Organic Psychosis in a Patient with an Atypical Carcinoid Tumor of the Lung

• Autor(a) principal: Gomes, Rita
• Data de Publicação: 2022
• Outros Autores: Santos, Cátia, Moutinho, Filipa, Ribeiro, Ana
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.51338/rppsm.333
• topic: Aripiprazole; Carcinoid Tumor/complications; Carcinoid Tumor/psychology; Lung Neoplasms/complications; Psychotic Disorders/drug therapy; Psychotic Disorders/etiology; Aripiprazol; Neoplasias do Pulmão/complicações; Perturbações Psicóticas/etiologia; Perturbações Psicóticas/tratamento farmacológico; Tumor Carcinoide/complicações; Tumor Carcinoide/psicologia

Psychiatric manifestations are present in at least one third of cancer patients. Notwithstanding, less than 50% are properly followed‐up. This article contributes to the scarce existing literature on psychotic symptoms in patients with neuroendocrine tumors ‐ a rare presentation of a rare disease. It emphasizes a possible association between carcinoid tumor of the lung and psychotic symptoms, discusses the differential diagnosis and presents an effective psychopharmacological therapeutic option, never published before, to the best of our knowledge. We report the case of a female 69‐year‐old patient with an atypical carcinoid tumor of the lung and no previous psychiatric history. The clinical picture was characterized by paranoid and reference delusional ideas, with acoustic‐verbal hallucinatory activity, with secondary depressive mood and extreme anxiety. An organic psychosis was admitted with probable relationship with her neoplastic disease and was treated with aripiprazole, with good response and tolerance.