{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T12:05:14Z","timestamp":1770552314311,"version":"3.49.0"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,7]]},"DOI":"10.7759\/cureus.103148","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T11:56:22Z","timestamp":1770465382000},"source":"Crossref","is-referenced-by-count":0,"title":["Multisystem Disease With Suspected Malignancy: Clinical Management Following Diagnostic Refusal"],"prefix":"10.7759","author":[{"given":"M\u00e1rcia Moreira","family":"Costa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anabela","family":"Andrade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Raquel","family":"Dias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta Henriques","family":"Baptista","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afonso","family":"Carvalhal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2025.1495789","article-title":"Core values and principles of general practice and family medicine: perspectives of German GP residents-a cross-sectional study","volume":"12","author":"Dreher AC","year":"2025","unstructured":"Dreher AC, Ko J, Becker C, et al.. Core values and principles of general practice and family medicine: perspectives of German GP residents-a cross-sectional study. Front Med (Lausanne). 2025, 12:1495789. 10.3389\/fmed.2025.1495789","journal-title":"Front Med (Lausanne)"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159\/000509119","article-title":"Principles of clinical ethics and their application to practice","volume":"30","author":"Varkey B","year":"2021","unstructured":"Varkey B. Principles of clinical ethics and their application to practice. Med Princ Pract. 2021, 30:17-28. 10.1159\/000509119","journal-title":"Med Princ Pract"},{"key":"ref3","article-title":"Shared decision-making in primary care: the neglected second half of the consultation","volume":"49","author":"Elwyn G","year":"1999","unstructured":"Elwyn G, Edwards A, Kinnersley P. Shared decision-making in primary care: the neglected second half of the consultation. Br J Gen Pract. 1999, 49:477-82.","journal-title":"Br J Gen Pract"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136\/jme.24.4.231","article-title":"The cost of refusing treatment and equality of outcome","volume":"24","author":"Savulescu J","year":"1998","unstructured":"Savulescu J. The cost of refusing treatment and equality of outcome. J Med Ethics. 1998, 24:231-6. 10.1136\/jme.24.4.231","journal-title":"J Med Ethics"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ad.2022.01.049","article-title":"Siringoma condroide maligno de localizaci\u00f3n facial con met\u00e1stasis a distancia","volume":"114","author":"Mirandaa JA","year":"2023","unstructured":"Mirandaa JA, Mazzottab MM, Zalazara \u00c9V. Siringoma condroide maligno de localizaci\u00f3n facial con met\u00e1stasis a distancia. Actas Dermosifiliogr. 2023, 114:652-4. 10.1016\/j.ad.2022.01.049","journal-title":"Actas Dermosifiliogr"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/ski2.144","article-title":"Malignant chondroid syringoma: a systematic review","volume":"3","author":"Zufall AG","year":"2023","unstructured":"Zufall AG, Mark EJ, Gru AA. Malignant chondroid syringoma: a systematic review. Skin Health Dis. 2023, 3:e144. 10.1002\/ski2.144","journal-title":"Skin Health Dis"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.5826\/dpc.1404a237","article-title":"Clinical and dermoscopic characteristics of cutaneous chondroid syringoma: a systematic review","volume":"14","author":"Di Guardo A","year":"2024","unstructured":"Di Guardo A, Balampanos CG, Gargano L, Giordano D, Capalbo A, Persechino F, Persechino S. Clinical and dermoscopic characteristics of cutaneous chondroid syringoma: a systematic review. Dermatol Pract Concept. 2024, 14:10.5826\/dpc.1404a237","journal-title":"Dermatol Pract Concept"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2023.0333","article-title":"\u201cThe patient is being pressured!\u201d Coercion versus relational autonomy","volume":"27","author":"McIntee MF","year":"2024","unstructured":"McIntee MF, Madigan McCown L, Chessa F, Hutchinson RN. \u201cThe patient is being pressured!\u201d Coercion versus relational autonomy. J Palliat Med. 2024, 27:964-7. 10.1089\/jpm.2023.0333","journal-title":"J Palliat Med"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/449649-multisystem-disease-with-suspected-malignancy-clinical-management-following-diagnostic-refusal","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T11:56:22Z","timestamp":1770465382000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/449649-multisystem-disease-with-suspected-malignancy-clinical-management-following-diagnostic-refusal"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,7]]},"references-count":8,"URL":"https:\/\/doi.org\/10.7759\/cureus.103148","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2,7]]}}}