title: Avoidance Behaviours and Missed Opportunities in a Case of Metastatic Squamous Cell Carcinoma.
abstract: We describe the case of a 96-year-old woman who presented with a large fungating squamous cell carcinoma on her neck. In the Western hemisphere, it is rare to see patients with advanced tumours at their first presentation. We summarise the events leading to her late presentation to the hospital and explore the contributing factors. These may have included avoidance behaviour secondary to fears and misconceptions about cancer treatment. We conclude that healthcare professionals should be aware of these factors, and every effort should be made to address hidden fears and misconceptions when caring for patients with terminal illnesses. This will allay the patients' anxiety, thereby enabling them to make an informed choice about their future care.
authors: Barnet General Hospital, Royal Free NHS Foundation Trust, Barnet, Hertfordshire EN5 3DJ, UK.
authors: David
authors: D
authors: Kelsey
authors: Barnet General Hospital, Royal Free NHS Foundation Trust, Barnet, Hertfordshire EN5 3DJ, UK.
authors: Simon
authors: S
authors: Zakeri
authors: Barnet General Hospital, Royal Free NHS Foundation Trust, Barnet, Hertfordshire EN5 3DJ, UK.
authors: Chandra
authors: C
authors: Hettiaratchi
authors: Barnet General Hospital, Royal Free NHS Foundation Trust, Barnet, Hertfordshire EN5 3DJ, UK.
authors: Ndubisi
authors: N
authors: Offonry