10分钟会诊探查癌症患者的低落情绪

10-Minute Consultation Exploring low mood in a person with cancer

一名54岁的男性患者问医生要一片安眠药。他最近被诊断为直肠Ducke B型腺癌,情绪低落:虽然他预后良好,已完成新辅助化疗,并很快就会进行择期根治手术,但他怀疑自己能否获得较长的生存期。他的医生想知道他是否存在抑郁或焦虑,以及如何最好地解决这个问题.抑郁症和焦虑症在癌症患者中更为常见,并且它们与较差的生活质量和癌症生存相关1-2.本文就如何认识这些疾病以及何时转诊提供了专家建议。

A 70 year old man attended with a two day history of painful vesicular rash affecting the left forehead accompanied by a red, painful left eye. Three days before the onset of the rash, he had experienced a tingling sensation at the left forehead. A clinical diagnosis of herpes zoster ophthalmicus with ocular involvement was made.Herpes zoster, or shingles, is a common infection caused by the reactivation of varicella zoster virus that lies dormant in the dorsal root nerve ganglion following primary chickenpox infection. Herpes zoster ophthalmicus accounts for 10%~20% of cases of herpes zoster infection.