RESUMO
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)
Assuntos
Humanos , Cuidados Paliativos/métodos , Neoplasias/complicações , Dor/epidemiologia , Serviços Médicos de Emergência/métodos , Tratamento de Emergência/métodos , Hospitalização/estatística & dados numéricos , Serviços Hospitalares de Assistência Domiciliar/tendênciasRESUMO
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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