Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_95»
«MEDICAL WRITING: CASE ABSTRACT_95»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Occult renal cell carcinoma
manifesting with epistaxis in a woman: a case report
Metastatic disease in the
sinonasal region occurs rarely and the primary site may be elusive. This case
highlights the possibility of an occult renal tumor manifesting with nasal
symptoms and the risk of severe bleeding following nasal biopsy.
We report the case of a
79-year-old Caucasian woman who presented with a six-week history of
intermittent left-sided nosebleeds. She was fit, without previous surgery or
anticoagulation. Nasal endoscopy and computed tomography showed a hemorrhagic
mass occupying her left ethmoid cells and middle meatus. After a highly
hemorrhagic biopsy, the lesion was histologically confirmed as clear cell
carcinoma. Screening revealed a right kidney mass with widespread metastases.
Palliative radiotherapy to the sinonasal metastasis and systemic treatment
rendered her free of symptoms nine months after initial presentation.
General practitioners and ear,
nose and throat (ENT) doctors are very often confronted with epistaxis. A small
minority of patients with epistaxis show a primary or metastatic nasal mass.
Detection of the origin of secondary sinonasal masses requires a high index of
suspicion and examination of infraclavicular sites by a multidisciplinary team.
Renal cell carcinoma metastases are prone to severe bleeding during any
surgical intervention, therefore, preoperative embolization is recommended.
Resection or radiotherapy to the sinonasal metastasis of renal origin is
justified in order to prevent recurrent nosebleeds.
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·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?