Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case Report

Detalhes bibliográficos
Autor(a) principal: Calixto Lima, Larissa
Data de Publicação: 2018
Outros Autores: Pereira Pedrosa, Aline, de Oliveira Pereira, Fernanda, Scopel Poltronieri, Taiara
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/832
Resumo: Introduction: It is uncommon for breast cancer to metastasize to the stomach. However, when it does occur, nutritional support is indispensable, because gastric tumors are associated with nutritional complications, which worsen clinical outcomes. Case report: We report the case of a female patient diagnosed with breast adenocarcinoma that had metastasized to the bones, ovary, and stomach, who was hospitalized because of  clinical complications. During hospitalization, she presented severe weight loss and was classified as being at nutritional risk, as determined by the Patient-Generated Subjective Global Assessment. Due to severe odynophagia, oral intake was not possible. Therefore, after consultation with the multidisciplinary team, the decision was made to insert a nasogastric tube. Conclusion: Nutritional therapy in patients with advanced cancer still constitutes a dilemma facing professionals and needs to be discussed by a multidisciplinary team, the participation of the nutritionist, patient, and family being indispensable. Therefore, health care services must be prepared to manage nutritional therapy correctly, in order to promote better quality of life for such patients.
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spelling Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case ReportManejo Nutricional en Paciente con Metástasis Gástrica del Cáncer de Mama: un Informe de CasoManejo Nutricional em Paciente com Metástase Gástrica de Câncer de Mama: um Relato de CasoIntroduction: It is uncommon for breast cancer to metastasize to the stomach. However, when it does occur, nutritional support is indispensable, because gastric tumors are associated with nutritional complications, which worsen clinical outcomes. Case report: We report the case of a female patient diagnosed with breast adenocarcinoma that had metastasized to the bones, ovary, and stomach, who was hospitalized because of  clinical complications. During hospitalization, she presented severe weight loss and was classified as being at nutritional risk, as determined by the Patient-Generated Subjective Global Assessment. Due to severe odynophagia, oral intake was not possible. Therefore, after consultation with the multidisciplinary team, the decision was made to insert a nasogastric tube. Conclusion: Nutritional therapy in patients with advanced cancer still constitutes a dilemma facing professionals and needs to be discussed by a multidisciplinary team, the participation of the nutritionist, patient, and family being indispensable. Therefore, health care services must be prepared to manage nutritional therapy correctly, in order to promote better quality of life for such patients.Introducción: El surgimiento de metástasis gástrica proveniente de neoplasia de mama es raro. Sin embargo, el soporte nutricional en estos casos es imprescindible, ya que los tumores gástricos están relacionados a complicaciones nutricionales, favoreciendo los resultados clínicos negativos. Informe de caso: Paciente con diagnóstico  de adenocarcinoma de mama, con progresión para huesos, ovario y estómago, internada debido a complicaciones clínicas. Se presentó una pérdida de peso grave durante la internación, además de diagnóstico de riesgo de desnutrición por la evaluación subjetiva global producida por el paciente. Debido a un cuadro de odinofagia severa, la alimentación oral se volvió imposibilitada, siendo optado por el uso de sonda nasoentérica después de la discusión con el equipo interdisciplinario. Conclusión: La terapia nutricional en pacientes con cáncer avanzado sigue siendo un dilema entre los profesionales y su ejecución debe ser discutida y decidida por un equipo  interdisciplinario, con participación indispensable del nutricionista, del paciente y de sus familiares. Para ello, los servicios de salud deben estar preparados para el correcto manejo de la conducta nutricional, a fin de promover calidad de vida para estos pacientes. Introdução: O surgimento de metástase gástrica oriunda de neoplasia da mama é raro. Entretanto, o suporte nutricional nesses casos é imprescindível, já que tumores gástricos estão relacionados a complicações nutricionais, favorecendo desfechos clínicos negativos. Relato do caso: Paciente com diagnóstico de adenocarcinoma de mama, com progressão para ossos, ovário e estômago, internada em razão das complicações clínicas. Apresentou perda de peso grave durante a internação, além de diagnóstico de risco de desnutrição pela avaliação subjetiva global produzida pelo paciente. Em virtude do quadro de odinofagia severa, a alimentação via oral tornou-se impossibilitada, sendo optado pelo uso de sonda nasoentérica após discussão com equipe interdisciplinar. Conclusão: A terapia nutricional em pacientes com câncer avançado ainda é um dilema entre os profissionais e sua execução deve ser discutida e decidida por uma equipe interdisciplinar, com participação indispensável do nutricionista, do paciente e de seus familiares. Para isso, os serviços de saúde devem estar preparados para o correto manejo da conduta nutricional, a fim de promover qualidade de vida para esses pacientes.INCA2018-03-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de Casoapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/83210.32635/2176-9745.RBC.2018v64n1.832Revista Brasileira de Cancerologia; Vol. 64 No. 1 (2018): Jan./Feb./Mar.; 107-112Revista Brasileira de Cancerologia; Vol. 64 Núm. 1 (2018): enero/feb./marzo; 107-112Revista Brasileira de Cancerologia; v. 64 n. 1 (2018): jan./fev./mar.; 107-1122176-974510.32635/2176-9745.RBC.2018v64n1reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/832/522Calixto Lima, LarissaPereira Pedrosa, Alinede Oliveira Pereira, FernandaScopel Poltronieri, Taiarainfo:eu-repo/semantics/openAccess2021-11-29T20:06:56Zoai:rbc.inca.gov.br:article/832Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:06:56Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case Report
Manejo Nutricional en Paciente con Metástasis Gástrica del Cáncer de Mama: un Informe de Caso
Manejo Nutricional em Paciente com Metástase Gástrica de Câncer de Mama: um Relato de Caso
title Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case Report
spellingShingle Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case Report
Calixto Lima, Larissa
title_short Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case Report
title_full Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case Report
title_fullStr Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case Report
title_full_unstemmed Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case Report
title_sort Nutritional Management in a Patient with Breast Cancer Metastasis to the Stomach: a Case Report
author Calixto Lima, Larissa
author_facet Calixto Lima, Larissa
Pereira Pedrosa, Aline
de Oliveira Pereira, Fernanda
Scopel Poltronieri, Taiara
author_role author
author2 Pereira Pedrosa, Aline
de Oliveira Pereira, Fernanda
Scopel Poltronieri, Taiara
author2_role author
author
author
dc.contributor.author.fl_str_mv Calixto Lima, Larissa
Pereira Pedrosa, Aline
de Oliveira Pereira, Fernanda
Scopel Poltronieri, Taiara
description Introduction: It is uncommon for breast cancer to metastasize to the stomach. However, when it does occur, nutritional support is indispensable, because gastric tumors are associated with nutritional complications, which worsen clinical outcomes. Case report: We report the case of a female patient diagnosed with breast adenocarcinoma that had metastasized to the bones, ovary, and stomach, who was hospitalized because of  clinical complications. During hospitalization, she presented severe weight loss and was classified as being at nutritional risk, as determined by the Patient-Generated Subjective Global Assessment. Due to severe odynophagia, oral intake was not possible. Therefore, after consultation with the multidisciplinary team, the decision was made to insert a nasogastric tube. Conclusion: Nutritional therapy in patients with advanced cancer still constitutes a dilemma facing professionals and needs to be discussed by a multidisciplinary team, the participation of the nutritionist, patient, and family being indispensable. Therefore, health care services must be prepared to manage nutritional therapy correctly, in order to promote better quality of life for such patients.
publishDate 2018
dc.date.none.fl_str_mv 2018-03-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Relato de Caso
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/832
10.32635/2176-9745.RBC.2018v64n1.832
url https://rbc.inca.gov.br/index.php/revista/article/view/832
identifier_str_mv 10.32635/2176-9745.RBC.2018v64n1.832
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/832/522
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 64 No. 1 (2018): Jan./Feb./Mar.; 107-112
Revista Brasileira de Cancerologia; Vol. 64 Núm. 1 (2018): enero/feb./marzo; 107-112
Revista Brasileira de Cancerologia; v. 64 n. 1 (2018): jan./fev./mar.; 107-112
2176-9745
10.32635/2176-9745.RBC.2018v64n1
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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