دورية أكاديمية
A woman in her thirties with confusion.
| العنوان: | A woman in her thirties with confusion. |
|---|---|
| عنوان ترانسليتريتد: | En kvinne i 30-årene med forvirring. |
| المؤلفون: | Schaufel MA; Lungeavdelingen, Haukeland universitetssjukehus, og, Institutt for klinisk medisin, Universitetet i Bergen., Gärtner F; Lungeavdelingen, Haukeland universitetssjukehus., Leivdal BK; Lungeavdelingen, Haukeland universitetssjukehus., Haug SA; Palliativt senter, Haukeland universitetssjukehus., Brekke J; Avdeling for kreftbehandling og medisinsk fysikk, Haukeland universitetssjukehus., Storstein AM; Nevrologisk avdeling, Haukeland universitetssjukehus., Tveiten ØV; Nevrokirurgisk avdeling, Haukeland universitetssjukehus., Bødtker JE; Avdeling for psykosomatisk medisin, Psykiatrisk klinikk, Haukeland universitetssjukehus., Fløtten Ø; Lungeavdelingen, Haukeland universitetssjukehus, og, Institutt for klinisk medisin, Universitetet i Bergen. |
| المصدر: | Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke [Tidsskr Nor Laegeforen] 2024 Jul 18; Vol. 144 (9). Date of Electronic Publication: 2024 Jul 18 (Print Publication: 2024). |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English; Norwegian |
| بيانات الدورية: | Publisher: Norske Laegeforening Country of Publication: Norway NLM ID: 0413423 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 0807-7096 (Electronic) Linking ISSN: 00292001 NLM ISO Abbreviation: Tidsskr Nor Laegeforen Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Oslo : Norske Laegeforening Original Publication: Chistiania : Alb. Cammermeyer, 1880- |
| مواضيع طبية MeSH: | Confusion*/etiology , Lung Neoplasms*/pathology , Brain Neoplasms*/pathology , Brain Neoplasms*/diagnostic imaging , Carcinoma, Non-Small-Cell Lung*/pathology, Humans ; Female ; Adult ; Magnetic Resonance Imaging ; Coercion ; Tomography, X-Ray Computed |
| مستخلص: | Background: Coercion is rare in cancer treatment. We present a case where a young woman received gamma knife radiosurgery and immunochemotherapy under compulsory institutional care. Case Presentation: A previously healthy patient in her thirties was admitted to hospital due to confusion, apathy, weight loss and sleep disturbance. She had difficulties expressing herself and spoke with considerable latency. A brain MRI revealed a tumour of 23 mm in the left-side centrum semiovale and perifocal oedema, while a CT scan showed a 5.6 cm tumour in the right upper lobe and enlarged mediastinal lymph nodes. She was diagnosed with non-small cell lung cancer, no actionable mutations, PD-L1 <75 %. When she did not wish to return to the hospital to undergo gamma knife radiosurgery, she was readmitted under a formal decision to use coercion, and remained under institutional care for over six months. Today she is fully recovered and has no cancer progression almost five years after diagnosis. Interpretation: This case report illustrates the challenges of brain metastases and use of coercion during cancer treatment, both for the patient and healthcare personnel. There is a need for thorough interdisciplinary discussions and to establish as early as possible a shared understanding of the intention and scope of the forced treatment. |
| تواريخ الأحداث: | Date Created: 20240821 Date Completed: 20240821 Latest Revision: 20240821 |
| رمز التحديث: | 20240822 |
| DOI: | 10.4045/tidsskr.23.0344 |
| PMID: | 39167002 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0807-7096 |
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| DOI: | 10.4045/tidsskr.23.0344 |