Complex symptom control with early integrated palliative medicine for a primary mediastinal mass

Article indépendant

MCDONNELL, Tara Joyce | WALDRON, Dympna | COLLINS, Chris | KENNEDY, Grace | MURPHY, David | LANNON, Cian | FLYNN, Calvin | LEVINS, Kirk J. | DONNELLAN, Paul

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»

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