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OncoCase offers you CME-certified educational sessions online in oncology and its indications. Experts from various fields of specialisation act as authors and 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.
Karim Abdelhamid
Lausanne University Hospital
Department of Oncology
Rue du Bugnon 46
1011 Lausanne

Case 55
History
March 2022
A 37-year-old software engineer presents to his general practitioner with lower back pain that began shortly after New Year’s Eve 2021. The patient reports that the pain started after lifting a heavy suitcase for his mother. Initially, he tried stretching and applying heat, but this did not improve the pain, which he rates as four out of ten. About three weeks later, he sought advice from a pharmacist and started taking ibuprofen 400 mg. The medication helped at first, and he took it intermittently. Several weeks later, however, the pain began radiating to the left thoracic region. Although he then took ibuprofen regularly (3 x 400 mg per day), the pain continued to worsen. In the last five days, he noticed a slight numbness over his hip when sleeping on his side, which made him worry and lead him to consult his physician. At this point, he rates the pain as six out of ten.
Case description
PD MERc Dr.
Antonia Digklia
Head of Pancreatic-Liver-Biliary Unit
Head of Sarcoma Unit
Oncology Department
Centre Hospitalier Universitaire Vaudois (CHUV)
Rue du Bugnon 46
1011 Lausanne

Case 54
History
January 2019
A 65-year-old male account manager attends an appointment for follow-up of his known and to-date compensated liver cirrhosis, classified as Child-Pugh A (5 point-score). He developed cirrhosis after an infection with hepatitis C about eight years ago. The patient reports significant stress at work for over one year. During this time, he and his wife felt constantly strained and he lost about 4 kg of body weight without any particular effort. He attributed this to the demanding situation at home together with his workload. Recently, he also developed intermittent upper abdominal pain after meals. Now that his personal life is much better, he can finally take time to look after himself.
Case description
PD Dr. med.
Alexander Siebenhüner
Hirslanden Zürich AG
Clinic for Hematology & Oncology
Witellikerstrasse 40
8032 Zurich

Case 53
History
January 2024
A 58-year-old interior designer, residing in both Brazil and Switzerland, presents to his general practitioner in Brazil with persistent upper abdominal pain. He also reports postprandial fullness and mild nausea, despite no changes in the size or composition of his meals. He currently weighs 98 kg and is 174 cm tall. Although he has always struggled with his weight, he recently noticed an unintentional weight loss of 3 kg.
Case description