Ziarnica złośliwa u nastolatka – późne rozpoznanie. Opis przypadku

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Miriam Deutschová

The reported case presents a 15-year-old boy diagnosed with Hodgkin’s disease (Hodgkin’s disease, HL) after about 2 months of outpatient care in primary health care (POZ). The patient was diagnosed with Hodgkin’s disease in 3rd stage, which significantly reduces the chances of complete recovery from the initial stage of diagnosis. Symptoms reported by the boy, such as cough, subfebrile states, decreased well-being, itchy rash, if present alone, are not pathognomonic for any disease, however, occurring simultaneously with characteristic abnormalities in the scope of physical examination, may help in faster diagnosis and initiation of proper treatment. This is especially important in times of pandemic, when most medical advice is provided by phone. A medical and environmental interview should be carried out with particular care and attention, and a physical examination should be made faster, so as not to overlook a disease that is dangerous and may endanger the patient’s health and life.

2009 ◽  
Vol 54 (2) ◽  
pp. 117 ◽  
Author(s):  
Eui Tae Hwang ◽  
Jun Young Lee ◽  
Jin Soo Chung ◽  
Jae Hoon Lee ◽  
Chang Soo Choi ◽  
...  

Blood ◽  
1973 ◽  
Vol 42 (2) ◽  
pp. 163-174 ◽  
Author(s):  
Robert C. Young ◽  
Vincent T. DeVita ◽  
Ralph E. Johnson

Abstract Thirty-eight children with Hodgkin’s disease have been treated over the past 8 yr with either intensive radiotherapy or combination chemotherapy (MOPP), depending on their initial stage. The median survival of the entire group of children has not yet been reached, as 63% are still alive, but it will be in excess of 58 mo. Median survivals by stage are as follows: stage I, greater than 46 mo; stage II, greater than 46 mo; stage III, 35 mo; and stage IV, 26.7 mo. Although the numbers of children are small, these results appear significantly superior to published reports utilizing less intensive radiotherapy and single-agent chemotherapy and suggest that intensive radiotherapy for localized disease and combination chemotherapy for advanced disease may, at present, be the preferred forms of therapy for Hodgkin’s disease in childhood.


1986 ◽  
Vol 4 (5) ◽  
pp. 805-814 ◽  
Author(s):  
P Fobair ◽  
R T Hoppe ◽  
J Bloom ◽  
R Cox ◽  
A Varghese ◽  
...  

The psychosocial problems that develop in long-term survivors of Hodgkin's disease were examined in a cross-sectional survey of 403 patients. The average age at treatment was 27 years and at interview was 36 years. The median time since treatment was 9 years. Sixty percent of the patients were treated for stage I or II disease and 40% for stage III or IV. Eighty-two percent of the patients had never relapsed, and 98% were free of disease at the time of interview. The study investigated the type and frequency of problems by means of a self-administered questionnaire using standard survey items to assess disruption in three areas of life: sense of well-being, family relationships, and employment. Results indicate that energy had not returned to patients' satisfaction in 37% of the cases. This was influenced by age, time since therapy, stage of disease, and type of treatment. Patients with self-reported energy loss were more likely to be depressed. Moderately high divorce rates (32%), problems with infertility (18%), and less interest in sexual activity (20%) were reported. Employment patterns favored men returning to work, and number of hours worked was highly correlated with less depression, younger age, and return of energy. Difficulties at work were reported by 42% of the cases. The interaction of treatment, biologic, psychosocial, and functional variables is described.


JAMA ◽  
1965 ◽  
Vol 194 (6) ◽  
pp. 597-600 ◽  
Author(s):  
H. R. Silberman

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