[A difficult diagnosis].
The patient information and obtaining their consent before any therapeutic constitute a basis for medicine exercise. However, there are situations where the physician may be in default. In that case, concepts of benefit/risk balance, of clear and appropriate information, and of legal liability for medico-surgical staff takes all their magnitude. That was the case in our observation, with a 69 years old patient with history of smoking, presenting a suspicious lung opacity which will require, following an agreement by multidisciplinary meeting, an exploration by thoracotomy despite an acceptable but altered respiratory function, as a result of a post-smoking broncho-emphysema. The non-malignant character of the suspected lesion raise questions about the risks involved, the benefit/risk balance, and the legal risk scopes of the medicosurgical staff as defined in the Cancer programme framework.
Porot
Véronique
V
Service de pneumologie, centre hospitalier Lyon-Sud, Hospices civils de Lyon, Lyon, France. veroniqueporot@yahoo.fr
Gérinière
Laurence
L
Souquet
Pierre-Jean
PJ
Deygas
Serge
S
Rhomer
Benjamin
B
Audras
Stéphanie
S
Bertoletti
Laurent
L
Cortot
Alexis
A
Coudurier
Marie
M
Girard
Nicolas
N
Couraud
Sébastien
S
D000368:Aged; D002908:Chronic Disease; D002985:Clinical Protocols; D005602:France; D006801:Humans; D007258:Informed Consent / Q000331:legislation & jurisprudence; D016365:Liability, Legal; D008171:Lung Diseases / Q000175:diagnosis* / Q000601:surgery; D008175:Lung Neoplasms / Q000175:diagnosis; D008297:Male; D010348:Patient Care Team / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000331:legislation & jurisprudence; D012306:Risk; D013908:Thoracotomy / Q000009:adverse effects