Samo ozdravljenje ni dovolj Recovery itself is not enough

a case report

Abstract

Z izboljšanjem zdravljenja malignomov pri otrocih se je izboljšalo njihovo preživetje, vendar se po ozdravitvi sčasoma lahko razvijejo škodljive pozne posledice zdravljenja. Te spremembe, ki so pogosto asimptomatske, lahko pravočasno odkrijemo le, če bolnike redno spremljamo tudi po končanem zdravljenju. V prispevku predstavljamo primer bolnika, ki je bil v otroštvu obsevan in zdravljen s kemoterapijo, umrl pa je mlad z znaki srčne okvare, h kateri je verjetno prispevalo onkološko zdravljenje. Spremembe na srcu je pokazala šele obdukcija.

Abstract (Eng)

Advances in the treatment of malignancies in children have improved their survival rates. However, the recovery may eventually be followed by the development of adverse late effects of treatment. These changes, which are often asymptomatic, may be detected on time only if the patients are monitored regularly even after they have completed their treatment. The article presents a case of a patient who was irradiated in childhood and treated with chemotherapy, dying at a young age with signs of cardiac dysfunction, which was most likely a result of cancer treatment. Cardiac changes were diagnosed only at autopsy