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OncoCase offers you CME-certified educational sessions online in oncology and its indications. Experts from various fields of specialisation present a patient case from their practice. Here you will find the analyses of the survey results from previous cases, which you can read to earn CME points. By fully participating in an e-learning – a survey or analysis – you will receive your CME points directly and simply with one click to download.
Dr. med.
Tammo Bartnick
Oncology and Internal Medicine
Spital Zollikerberg
Trichtenhauserstrasse 20
8125 Zollikerberg
Case 46
A 32-year-old female Romanian presents for an appointment in April 2022 that she previously made. The patient was diagnosed and in March 2022 treated for lung cancer in her home country. A good friend who lives in Switzerland and received successful treatment for lung cancer at our hospital, had suggested to seek our expertise for further treatment.
Case description
Dr. med.
Dominik Berthold
Department of Medical Oncology
Department of Oncology
Centre hospitalier universitaire vaudois
Rue du Bugnon 21
1011 Lausanne
Case 45
History
January 2009
At the age of 60 an engineer comes for a routine urological check-up for the first time. He has a very stressful job and never found the time for screenings before. However, as he just entered a new decade of his life, his wife was able to convince him to make time for the visit. He reports having lost five kilos within the last four month without keeping a diet. Otherwise, he feels fine: no dysuria, no urinary dysfunction, no sexual dysfunction.
Case description
Dr. Apostolos Sarivalasis MD MERc
Division of Medical Oncology
Department of Oncology
Centre hospitalier universitaire vaudois
Rue du Bugnon 21
1011 Lausanne
Case 44
History
December 2018
- A 63-year-old social worker visits her gynaecologist due to postmenopausal metrorrhagias in the past six weeks. The gynaecological history up to now is inconspicuous.
- General medical history: glaucoma and osteoarthrosis of the right knee.
- Current status: 167 cm, 72 kg, Body-Mass-Index 25,8 kg/m2, blood pressure 125/85 mmHg, pulse 74 bpm, respiration rate 12/min, no abdominal pain.
- The transvaginal ultrasound shows an endometrial thickness of > 13 mm and normal features of the adnexa. Therefore, a Pipelle de Cornier® sampling is performed swiftly. The results suggest a grade 2 endometrioid type endometrial cancer (EEC) that is oestrogen- and progesteron receptor negative with a p53-wild type status (p53wt).
- Preoperative laboratory diagnostics that include a complete liver and kidney panel, reveal no pathological results.
Case description
Prof. Dr. med.
Alfredo Addeo
Hôpitaux Universitaires de Genève
Médecine Oncologie
Rue Gabrielle-Perret-Gentil 4
1205 Genève
Case 43
History
In April 2021, a 64 year old accountant presents himself to our emergency room due to pain in his left arm. He also noticed that his eyes have recently started looking different. This alarmed him so much that he decided to come in right away. Upon closer inspection, he has a left-sided miosis, ptosis and enophthalmus, i. e. a Horner syndrome (figure 1). Furthermore, a supraclavicular swelling on the left is palpable. He does not complain of nausea or headache.
Case description