title: [A difficult diagnosis].
abstract: 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.
authors: Service de pneumologie, centre hospitalier Lyon-Sud, Hospices civils de Lyon, Lyon, France. veroniqueporot@yahoo.fr
authors: Véronique
authors: V
authors: Porot
authors: Laurence
authors: L
authors: Gérinière
authors: Pierre-Jean
authors: PJ
authors: Souquet
authors: Serge
authors: S
authors: Deygas
authors: Benjamin
authors: B
authors: Rhomer
authors: Stéphanie
authors: S
authors: Audras
authors: Laurent
authors: L
authors: Bertoletti
authors: Alexis
authors: A
authors: Cortot
authors: Marie
authors: M
authors: Coudurier
authors: Nicolas
authors: N
authors: Girard
authors: Sébastien
authors: S
authors: Couraud
mesh_terms: 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