[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 462
Citations 0
Cancer Care Chronicles
January 9, 2020

First Rites—A Spiritual History Case Study

Author Affiliations
  • 1Indiana University School of Medicine, Bloomington
  • 2Riley Hospital for Children at Indiana University Health, Indianapolis
JAMA Oncol. Published online January 9, 2020. doi:10.1001/jamaoncol.2019.5980

My patient was playing high school tennis when she noticed a painful bump on her right hand. She had heard about some players getting bone spurs, but the bump became bigger and more painful over the next few weeks. Soon it was marching band season, and she had trouble playing her trumpet. Her parents brought her to a pediatrician, who noted her symptoms of back pain, trouble breathing, and the hand mass. A chest radiographic image was taken, and she was found to have pleural effusions, fluid accumulating between the lungs and a saran wrap–like covering for the lungs (the pleura). A chest computed tomography scan was done, and the pediatrician then sent the patient to my pediatric oncology clinic.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words