SOMATO-PSYCHIC DISORDER CLINICAL CASE IN A FEMALE PATIENT WITH MULTINODULAR EUTHYROID GOITER

Oksana Tsyganenko

Abstract


The article presents a clinical case of somato-psychic disorder in a patient with multinodular euthyroid goiter. The patient was diagnosed with thyroid cancer on outpatient basis and was suggested urgent surgical treatment. After receiving information about cancer pathology the patient developed symptoms of hypernosognostic neurotic syndrome with manifestations of obsessions and hystero-hypohondriasis. The patient was focused on the rigid hypochondria with detailed statement of the slightest signs of bodily distress.

Therefore, the above example demonstrates difficulty in selecting the tactics of management for such patients due to development of symptoms primarily determined by psycho-emotional tension. This category of patients should be followed not only by endocrinologists, surgeons, but the multidisciplinary team, including psychiatrists, and psychotherapists, since in case of combined impact of a number of adverse factors, the reaction to the disease can become so extreme that its management in the early stages of therapy seems no less important than the direct treatment of somatic condition.

 


Keywords


Thyroid gland; multinodular euthyroid goiter; nosogeny; fine-needle aspiration biopsy; psycho-emotional tension

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References


Alexander, F. (2002). Psychosomatic Medicine. The principles and practical application. Moscow: Eksmo-Press, 352

Berezantsev, A. Y. (2001). Psychosomatics and somatoform disorders. Moscow, 191

Bazhin, E. F., Gnezdilov, A. V. (1983). Psychogenic reactions in cancer patients. Leningrad: Guidelines, 33

Broytigam, V., Christian, P., Rad, M. (1999). Psychosomatic Medicine. Moscow: Geotar Medicine, 376

Bukhtoyarov, O. V., Arkhangelskiy, A. E. (2008). Psychogenic cofactor of carcinogenesis. Possible applications of hypnotherapy. SPb ., Aleteya, 264.

Zelenina, E. V. (1997). On typology of somato-vegetative depressive symptom. Moscwo: Depression and comorbid disorders, 72–78.

Kukushkin, M. L. (2004). Psychogenic pain syndromes. Pain, 1 (2), 2–6.

Luban-Plotstsa, B., Poeldinger, V., Kroeger, F., Lederakh-Hoffman, K. (2000). Psychosomatic disorders in general medical practice. St. Petersburg, 287

Kabanova, M. M. (1990). Psychological diagnostics of attitude to disease in neuro-psychiatric and somatic diseases. Leningrad: Len. RDPI n.a. V.M. Bekhterev, 172.

Samushia, M. A., Mustafina, E. A. (2007). Nozogenies (psychogenic reactions) in females with malignancies of the reproductive system. Mental disorders in general medicine, 3, 11–16.

Semke, V. J. (2008). Psychiatry and Oncology. Planes of contact. Siberian Journal of Psychiatry and Narcology, 3, 7–12.

Smulevich, A. B., Andryushchenko, A. V., Beskova, D. A. (2009). Mental disorders in oncology (the results of a multinational program "Synthesis"). Mental disorders in general medicine, 1, 4–11.




DOI: http://dx.doi.org/10.21303/2504-5679.2016.00013

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ISSN 2504-5679 (Online), ISSN 2504-5660 (Print)