Universität zu Köln

Froch-Cortis, J., Fries, J. and Rothschild, M. A. (2019). The exploded carbuncle. Self-determined refusal of treatment until death. Rechtsmedizin, 29 (6). S. 493 - 498. NEW YORK: SPRINGER. ISSN 1434-5196

Full text not available from this repository.

Abstract

A 75-year-old woman refused medical treatment of a squamous cell carcinoma of the facial skin for personal reasons, which led to a pronounced finding with exposure of brain structures. Cutaneous squamous cell carcinomas (PEK) account for almost 20% of all non-melanocytic skin tumors and are the second most frequent skin tumor after basal cell carcinoma. The incidence increases with age. Etiologically, actinic precancerous skin lesions caused by ultraviolet (UV) radiation as well as long-term damage caused by chemical noxae and also chronic inflammatory and degenerative skin changes play a role. The cause of death in the present case was a tumor toxic cardiovascular failure with pronounced tumor cachexia. It was impressive that even with destruction of the skull and brain parenchyma, death occurred in such an advanced stage of the disease and not earlier in time. The relatives could not be reproached for failing to provide help as an adult person in a state of clear thinking is allowed to refuse treatment.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Froch-Cortis, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fries, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rothschild, M. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-126123
DOI:	10.1007/s00194-019-00355-2
Journal or Publication Title:	Rechtsmedizin
Volume:	29
Number:	6
Page Range:	S. 493 - 498
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-5196
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NONMELANOMA SKIN-CANCER; SQUAMOUS-CELL CARCINOMA; TRENDS; RISK Multiple languages Medicine, Legal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12612