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- Title
Desafíos en el manejo del sarcoma de Ewing en una paciente testigo de Jehová.
- Authors
Vargas-Potes, Carlos Julio; Mendoza-Urbano, Diana Marcela; Parra-Lara, Luis Gabriel; Zambrano, Ángela R.
- Abstract
Ewing's sarcoma is a bone and soft tissue neoplasm, whose management is related to hematological toxicity. This aspect represents a medical and ethical challenge in Jehovah's Witnesses patients, who, due to their religious beliefs, reject the blood component transfusion, with the risk of discontinuing chemotherapy or using suboptimal doses. We present the case of a 34-year-old Colombian woman, Jehovah's Witness, diagnosed with Ewing's sarcoma with clinical stage IIB (T1N0M0) in the left maxillary and mandibular regions, treated with chemotherapy, who presented a hemoglobin nadir of up to 4.5 g/dL, and surgical indication as part of the treatment. In these patients, the transfusion decision has ethical implications that require therapeutic alternatives and a multidisciplinary approach.
- Subjects
EWING'S sarcoma; SOFT tissue tumors; JEHOVAH'S Witnesses; BLOOD transfusion; OSTEOSARCOMA; BLOOD transfusion reaction
- Publication
Biomédica: Revista del Instituto Nacional de Salud, 2023, Vol 43, Issue 1, p44
- ISSN
0120-4157
- Publication type
Article
- DOI
10.7705/biomedica.6720