TY - JOUR
T1 - Terminal Bleeding in Angiosarcoma
AU - Gill, Jaya M.
AU - Madden, Brian
AU - Frost, Janice
AU - Crane-Okada, Rebecca
AU - Hulsman, Robert L.
AU - Elliott, Kristen
AU - Saria, Marlon G.
PY - 2019
Y1 - 2019
N2 - Introduction: Terminal bleeding, a distressing symptom experience for patients, caregivers, and health professionals, occurs in a subset of patients in the palliative care setting. Terminal bleeding is often thought of as a large-volume catastrophically fatal event, but it can also occur for a longer period of time and still be the precipitating event for a patient's death. Case Report: We present the case of terminal bleeding in an 87-year-old patient with angiosarcoma, a rare aggressive vascular neoplasm that can occur anywhere in the body but tend to occur more frequently in the head and neck. Discussion: The patient's advanced age and aggressive disease presented challenges in managing the symptoms and precluded many of the conventional recommended interventions to manage bleeding. Conclusion: This case report speaks to the need for multidisciplinary planning that takes prognosis, performance status, previous therapies, and patient preferences into account when caring for patients with advanced cancer.
AB - Introduction: Terminal bleeding, a distressing symptom experience for patients, caregivers, and health professionals, occurs in a subset of patients in the palliative care setting. Terminal bleeding is often thought of as a large-volume catastrophically fatal event, but it can also occur for a longer period of time and still be the precipitating event for a patient's death. Case Report: We present the case of terminal bleeding in an 87-year-old patient with angiosarcoma, a rare aggressive vascular neoplasm that can occur anywhere in the body but tend to occur more frequently in the head and neck. Discussion: The patient's advanced age and aggressive disease presented challenges in managing the symptoms and precluded many of the conventional recommended interventions to manage bleeding. Conclusion: This case report speaks to the need for multidisciplinary planning that takes prognosis, performance status, previous therapies, and patient preferences into account when caring for patients with advanced cancer.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85070448445&origin=inward
U2 - https://doi.org/10.1089/jpm.2018.0466
DO - https://doi.org/10.1089/jpm.2018.0466
M3 - Article
C2 - 30864873
SN - 1096-6218
VL - 22
SP - 1009
EP - 1013
JO - Journal of palliative medicine
JF - Journal of palliative medicine
IS - 8
ER -