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Title: Cienie pod oczami nowotwór: A Case Study on Periorbital Dark Circles and Cancer

Introduction:
Periorbital dark circles, commonly known as "cienie pod oczami" in Polish, refer to the dark discoloration or shadows that appear underneath the eyes. While usually harmless and associated with factors like fatigue, aging, or genetics, these dark circles may sometimes be linked to serious underlying health conditions, including cancer. This case study aims to explore a specific instance where periorbital dark circles were a presenting symptom of cancer.

Case Presentation:
A 45-year-old Polish woman, Mrs. Katarzyna, visited her family physician with concerns about persistent dark circles around her eyes. She had noticed the appearance of these dark circles over the past six months and felt that they had become more prominent with time. Mrs. Katarzyna reported experiencing significant fatigue and occasional bouts of dizziness. She denied any history of trauma or allergies that could explain the dark circles. Her medical history was unremarkable, with no known chronic illnesses.

Clinical Examination and Investigations:
During the physical examination, the physician noted the presence of bilateral periorbital dark circles, which were more pronounced in the morning. There were no other remarkable findings upon examination of Mrs. Katarzyna's eyes, and her visual acuity and intraocular pressure were within normal limits. However, her conjunctiva appeared pale, and mild lymphadenopathy was noted in the cervical region.

In light of the persistent dark circles and associated symptoms, the physician ordered further investigations. Blood tests revealed microcytic hypochromic anemia, with reduced hemoglobin levels and low serum ferritin. Additionally, a computed tomography (CT) scan of the abdomen and pelvis was performed to evaluate any potential underlying causes. The CT scan revealed a mass in the sigmoid colon, which was subsequently confirmed as carcinoma through a biopsy.

Diagnosis and Management:
Based on the findings, Mrs. Katarzyna was diagnosed with sigmoid colon carcinoma, which had metastasized to regional lymph nodes. The dark circles under her eyes were believed to be a manifestation of her underlying cancer. The patient was referred to an oncologist for further management, including surgical intervention and chemotherapy.

Outcome and Follow-up:
Mrs. Katarzyna underwent a successful surgical resection of the sigmoid colon tumor, followed by adjuvant chemotherapy. Throughout her treatment, the periorbital dark circles gradually diminished, eventually disappearing completely over the course of several months. When you loved this short article and you want to receive details with regards to błogosławieństwo małżonków tekst generously visit our own web page. Subsequent follow-up visits showed no evidence of disease recurrence, and the patient's overall health improved significantly.

Discussion:
While periorbital dark circles are commonly attributed to non-serious factors, this case study highlights a rare scenario where these circles acted as an early warning sign of an underlying malignancy. The exact mechanisms behind the association of dark circles with cancer remain unclear; however, it is believed that tissue hypoxia, anemia, and lymphatic obstruction caused by the tumor may contribute to their development.

Conclusion:
This case study emphasizes the importance of considering periorbital dark circles as a potential indicator of underlying health conditions, including cancer. Physicians should maintain a high index of suspicion when patients present with persistent or worsening dark circles, especially when accompanied by other concerning symptoms. Early diagnosis and appropriate management can significantly improve the outcomes and overall prognosis of patients.