Case studies of multi-disciplinary team management of atypical gastric cancer: challenges and lessons learned (about two cases).

Autor:	Kooffreh-Ada M; Department of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Iheanacho OE; Department of Haematology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Nwagbara VI; Department of Surgery, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Okpebri KO; Department of Obstetrics and Gynaecology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Anisi CO; Department of Orthopaedics and Traumatology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Itam-Eyo A; Department of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Uba-Mgbemena O; Department of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Ali OE; Department of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Essien OB; Department of Haematology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Akintomide AO; Department of Radiology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Eyong ME; Department of Paediatrics, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria., Effa EE; Department of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.; Department of Internal Medicine, Edward Francis Small Teaching Hospital, Banjul, The Gambia., Ngim NE; Department of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Jazyk:	angličtina
Zdroj:	The Pan African medical journal [Pan Afr Med J] 2023 Jun 30; Vol. 45, pp. 113. Date of Electronic Publication: 2023 Jun 30 (Print Publication: 2023).
DOI:	10.11604/pamj.2023.45.113.38579
Abstrakt:	There is a paradigm shift towards adopting a multidisciplinary team (MDT) model in the care of cancer patients, with increasing evidence to support its effectiveness. Cancers are biologically distinct, patients present in diverse ways and require, different therapeutic approaches in their management. Patient symptoms and treatment side-effects as well as physical and psychological impact vary according to cancer location and treatment plan. The varied clinical scenarios cancer patients present further buttress the need for MDT practice in hospitals to improve the quality of patient care, in contrast to the outdated concept of holistic treatment offered by a single physician. Unlike Europe, United States of America and Australia which have implemented successful MDT cancer care programs, Nigeria is just coming on board. We present two cases of gastric cancer (seen two months apart) with atypical presentation and the role of MDT in their evaluation and management. These case studies highlight the role of MDT in the management of cancer patients in Nigeria lending credence to the urgent need to implement this model of care in our cancer patients in a bid to improve the quality of care and outcome. Competing Interests: The authors of this case report hereby declare no competing interest. (Copyright: Mbang Kooffreh-Ada et al.)
Databáze:	MEDLINE
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