ArticleCureus2025
Postoperative Malnutrition and Early Pulmonary Metastasis in an Older Patient With Uterine Leiomyosarcoma: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Although the surgical treatment of older cancer patients requires a multifaceted evaluation and appropriate intervention, many problems remain. In this case, we evaluated an 87-year-old patient with stage IB uterine leiomyosarcoma and an appendiceal tumor. The evaluation included a general preoperative examination, geriatric assessment, Clinical Risk Analysis Index for vulnerability screening, and assessment of nutritional status using the prognostic nutritional index (PNI). The patient was deemed operable and underwent a total hysterectomy and appendectomy. The tumor was completely resected with no unexpected complications. However, the patient developed a paralytic ileus in the early postoperative period. The PNI worsened, and the patient remained in a malnourished state. On postoperative day 17, the patient developed pleural effusion and multiple pulmonary metastases, leading to a transition to best supportive care. This case highlights the critical importance of postoperative nutritional status in older cancer patients.
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