Albano Davide, Argo Antonina, Bilello Giuseppa, Cumbo Enzo, Lupatelli Melania, Messina Pietro, Sciarra Fabio Massimo, Sessa Mario, Zerbo Stefania, Scardina Giuseppe Alessandro
Department of Promotion of Health, Maternal-child Internal Medicine and Specialist of Excellence "G. D'Alessandro" University of Palermo 90127, Palermo, Italy.
University of Palermo Department of Precision Medicine in Medical Surgical and Critical Care (Me.Pre.C.C.), Palermo, Italy.
Case Rep Dent. 2024 Sep 21;2024:2578271. doi: 10.1155/2024/2578271. eCollection 2024.
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.
肿瘤病理学的早期诊断对于确定患者的预后和治疗路径起着至关重要的作用。然而，在诊断过程中以及癌前或肿瘤状态检测时可能出现的临床失误和疏漏，无论是对患者的健康还是对专业人员的医疗法律责任而言，都可能导致毁灭性的后果。本研究旨在通过呈现一个具体的临床案例，深入探讨口腔癌诊断所固有的医疗法律问题，分析预防、拦截和诊断策略、临床评估错误和诊断疏漏的法律影响，以及所产生的医疗损害类型和职业责任。围绕口腔鳞状细胞癌的医疗法律情况是多方面的，其特点是诊断挑战、治疗复杂性和法律考量。医疗保健提供者在应对这些复杂性时必须保持警惕，以确保为患者提供最佳护理，同时降低法律风险。通过优先建立高质量的医疗记录、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，在法医学和法律医学方面持续开展研究和教育，对于在这个不断发展的领域为循证实践提供信息并促进患者安全至关重要。
