Maria, a 30-year-old woman with a 3-month history of discomfort in her left hip, had a magnetic resonance imaging (MRI) scan that detected a 7-cm lesion in the left femur that was compatible with a tumor. Maria had already organized her wedding when she received the MRI results. She told her future husband and her family about the outcome of the scan. They were all shocked, and the family was uncertain about whether to postpone the wedding. Maria decided to get married anyway. The wedding took place in July 2014, as planned. Maria danced, laughed and enjoyed herself. It was a great wedding. Afterward, she underwent more tests, including a total-body computed tomographic (CT) scan with a contrast agent that revealed a lesion in the upper lobe of the right lung, multiple pleural nodules, mediastinal lymphadenopathy, and a 14-mm hepatic lesion. After her wedding, Maria underwent a left hip replacement, with the insertion of a prosthesis. Analysis of the bone lesion revealed a bony metastasis from an adenocarcinoma probably originating in the lung. The diagnosis was confirmed by the results of a lung biopsy. The molecular analyses were unremarkable.
Catania C, Del Signore E, Spitaleri G. The Desire for Life and Motherhood Despite Metastatic Lung Cancer. JAMA Oncol. 2019;5(11):1537–1538. doi:10.1001/jamaoncol.2019.2588
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