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Complex symptom control with early integrated palliative medicine for a primary mediastinal mass
Article indépendant
A man in his 30s presented to the emergency department with a 3-month
history of progressively worsening cough, pleuritic chest pain, 7 kg weight
loss and night sweats. CT of the thorax (figures 1 and 2) showed a large,
rounded, well-circumscribed mass within the right hemithorax, with mass
effect in the right atrium and superior vena cava. CT of the abdomen and
pelvis revealed multiple liver lesions and intermediate pulmonary nodules.
Tumour markers were elevated: beta human chorionic gonadotropin 26 µ/L,
alpha fetoprotein 16 855 ng/mL and lactate dehydrogenase 695 µ/L. Ultrasound of the testes was negative. Percutaneous liver biopsy revealed primary mediastinal non-seminomatous germ cell cancer.
[Début de l'article]
http://dx.doi.org/10.1136/spcare-2022-003966
Voir la revue «BMJ supportive & palliative care, 13»
Autres numéros de la revue «BMJ supportive & palliative care»