慢性精神分裂症呈现与心理多症隐藏IV期子宫腺癌:一个病例报告
Kamayel Jaludi1, Dakota Pastore2, Angelo Sica3
1Osteopathic Medicine, Rowan-Virtua School of Osteopathic Medicine, Stratford, USA.
Cureus
|September 13, 2024
概括
精神分裂症患者的心理多重症可以掩盖诸如子宫癌等严重疾病. 早期诊断和干预对精神病患者至关重要,以防止延迟医疗护理并改善结果.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 内部医学 内部医学
背景情况:
- 在精神分裂症患者中经常观察到心理多重症 (PPD).
- 精神疾病可能掩盖其他严重的疾病并未得到充分理解.
研究的目的:
- 介绍一个IV期子宫腺癌的病例,最初被错误地归因于精神分裂症患者的精神病性多症.
- 突出早期诊断和干预精神病患者体质投诉的错失机会.
- 强调需要对患有慢性精神疾病的患者进行全面的诊断评估.
主要方法:
- 一个58岁的女性患有慢性精神分裂症和PPD的病例报告.
- 2016-2022年对腹部疼痛的急诊室访问的审查.
- 瘤标志物的分析 (CA125,CA19-9,CEA) 和诊断成像 (盆腔超声波,CT腹部/盆腔).
主要成果:
- 一个5.6厘米的透性子宫质量被诊断为第四阶段的子宫腺癌.
- 关于结果的瘤标志物显示:CA125 85.9/50.1,CA19-9 >10,CEA 0.3.3,CEA 0.3.3 相关的结果
- 症状最初归因于精神分裂症恶化,延迟了7年的诊断.
结论:
- 精神病患者,特别是PPD患者,需要进行彻底的医疗评估,以防止诊断的覆盖.
- 在初级预防,体检和及时成像方面错过的机会导致了诊断延迟.
- 这个案例强调了跨学科护理的严重缺陷,并突出了精神疾病患者基本患者护理的差异.
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