Diagnostic strategy for cancer of unknown primary site

Detalhes bibliográficos
Autor(a) principal: Paiva Nunes, Ana
Data de Publicação: 2004
Outros Autores: Fonseca, Teresa, Lourenço, Isabel, Gorjão Clara, J.
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/1683
Resumo: Occult carcinoma is a common diagnostic problem in Internal Medicine Departments. Its correct diagnostic strategy is polemic, both among internists and other specialities, even with the availability of the most recent complementary diagnostic methods. It usually causes great difficulties for the doctor and extreme suffering for the patient, making it essential that the diagnosis takes the least time possible.We report the case of a 63-years-old male patient, former smoker, who had diffuse osseous metastatic disease and who’s and who’s exhaustive clinical and imagiologic examination revealed inconclusive. The diagnosis of lung carcinoma was finally possible with the support of the pathology laboratory.We discuss the difficulty of the diagnosis and therapeutic strategy in patients with occult carcinoma, which is related both to the peculiarities of each patient, to the variability of the presentations and to difficulties in interpreting the complementary diagnostic methods. We make a review of the most appropriate diagnostic strategy.
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spelling Diagnostic strategy for cancer of unknown primary siteAbordagem diagnóstica do doente com neoplasia ocultaNeoplasia ocultametastização ósseaCyfra 21trio tumoral pancreáticoOccult carcinomaosseous metastatic diseaseCyfra 21pancreatic tumoral tripletOccult carcinoma is a common diagnostic problem in Internal Medicine Departments. Its correct diagnostic strategy is polemic, both among internists and other specialities, even with the availability of the most recent complementary diagnostic methods. It usually causes great difficulties for the doctor and extreme suffering for the patient, making it essential that the diagnosis takes the least time possible.We report the case of a 63-years-old male patient, former smoker, who had diffuse osseous metastatic disease and who’s and who’s exhaustive clinical and imagiologic examination revealed inconclusive. The diagnosis of lung carcinoma was finally possible with the support of the pathology laboratory.We discuss the difficulty of the diagnosis and therapeutic strategy in patients with occult carcinoma, which is related both to the peculiarities of each patient, to the variability of the presentations and to difficulties in interpreting the complementary diagnostic methods. We make a review of the most appropriate diagnostic strategy.A neoplasia oculta é um problema diagnóstico cada vez mais frequente em qualquer enfermaria de Medicina Interna. A sua correcta abordagem é, não raramente, motivo de controvérsia não apenas entre internistas, mas envolvendo as mais variadas especialidades, mesmo tendo em conta os mais recentes meios auxiliares de diagnóstico. Trata-se, portanto, de um quadro não só de difícil abordagem médica, mas sobretudo de grande sofrimento para o doente, desejando-se, por isso, que o seu diagnóstico seja célere de forma a que a abordagem seja efi caz. Descreve-se o caso de um doente de 63 anos, ex-fumador, internado com um quadro de metastização óssea difusa, submetido a uma extensa avaliação quer clínica, quer em termos de exames complementares, que foi inconclusiva. O diagnóstico de neoplasia do pulmão foi fi nalmente obtido com o apoio do laboratório de anatomia patológica.A propósito deste caso discute-se a dificuldade na abordagem diagnóstica dos casos de neoplasia oculta, relacionada não só com as particularidades inerentes a cada doente, mas também com a multiplicidade de formas de apresentação e dificuldades de interpretação dos exames auxiliares de diagnóstico. Faz-se uma revisão teórica sobre a melhor forma de abordagem do doente com neoplasia oculta.Sociedade Portuguesa de Medicina Interna2004-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/1683Internal Medicine; Vol. 12 No. 2 (2005): Abril/ Junho; 82-88Medicina Interna; Vol. 12 N.º 2 (2005): Abril/ Junho; 82-882183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1683https://revista.spmi.pt/index.php/rpmi/article/view/1683/1144Paiva Nunes, AnaFonseca, TeresaLourenço, IsabelGorjão Clara, J.info:eu-repo/semantics/openAccess2023-04-01T06:11:11Zoai:oai.revista.spmi.pt:article/1683Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:48:14.566201Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Diagnostic strategy for cancer of unknown primary site
Abordagem diagnóstica do doente com neoplasia oculta
title Diagnostic strategy for cancer of unknown primary site
spellingShingle Diagnostic strategy for cancer of unknown primary site
Paiva Nunes, Ana
Neoplasia oculta
metastização óssea
Cyfra 21
trio tumoral pancreático
Occult carcinoma
osseous metastatic disease
Cyfra 21
pancreatic tumoral triplet
title_short Diagnostic strategy for cancer of unknown primary site
title_full Diagnostic strategy for cancer of unknown primary site
title_fullStr Diagnostic strategy for cancer of unknown primary site
title_full_unstemmed Diagnostic strategy for cancer of unknown primary site
title_sort Diagnostic strategy for cancer of unknown primary site
author Paiva Nunes, Ana
author_facet Paiva Nunes, Ana
Fonseca, Teresa
Lourenço, Isabel
Gorjão Clara, J.
author_role author
author2 Fonseca, Teresa
Lourenço, Isabel
Gorjão Clara, J.
author2_role author
author
author
dc.contributor.author.fl_str_mv Paiva Nunes, Ana
Fonseca, Teresa
Lourenço, Isabel
Gorjão Clara, J.
dc.subject.por.fl_str_mv Neoplasia oculta
metastização óssea
Cyfra 21
trio tumoral pancreático
Occult carcinoma
osseous metastatic disease
Cyfra 21
pancreatic tumoral triplet
topic Neoplasia oculta
metastização óssea
Cyfra 21
trio tumoral pancreático
Occult carcinoma
osseous metastatic disease
Cyfra 21
pancreatic tumoral triplet
description Occult carcinoma is a common diagnostic problem in Internal Medicine Departments. Its correct diagnostic strategy is polemic, both among internists and other specialities, even with the availability of the most recent complementary diagnostic methods. It usually causes great difficulties for the doctor and extreme suffering for the patient, making it essential that the diagnosis takes the least time possible.We report the case of a 63-years-old male patient, former smoker, who had diffuse osseous metastatic disease and who’s and who’s exhaustive clinical and imagiologic examination revealed inconclusive. The diagnosis of lung carcinoma was finally possible with the support of the pathology laboratory.We discuss the difficulty of the diagnosis and therapeutic strategy in patients with occult carcinoma, which is related both to the peculiarities of each patient, to the variability of the presentations and to difficulties in interpreting the complementary diagnostic methods. We make a review of the most appropriate diagnostic strategy.
publishDate 2004
dc.date.none.fl_str_mv 2004-06-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/1683
url https://revista.spmi.pt/index.php/rpmi/article/view/1683
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/1683
https://revista.spmi.pt/index.php/rpmi/article/view/1683/1144
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 Sociedade Portuguesa de Medicina Interna
publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
dc.source.none.fl_str_mv Internal Medicine; Vol. 12 No. 2 (2005): Abril/ Junho; 82-88
Medicina Interna; Vol. 12 N.º 2 (2005): Abril/ Junho; 82-88
2183-9980
0872-671X
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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