title: Factitious disorder (Munchausen's syndrome) in oncology: case report and literature review.
abstract: Factitious disorder is where patients repeatedly seek medical care for feigned illnesses in the absence of obvious external rewards; 'Munchausen's syndrome' is the historical name for this disorder.
  
  
  
  We report on a case that was presented to a tertiary oncology center as a suspected rare bone cancer.
  
  
  
  Psychosocial clinicians working in oncology settings should be aware of the complexities of diagnosing factitious disorder in cancer settings where empathy is prominent and suspicion unusual. Moreover, comorbidity can cloud the diagnosis (in this case substance abuse), and, even when accurately diagnosed, there are no evidence-based management approaches to offer to the patient. What seems to linger most after the patient is discharged, usually in a huff, are strong counter-transference feelings and substantial medical bills. Copyright © 2015 John Wiley & Sons, Ltd.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
authors.forename: Muhammad R
authors.initials: MR
authors.lastname: Baig
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
authors.forename: Tomer T
authors.initials: TT
authors.lastname: Levin
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
authors.forename: Wendy G
authors.initials: WG
authors.lastname: Lichtenthal
authors.affiliation: Orthopedic Surgery Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Boland
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
authors.forename: William S
authors.initials: WS
authors.lastname: Breitbart
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000175:diagnosis / Q000523:psychology; D019468:Disease Management; D005260:Female; D006801:Humans; D008495:Medical Oncology; D009110:Munchausen Syndrome / Q000150:complications / Q000175:diagnosis* / Q000523:psychology*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000209:etiology
keywords: Munchausen's syndrome; cancer; factitious disorder; management; psycho-oncology