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Palliative care: not only for treating symptoms: a case report.
Maria Caterina Pallotti1, Marianna Ricci1, Romina Rossi1
1Palliative Care Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Tumori
|February 4, 2020
Summary
Palliative care (PC) specialists diagnosed a rare breast cancer metastasis to the Meckel cave in a 79-year-old woman. This case highlights PC
Area of Science:
- Oncology
- Palliative Care
- Neurology
Background:
- Palliative care (PC) focuses on symptom management and overall well-being.
- Integrating early PC with oncology offers potential benefits for patients.
- Personalized medicine in oncology studies genetic and molecular characteristics.
Observation:
- A 79-year-old woman with advanced breast cancer presented with ear pain, paresthesia, strabismus, and facial dysesthesia.
- The patient was in good clinical condition (ECOG 1) and receiving chemotherapy.
- A multidisciplinary team including PC, oncology, radiology, and neurology was involved.
Findings:
- Advanced breast cancer metastasis to the Meckel cave was diagnosed via MRI.
- This represents a rare extraneural localization of breast cancer.
- The symptoms were attributed to the metastasis.
Implications:
- Specialized PC assessment is crucial for identifying the root cause of symptoms, not just managing them.
- Investigating the etiopathogenesis of symptoms is vital for effective palliative therapy planning.
- Multidisciplinary collaboration aids in accurate diagnosis and comprehensive patient care.
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