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Initial symptoms an...
Initial symptoms and delay in patients with penile carcinoma
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- Skeppner, Elisabet, 1962- (författare)
- Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Urology, Örebro University Hospital, Örebro, Sweden
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- Andersson, Swen-Olof, 1949- (författare)
- Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Urology, Örebro University Hospital, Örebro, Sweden
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- Johansson, Jan-Erik, 1946- (författare)
- Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Urology, Örebro University Hospital, Örebro, Sweden
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- Windahl, Torgny (författare)
- Department of Urology, Örebro University Hospital, Örebro, Sweden
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(creator_code:org_t)
- 2012-07-02
- 2012
- Engelska.
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Ingår i: Scandinavian Journal of Urology and Nephrology. - London, United Kingdom : Informa Healthcare. - 0036-5599 .- 1651-2065. ; 46:5, s. 319-325
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- Objective: This study aimed to assess initial symptoms and factors associated with patients' and doctors' delay in penile carcinoma.Material and methods: Fifty consecutive patients with penile carcinoma treated with an organ-sparing technique and nine with partial amputation were enrolled in a prospective study at the Department of Urology, Örebro University Hospital, between 2005 and 2009. Face-to-face structured interviews in combination with self-assessment forms were used for the patients' descriptions of clinical symptoms, treatment seeking and reasons for delay. Data were also extracted from the medical records confirming time-lag between GP assessment, specialist care and time for diagnosis.Results: Erythema, rash and eczema were the most common initial symptoms (35%). In total, 65% had a patients' delay of more than 6 months, and among these there was a small, but not statistically significant, predominance for pT1 and pTis tumours. Living with a stable partner did not affect the delay. The most common reason for patients' delay was the feeling of embarrassment over symptoms localized in a sexual body area. Nine patients had a doctors' delay of more than 3 months from first special visit to diagnosis. Eight of these patients consulted dermatologists and were subjected to repeated biopsies, leaving premalignant results.Conclusions: A considerable proportion of the patients had a patients' delay of more than 6 months, perhaps due to benign initial symptoms as erythema, rash or eczema. Psychological factors such as embarrassment and denial may also be involved, as well as insufficient awareness or knowledge.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Nyckelord
- Delay
- doctors’ delay
- initial symptoms
- patients’ delay
- penile carcinoma
- Surgery esp. Urology Specific
- Kirurgi, särskilt urologi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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