RESUMEN
Lung carcinosarcoma is a neoplasm of high grade composed of epithelial and mesenchymal cells. It is exceptional; and usually affects men who are smokers, between the fifth and eighth decades of life. Medical treatment, chemotherapy and radiotherapy are not active in this kind of tumour, so surgery is the treatment of choice. Prognosis is poor with survival rates at 6 months around 27%. We describe the diagnostic process and the clinical outcome of a patient with lung carcinosarcoma with several paraneoplastic syndromes (AU)
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Asunto(s)
Humanos , Masculino , Anciano , Carcinosarcoma/complicaciones , Carcinosarcoma/diagnóstico , Neoplasias Pulmonares/complicaciones , Neoplasias Pulmonares/diagnóstico , Síndromes Paraneoplásicos/fisiopatología , Bronquitis Crónica/complicaciones , Insuficiencia Cardíaca/complicaciones , Isquemia Miocárdica/complicaciones , Neoplasias Primarias Secundarias/complicaciones , Neoplasias Primarias Secundarias/diagnóstico , Neumonectomía/métodos , Neumonectomía , Neoplasias de la Vejiga Urinaria/patología , Resultado FatalRESUMEN
The poor prognosis of non-small-cell lung cancer (NSCLC) is changing thanks to the constant development of new treatments and the introduction of target therapies, even in stage IV disease. This patient had bone metastases when he was diagnosed. Maintenance treatment, a much discussed topic nowadays, achieved a dramatic complete response (AU)
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Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Adenocarcinoma/tratamiento farmacológico , Protocolos de Quimioterapia Combinada Antineoplásica/administración & dosificación , Neoplasias Pulmonares/tratamiento farmacológico , Carcinoma de Pulmón de Células no Pequeñas/tratamiento farmacológico , Carcinoma de Pulmón de Células no Pequeñas/patología , Adenocarcinoma/patología , Anticuerpos Monoclonales/administración & dosificación , Anticuerpos Monoclonales Humanizados , Neoplasias Óseas/tratamiento farmacológico , Neoplasias Óseas/secundario , Neoplasias Pulmonares/patología , Inducción de RemisiónRESUMEN
Objetivos: Describir el perfil del paciente oncológico atendido en el servicio de urgencias de un hospital terciario, los motivos de consulta y su manejo clínico. Método: Desde octubre de 2007 a marzo de 2008, se recogieron las características de estos pacientes junto con los motivos de consulta y el manejo clínico de los pacientes oncológicos en el servicio de urgencias. Resultados: Se atendieron un total de 251 pacientes (12 pacientes/semana): 65 pacientes padecían cáncer de pulmón (25,9%), 47 padecían cáncer colorrectal (18,7%), y32 cáncer de mama (12,7%). De todos ellos, 185 tenían enfermedad metastásica(73,7%) y 133 recibían tratamiento quimioterápico (52,9%). Los motivos de consulta más frecuentes fueron fiebre en 46 casos (18,3%), dolor relacionado con el tumor en 39 casos (15,5%), disnea en 36 casos (14,3%) y náuseas-vómitos en 28 casos (11,2%).Tras la atención urgente, 121 pacientes precisaron ingreso hospitalario (48,2%).Conclusiones: Los pacientes metastáticos y aquellos que están en tratamiento activo son los pacientes oncológicos que más demandan atención urgente y casi la mitad precisan ingreso hospitalario (AU)
Objectives: To describe the profile of the oncologic patient seen in the emergency department of a tertiary hospital and to analyze the reasons for consultation and the clinical management of the symptoms that gave rise to the consultation. Method: Between October 2007 and March 2008, we performed a prospective, descriptive study in which we recorded the characteristics of all the oncology patients seen in the emergency department of our hospital, together with the reasons for consultation and the clinical management. Results: A total of 251 patients were seen (mean, 12 patients/wk). Categorized according to the primary tumor, 65 patients (25.9%) had lung cancer, 47 (18.7%) colorectal cancer, and 32 (12.7%) breast cancer. One hundred eighty-five(73.7%) had metastatic disease and 133 (52.9%) were receiving chemotherapy. The most common reasons for consultation were fever (46 cases, 18.3%), tumor-related pain (39 cases, 15.5%), dyspnea, (36 cases, 14.3%), and nausea and vomiting (28 cases, 11.2%). After evaluation in the emergency department, 121 patients (48.2%) required admission. Conclusions: Patients with metastatic tumors and those receiving active treatment make the greatest demands on emergency departments and almost half the oncology patients seen in the emergency department required hospital admission (AU)
Asunto(s)
Humanos , Cuidados Paliativos/métodos , Neoplasias/complicaciones , Dolor/epidemiología , Servicios Médicos de Urgencia/métodos , Tratamiento de Urgencia/métodos , Hospitalización/estadística & datos numéricos , Servicios de Atención a Domicilio Provisto por Hospital/tendenciasRESUMEN
Skull base chondrosarcomas represent 2% of all chondrosarcomas. They usually have a low grade of malignity and a complete resection may be curative. However, often they are considered irresectable because of the difficult approach and another kind of treatment is needed. We present a 54-year-old male case who, after weeks suffering from diplopia, was diagnosed with skull base chondrosarcoma and treated with the CyberKnife system. A review of radiosurgery techniques for skull base neoplasms is carried out (AU)
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