title: A forgotten diagnosis: simple schizophrenia in a patient with breast cancer.
abstract: BACKGROUND
  Simple schizophrenia (SS) is a disorder unfamiliar to many psychiatrists, and it often goes unrecognized by providers as an underlying psychiatric disorder in general-medical settings.
  
  
  OBJECTIVE
  The authors seek to increase recognition, as demonstrated in the case presented.
  
  
  METHODS
  The authors report on a breast mass in a homeless 40-year-old woman who was lost to treatment for 2 years and then reappeared in the hospital at stage IV.
  
  
  RESULTS
  Palliative treatment was begun; however, the patient summarily left the hospital and was again lost to follow-up.
  
  
  CONCLUSIONS
  SS can have profound consequences for the patient, both in terms of self-care and medical treatment. Improved recognition of SS is important for both general-medical and mental health providers in order to achieve appropriate provision of clinical care and better medical outcomes.
authors.affiliation: Virginia Commonwealth University School of Medicine, Box 980268, Richmond, VA 23298-0268, USA.
authors.forename: Babak
authors.initials: B
authors.lastname: Moini
authors.forename: James L
authors.initials: JL
authors.lastname: Levenson
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006703:Ill-Housed Persons; D006801:Humans; D010166:Palliative Care; D012559:Schizophrenia / Q000150:complications*