The right to refuse treatment and oral scammus papilloma: Case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/15183 |
Resumo: | Oral squamous papilloma is a benign neoplasm of epithelial origin, quite common, associated with infection by the Human Papilloma Virus (HPV). Clinically, it presents as an exophytic nodule, soft, painless and generally pedunculated, with a verrucous / papillomatous aspect. This study aims to report a case of a patient with a clinical and histopathological diagnosis of large oral squamous papilloma, with foci of moderate epithelial dysplasia, located in the cheek mucosa and inner side of the lips on the right side. The treatment initially indicated was surgical excision and, later, surgical excision with plastic reconstruction, but the patient due to social issues, fear and lack of family support, even knowing the risks of malignant transformation of the lesion, refused treatment. Despite the need for treatment, the patient has autonomy to make decisions and the right to refuse treatment is recognized by the Brazilian Civil Code as one of the rights of the personality. Respecting the patient's autonomy characterizes a humanized health system and constitutes one of the main challenges faced by health professionals. |
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The right to refuse treatment and oral scammus papilloma: Case reportEl derecho a rechazar el tratamiento y el papiloma de scammus oral: Reporte de casoO direito à recusa de tratamento e o papiloma escamoso oral: Relato de casoPapilomaCirugía BucalAutonomía PersonalPrincipios MoralesBioética.PapilomaCirugia BucalAutonomia PessoalPrincípios MoraisBioética.PapillomaSurgery, OralPersonal AutonomyMoralsBioethics.Oral squamous papilloma is a benign neoplasm of epithelial origin, quite common, associated with infection by the Human Papilloma Virus (HPV). Clinically, it presents as an exophytic nodule, soft, painless and generally pedunculated, with a verrucous / papillomatous aspect. This study aims to report a case of a patient with a clinical and histopathological diagnosis of large oral squamous papilloma, with foci of moderate epithelial dysplasia, located in the cheek mucosa and inner side of the lips on the right side. The treatment initially indicated was surgical excision and, later, surgical excision with plastic reconstruction, but the patient due to social issues, fear and lack of family support, even knowing the risks of malignant transformation of the lesion, refused treatment. Despite the need for treatment, the patient has autonomy to make decisions and the right to refuse treatment is recognized by the Brazilian Civil Code as one of the rights of the personality. Respecting the patient's autonomy characterizes a humanized health system and constitutes one of the main challenges faced by health professionals.El papiloma escamoso oral es una neoplasia benigna de origen epitelial, bastante común, asociada a la infección por el virus del papiloma humano (VPH). Clínicamente se presenta como un nódulo exofítico, blando, indoloro y generalmente pediculado, de aspecto verrugoso / papilomatoso. Este estudio tiene como objetivo reportar el caso de un paciente con diagnóstico clínico e histopatológico de papiloma escamoso oral de gran tamaño, con focos de displasia epitelial moderada, localizados en la mucosa de la mejilla y cara interna de los labios del lado derecho. El tratamiento inicialmente indicado fue la escisión quirúrgica y, posteriormente, la escisión quirúrgica con reconstrucción plástica, pero el paciente por cuestiones sociales, miedo y falta de apoyo familiar, aun conociendo los riesgos de transformación maligna de la lesión, rechazó el tratamiento. A pesar de la necesidad de tratamiento, el paciente tiene autonomía para tomar decisiones y el derecho a rechazar el tratamiento está reconocido por el Código Civil brasileño como uno de los derechos de la personalidad. El respeto a la autonomía del paciente caracteriza a un sistema de salud humanizado y constituye uno de los principales desafíos que enfrentan los profesionales de la salud.O Papiloma Escamoso oral é uma neoplasia benigna de origem epitelial, bastante comum, associado à infecção pelo Papiloma Vírus Humano (HPV). Clinicamente apresenta-se como nódulo exofítico, mole, indolor e geralmente pedunculado, com aspecto verrucoso/papilomatoso. Esse trabalho tem por objetivo relatar um caso de uma paciente com diagnóstico clínico e histopatológico de papiloma escamoso oral de grande dimensão, com focos de displasia epitelial moderada, localizado em mucosa jugal e face interna de lábios do lado direito. O tratamento inicialmente indicado foi a excisão cirúrgica e, posteriormente a excisão cirúrgica com reconstrução plástica, porém a paciente em decorrência de questões sociais, medo e ausência de apoio familiar, mesmo sabendo dos riscos de transformação maligna da lesão recusou o tratamento. Apesar da necessidade de tratamento a paciente possui autonomia para tomada de decisões e o direito à recusa de tratamento é reconhecido pelo Código Civil brasileiro como um dos direitos da personalidade. Respeitar a autonomia da paciente caracteriza um sistema de saúde humanizado e constitui um dos principais desafios enfrentados pelos profissionais de saúde.Research, Society and Development2021-05-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1518310.33448/rsd-v10i5.15183Research, Society and Development; Vol. 10 No. 5; e44010515183Research, Society and Development; Vol. 10 Núm. 5; e44010515183Research, Society and Development; v. 10 n. 5; e440105151832525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/15183/13579Copyright (c) 2021 Anna Danielly Almeida do Nascimento; Beatriz Santos Borges; Fernanda Teles Pereira; Cristianne de Barros Santos; Angélica Lopes Frade; Laís Azevedo Lins de Holanda; Mayara Larissa Moura de Souza; Isabela Vicência Menezes Castelo Branco; Maria Gabriela Cavalcanti de Araújo; Juliana Cavalcante de Oliveira; Maria Cecília Freire de Melo; Thuanny Silva de Macedo; Fátima Cristina Mendes Matos; Aurora Karla de Lacerda Vidalhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Nascimento, Anna Danielly Almeida doBorges, Beatriz SantosPereira, Fernanda Teles Santos, Cristianne de BarrosFrade, Angélica Lopes Holanda, Laís Azevedo Lins deSouza, Mayara Larissa Moura de Castelo Branco, Isabela Vicência Menezes Araújo, Maria Gabriela Cavalcanti de Oliveira, Juliana Cavalcante de Melo, Maria Cecília Freire deMacedo, Thuanny Silva de Matos, Fátima Cristina Mendes Vidal, Aurora Karla de Lacerda 2021-05-17T18:20:49Zoai:ojs.pkp.sfu.ca:article/15183Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:36:04.056809Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
The right to refuse treatment and oral scammus papilloma: Case report El derecho a rechazar el tratamiento y el papiloma de scammus oral: Reporte de caso O direito à recusa de tratamento e o papiloma escamoso oral: Relato de caso |
title |
The right to refuse treatment and oral scammus papilloma: Case report |
spellingShingle |
The right to refuse treatment and oral scammus papilloma: Case report Nascimento, Anna Danielly Almeida do Papiloma Cirugía Bucal Autonomía Personal Principios Morales Bioética. Papiloma Cirugia Bucal Autonomia Pessoal Princípios Morais Bioética. Papilloma Surgery, Oral Personal Autonomy Morals Bioethics. |
title_short |
The right to refuse treatment and oral scammus papilloma: Case report |
title_full |
The right to refuse treatment and oral scammus papilloma: Case report |
title_fullStr |
The right to refuse treatment and oral scammus papilloma: Case report |
title_full_unstemmed |
The right to refuse treatment and oral scammus papilloma: Case report |
title_sort |
The right to refuse treatment and oral scammus papilloma: Case report |
author |
Nascimento, Anna Danielly Almeida do |
author_facet |
Nascimento, Anna Danielly Almeida do Borges, Beatriz Santos Pereira, Fernanda Teles Santos, Cristianne de Barros Frade, Angélica Lopes Holanda, Laís Azevedo Lins de Souza, Mayara Larissa Moura de Castelo Branco, Isabela Vicência Menezes Araújo, Maria Gabriela Cavalcanti de Oliveira, Juliana Cavalcante de Melo, Maria Cecília Freire de Macedo, Thuanny Silva de Matos, Fátima Cristina Mendes Vidal, Aurora Karla de Lacerda |
author_role |
author |
author2 |
Borges, Beatriz Santos Pereira, Fernanda Teles Santos, Cristianne de Barros Frade, Angélica Lopes Holanda, Laís Azevedo Lins de Souza, Mayara Larissa Moura de Castelo Branco, Isabela Vicência Menezes Araújo, Maria Gabriela Cavalcanti de Oliveira, Juliana Cavalcante de Melo, Maria Cecília Freire de Macedo, Thuanny Silva de Matos, Fátima Cristina Mendes Vidal, Aurora Karla de Lacerda |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Nascimento, Anna Danielly Almeida do Borges, Beatriz Santos Pereira, Fernanda Teles Santos, Cristianne de Barros Frade, Angélica Lopes Holanda, Laís Azevedo Lins de Souza, Mayara Larissa Moura de Castelo Branco, Isabela Vicência Menezes Araújo, Maria Gabriela Cavalcanti de Oliveira, Juliana Cavalcante de Melo, Maria Cecília Freire de Macedo, Thuanny Silva de Matos, Fátima Cristina Mendes Vidal, Aurora Karla de Lacerda |
dc.subject.por.fl_str_mv |
Papiloma Cirugía Bucal Autonomía Personal Principios Morales Bioética. Papiloma Cirugia Bucal Autonomia Pessoal Princípios Morais Bioética. Papilloma Surgery, Oral Personal Autonomy Morals Bioethics. |
topic |
Papiloma Cirugía Bucal Autonomía Personal Principios Morales Bioética. Papiloma Cirugia Bucal Autonomia Pessoal Princípios Morais Bioética. Papilloma Surgery, Oral Personal Autonomy Morals Bioethics. |
description |
Oral squamous papilloma is a benign neoplasm of epithelial origin, quite common, associated with infection by the Human Papilloma Virus (HPV). Clinically, it presents as an exophytic nodule, soft, painless and generally pedunculated, with a verrucous / papillomatous aspect. This study aims to report a case of a patient with a clinical and histopathological diagnosis of large oral squamous papilloma, with foci of moderate epithelial dysplasia, located in the cheek mucosa and inner side of the lips on the right side. The treatment initially indicated was surgical excision and, later, surgical excision with plastic reconstruction, but the patient due to social issues, fear and lack of family support, even knowing the risks of malignant transformation of the lesion, refused treatment. Despite the need for treatment, the patient has autonomy to make decisions and the right to refuse treatment is recognized by the Brazilian Civil Code as one of the rights of the personality. Respecting the patient's autonomy characterizes a humanized health system and constitutes one of the main challenges faced by health professionals. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/15183 10.33448/rsd-v10i5.15183 |
url |
https://rsdjournal.org/index.php/rsd/article/view/15183 |
identifier_str_mv |
10.33448/rsd-v10i5.15183 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/15183/13579 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 5; e44010515183 Research, Society and Development; Vol. 10 Núm. 5; e44010515183 Research, Society and Development; v. 10 n. 5; e44010515183 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052806743457792 |