口腔鳞状细胞癌:诊断遗漏的特征和医学法律意义。

Pub Date : 2024-09-21 eCollection Date: 2024-01-01 DOI:10.1155/2024/2578271
Davide Albano, Antonina Argo, Giuseppa Bilello, Enzo Cumbo, Melania Lupatelli, Pietro Messina, Fabio Massimo Sciarra, Mario Sessa, Stefania Zerbo, Giuseppe Alessandro Scardina
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引用次数: 0

摘要

肿瘤病理的早期诊断对于确定病人的预后和治疗方案至关重要。然而,在诊断过程中可能出现的临床错误和遗漏,以及肿瘤前病变或肿瘤病变的检测,都可能给患者的健康和专业人员的医疗法律责任带来严重后果。本研究旨在通过介绍一个具体的临床案例,深入探讨口腔癌诊断中固有的医学法律问题,分析预防、干预和诊断策略,临床评估错误和诊断遗漏的法律影响,以及所产生的医疗损害类型和专业责任。围绕口腔鳞状细胞癌的医疗法律问题是多方面的,具有诊断挑战、治疗复杂性和法律考虑等特点。医疗服务提供者在应对这些复杂问题时必须保持警惕,以确保为患者提供最佳治疗,同时降低法律风险。通过优先考虑高质量的医疗记录、促进与患者的透明沟通以及实施预防策略,医疗机构可以努力将诉讼发生率降至最低,并在口腔癌病例中坚持道德实践标准。此外,法医和法律医学方面的持续研究和教育对于在这一不断发展的领域提供循证实践信息和促进患者安全至关重要。
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Oral Squamous Cell Carcinoma: Features and Medico-Legal Implications of Diagnostic Omission.

Early diagnosis of oncologic pathologies has a crucial role to determine patient's prognosis and therapeutic path. Nonetheless, clinical errors and omissions that can occur during diagnostic, as well as detection of preneoplastic or neoplastic condition, may result in devasting consequences both for patients in terms of health and for professionals in terms of medico-legal responsibility. This study is aimed at examining in depth, through the presentation of a specific clinical case, the medico-legal aspects inherent to the diagnosis of oral cancer, analyzing the preventive, interceptive, and diagnostic strategies, the legal implications of clinical evaluation errors and diagnostic omission, and the type of medical damage produced and professional liability. The medico-legal landscape surrounding oral squamous cell carcinoma is multifaceted and characterized by diagnostic challenges, treatment complexities, and legal considerations. Health-care providers must remain vigilant in navigating these complexities to ensure optimal patient care while mitigating legal risks. By prioritizing high-quality medical records, fostering transparent communication with patients, and implementing preventive strategies, health-care institutions can strive to minimize the incidence of litigation and uphold standards of ethical practice in oral carcinoma cases. Additionally, continued research and education in forensic and legal medicine are essential in informing evidence-based practices and promoting patient safety in this evolving field.

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