Clinical Case Database / Category: Patient Management
Malignancy in teenagers and young adults
Dr Robert Goldspring, Dr Fiona Roberts
Foundation Years Journal, volume 6, issue 9, p.24 (123Doc Education, London, October 2012)
Cancer is the commonest medical related cause of death in teenagers and young adults. Overall, it is second only to accidents (1, 2, 3). In the United Kingdom, six teenagers and young adults are diagnosed with cancer every day (1). In 2005, NICE Guidance on Improving Outcomes in Children and Young Adults with Cancer was published and there has been a significant improvement in services. There has been recognition that they require not only specialised care, but also psychological, social, educational and developmental support (3, 4). Here we report a case history of a young woman of 22 with metastatic breast cancer.
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Dr Robert Goldspring
Specialty Registar in Clinical Oncology
Dr Fiona Roberts
Consultant Clinical Oncologist
1. Teenage Cancer Trust information sheet http://www.teenagecancertrust. org/workspace/documents/Teenage-Cancer-Trust-Factsheet-2012.pdf
2. National Cancer Intelligence Network: Place of death for children, teenagers and young adults with cancer in England http://www.ncin.org.
3. Birch JM, Pang D, Alston RD, Rowan S, Geraci M, Moran A, Eden TOB (2008) Sur-vival from cancer in teenagers and young adults in England, 1979-2003, Br J Cancer, 99:830-835
4. National Institute for Health and Clinical Excellence Guidance on Cancer Services: Improving Outcomes in Children and Young Adults with Cancer (2005). www.nice.org.uk/nicemedia/pdf/C&YPManual.pdf
5. Cohn V (2011) Teens and young adults with cancer face unique challenges and re-quire targeted care, Medical News Today, MediLexicon, Intl http://www.medicalnewstoday.com/releases/219136.php
6. Whelan J, Dolbear C, Mak V, MÃ¸ller H, Davies, E (2207) Where do teenagers and young adults receive treatment for cancer?, J Public Health, 29(2):178-182
7. National Cancer Action Team, National Cancer Peer Review Programme Manual for Cancer Services: Teenage and Young Adults Measures (2011). http://www.cquins.nhs.uk/download.php?d=resources/measures/GynaeMeasures_April2011 .pdf.
8. Cancer Research UK Cancer Statistics http://info.cancerresearchuk..org/ cancerstats/incidence/age/#Teenagers.
9. Woodward E, Jessop M, Glaser A, Stark D (2011) Late effects in survivors of teenage and young adult cancer: does age matter?, Ann Oncol, 22(12):2561-8. Epub 2011 Mar 22.
10. NHS Improvement, Children and young people living with and beyond cancer. De-signing and implementing pathways to benefit patient aftercare: continuing to build the evidence (2011). http://www.improvement.nhs.uk/cancer.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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