Case Report

Cancer and Anorexia Nervosa in the Adolescence: A Family-Based Systemic Intervention

Table 1

Synopsis of reported cases of anorexia nervosa associated to cancer.

Author [ref.]Age/sexTumor typeTime frame from diagnoses of cancer and anorexiaAnticancer treatment(s)Status of cancer at the diagnosis of anorexiaTreatment strategy for anorexiaClinical outcomes

Szajnberg et al. [12]8/FAcute lymphoblastic leukemiaCancer diagnosed eight weeks before anorexiaChemotherapyClinical remissionCognitive behavior techniquesTumor: isolated CNS relapse 15 months after remission
Anorexia: resolved; no recurrence at leukemia relapse

O’Brien et al. [13]13/FMeningiomaAnorexia diagnosed six weeks before cancerSurgeryClinically silentPsychotherapy and parental counselingTumor: 2-year continuous remission
Anorexia: resolved; no recurrence at 2 years

Frankel and Halmi [14]16/MGastrointestinal stromal tumorAnorexia diagnosed 2 years before cancerSurgery and imatinib mesylate therapyProbably clinically silent at start of anorectic convictionsCognitive behavior techniquesTumor: recurrence at 3 years after resection of primary tumor;
Anorexia: recurring
pattern during cancer
treatment and
recurrences; resolved
once tumor was in
long-lasting control

De Benedetta et al. [present report]15/FOsteosarcomaCancer diagnosed nine weeks before anorexiaChemotherapy and surgeryClinical remissionFamily-based systemic psychotherapyTumor: 4-year continuous remission
Anorexia: resolved; no recurrence at 2 years