eISSN: 1897-4309
ISSN: 1428-2526
Contemporary Oncology/Współczesna Onkologia
Current issue Archive Manuscripts accepted About the journal Supplements Addendum Special Issues Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
3/2004
vol. 8
 
Share:
Share:
more
 
 
abstract:

Unusual paraendocrinal mask of lung cancer

Maria Ścieszka
,
Ewa Ścieszka

Współcz Onkol (2004) vol. 8; 3 (171–174)
Online publish date: 2004/04/23
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
The case of a syndrome of inappropriate antidiuretic hormone secretion (SIADH) in a patient with insidious course of small-cell lung cancer is reported.
Some pathologic changes are indirectly caused by the present malignancy; they are defined as paraneoplastic syndromes. They are caused by the release of substances (released from tumor cells because of the changed genetic information) acting as hormones or cytokines.
A woman with recurrent psychiatric disorders and several other non-
-specific symptoms like weakness, vomiting, mild hypertension was admitted to psychiatric ward twice. After several weeks, a constantly decreasing level of Na+ (hyponatremia) observed at the internal ward suggested that the above symptoms can only be a manifestation of paraneoplastic syndrome in the form of SIADH resulting in hyponatremia (causing oedema of CNS and typically all disorders listed above).
Our aim was to explain how the presence of some easily diagnosed symptoms should make us suspect this particular manifestation of paraneoplastic syndrome. We wanted to emphasise the need of being aware that some non-specific, trivial symptoms can be a mask of the neoplastic process.
When those symptoms blur the manifestation of a cancer itself it can lead to misdiagnosis, implicates improper therapeutic decisions and deteriorates prognosis.
keywords:

paraneoplastic syndrom, lung cancer, hyponatremia

Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe