RESUMO
Palliative care is the management of patients with progressive, far-advanced disease for whom the prognosis is limited and the focus of care is quality of life. During the last days of life, it is important to redefine the goals, as previously present symptoms may increase and new symptoms may appear. To assess these symptoms, 176 patients were evaluated. A questionnaire evaluated symptoms during the last week of life and compared these prevalences with those at the first evaluation. The patients comprised 121 men and 55 women. The mean age was 67.7 years. Metastases were present in 66.5% and were multiple in 52%. The most frequent symptoms at the end of life (> 50%) were anorexia, asthenia, dry mouth, confusion, and constipation. The majority of patients died at home (64.2%). We observed good control of "reversible" symptoms, but many symptoms were difficult to control at the end of life. Symptom assessment is important in this population.
Assuntos
Estado Terminal/terapia , Neoplasias/fisiopatologia , Neoplasias/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/complicações , Estudos Prospectivos , Inquéritos e QuestionáriosRESUMO
A case of poorly-differentiated leiomyosarcoma of the bladder is described. Diagnosis was established by immunohistochemical and ultrastructural analyses. The therapeutic possibilities in this aggressive tumor type are described.
Assuntos
Leiomiossarcoma/patologia , Neoplasias da Bexiga Urinária/patologia , Adulto , Feminino , Humanos , Leiomiossarcoma/análise , Leiomiossarcoma/diagnóstico por imagem , Leiomiossarcoma/ultraestrutura , Microscopia Eletrônica , Radiografia , Neoplasias da Bexiga Urinária/análise , Neoplasias da Bexiga Urinária/diagnóstico por imagem , Neoplasias da Bexiga Urinária/ultraestruturaRESUMO
We report a case of paratesticular angiosarcoma. To our knowledge, no well-documented case involving this site has been reported in the literature. The anatomopathological features of the present case are described, highlighting immunohistochemical analysis. The outstanding clinical features of this aggressive tumor type are discussed.