The Journal of community and supportive oncology
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J Community Support Oncol · Feb 2014
A rare case of ovarian carcinosarcoma with neuroendocrine differentiation.
A 60-year-old woman presented with worsening right lower extremity swelling for 2 days. The patient had no history of trauma or prolonged immobilization and denied further symptoms, including lower extremity pain, fever, dyspnea, chest pain, and abdominal pain. The patient's medical history included chronic hepatitis C secondary to intravenous drug use, a history of deep venous thrombosis 25 years prior to her presentation, and a history of right-sided breast cancer 20 years prior to that was treated with lumpectomy, radiation therapy, chemotherapy, and tamoxifen (discontinued by the patient after 3 years). The family history was unknown as the patient was adopted.
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J Community Support Oncol · Feb 2014
Bridging the gap: a palliative care consultation service in a hematological malignancy-bone marrow transplant unit.
There is often a lack of collaboration between hematological malignancy-bone marrow transplantation (HM-BMT) units and palliative care (PC) services. In this paper, we describe a quality improvement project that sought to close this gap at a tertiary care hospital in Pittsburgh, Pennsylvania, from August 2006 to May 2010. ⋯ The successful integration of a PC team into a hematological malignancy unit suggests great potential for positive interdisciplinary collaboration between these two fields.