期刊名称：Revista Brasileira de Medicina de Família e Comunidade
印刷版ISSN：1809-5909
电子版ISSN：2179-7994
出版年度：2017
卷号：12
期号：39
页码：1-6
DOI：10.5712/rbmfc12(39)1518
语种：Spanish
出版社：Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
摘要：The benefit of prostate cancer screening in reducing mortality remains controversial. The risk of excessive medical, diagnostic and therapeutic intervention is significant, reason why ethical principles of quaternary prevention should not be overlooked. A shared-decision should be in order. But for this to happen, good communication/doctor-patient relationship is critical. The case described here under addresses these and other issues, questioning the non-usefulness of the screening. The case relates to a young man with metastatic prostate adenocarcinoma who, years before, presented already an increase of prostate-specific antigen (PSA) that was not valued. A difficult patient, whose diagnosis made it even harder to create an empathic relationship between doctor and patient. This situation was successfully overcome further to a participation of the family doctor in a Balint group.
关键词：Antígeno Específico de la Próstata; Cáncer; Prevención Cuaternaria; Psicoterapia de Grupo; Empatía;Antígeno Específico da Próstata; Câncer; Prevenção Quaternária; Psicoterapia de Grupo; Empatia
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