and implemented in accordance with the
policies of NurseCe4Less.com and the continuing nursing education
requirements of the American Nurses Credentialing Center's Commission on
Accreditation for registered nurses. It is the policy of NurseCe4Less.com to
ensure objectivity, transparency, and best practice in clinical education for
all continuing nursing education (CNE) activities.
Continuing Education Credit Designation
This educational activity is credited for 5.5 hours. Nurses may only claim
credit commensurate with the credit awarded for completion of this course
activity.
Pharmacology content is credited for 1 hour.
Statement of Learning Need
Understanding the role of the lymphatic system is vital for all health
professionals, especially nurses who deliver care to patients with a disorder
involving the lymph system. There exist many misconceptions of the role of
the lymphatic system; including prevention and the treatment of disease.
nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com 2
,Course Purpose
To provide nurses with knowledge of the lymphatic system, and
corresponding diseases, prevention and treatment.
Target Audience
Advanced Practice Registered Nurses and Registered Nurses
(Interdisciplinary Health Team Members, including Vocational Nurses and
Medical Assistants may obtain a Certificate of Completion)
Course Author & Planning Team Conflict of Interest Disclosures
Jassin M. Jouria, MD, William S. Cook, PhD, Douglas Lawrence, MA,
Susan DePasquale, CGRN, MSN, FPMHNP-BC – all have no disclosures
Acknowledgement of Commercial Support
There is no commercial support for this course.
Activity Review Information
Reviewed by Susan DePasquale, CGRN, MSN, FPMHNP-BC
Release Date: 12/28/2015 Termination Date: 12/28/2018
Please take time to complete a self-assessment of knowledge, on
page 4, sample questions before reading the article.
Opportunity to complete a self-assessment of knowledge learned
will be provided at the end of the course.
nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com 3
, 1. Tonsils differ slightly from other lymph nodes in the body in that
they lack
a. efferent collector vessels.
b. afferent vessels.
c. lymphocytes.
d. macrophages.
2. True or False: Because of their locations within the thymus
gland, these white blood cells (lymphocytes) may be referred to
as thymocytes.
a. True
b. False
3. Lymphopoiesis refers to
a. poor immune or thymic function.
b. the activation or initiation of the immune response.
c. the movement of lymphocytes through circulation.
d. the creation of lymphocytes in the bone marrow.
4. The __________ is a large lymph node that is positioned along
blood vessels.
a. medulla
b. thymus
c. spleen
d. tonsil
5. Lymphoid organs are those that
a. develop lymphocytes and other cells that protect the body.
b. house the immune system cells.
c. contain macrophages and lymphocytes.
d. All of the above.
nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com nursece4less.com 4
