Vol 11, No 3 (2017)
Case report
Published online: 2017-12-21
Chronic pain treatment in a cancer survivor — a case study
Medycyna Paliatywna w Praktyce 2017;11(3):118-121.
Abstract
Pain in cancer survivors is a major and growing problem. As with all patients, cancer survivors may experience pain from common conditions unrelated to cancer. In addition, survivors may experience comorbid chronic pain acquired or exacerbated during cancer treatment. However, most chronic pain in cancer survivors is treatment related. Chemotherapy, radiotherapy, surgery, hormonal therapy and other treatments, in combination or alone, have the potential to lead to severe persistent pain. This paper presents a case of 61 year-old cancer survivor (from melanoma malignum chorioideae), who was treated with surgery and radiotherapy and as consequence of the management he suffered from chronic facial pain. Pain was managed with oxycodone/naloxon prolonged release tablets, pregabaline and duloxetine with good pain control.
Keywords: painpharmacotherapyoxycodonepregabalineduloxetine
References
- van den Beuken-van Everdingen MHJ, de Rijke JM, Kessels AG, et al. Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol. 2007; 18(9): 1437–1449.
- Epstein JB, Wilkie DJ, Fischer DJ, et al. Neuropathic and nociceptive pain in head and neck cancer patients receiving radiation therapy. Head Neck Oncol. 2009; 1: 26.
- van den Beuken-van Everdingen M. Chronic pain in cancer survivors: a growing issue. J Pain Palliat Care Pharmacother. 2012; 26(4): 385–387.
- Brown MRd, Ramirez JD, Farquhar-Smith P. Pain in cancer survivors. Br J Pain. 2014; 8(4): 139–153.
- Glare PA, Davies PS, Finlay E, et al. Pain in cancer survivors. J Clin Oncol. 2014; 32(16): 1739–1747.
- Bruce J, Quinlan J. Chronic Post Surgical Pain. Rev Pain. 2011; 5(3): 23–29.
- Jain Pn, Padole D, Bakshi S. Prevalence of acute neuropathic pain after cancer surgery: A prospective study. Indian J Anaesth. 2014; 58(1): 36–42.
- Nguyen MT, Billington A, Habal MB. Osteoradionecrosis of the skull after radiation therapy for invasive carcinoma. J Craniofac Surg. 2011; 22(5): 1677–1681.
- Rathy R, Sunil S, Nivia M. Osteoradionecrosis of mandible: Case report with review of literature. Contemp Clin Dent. 2013; 4(2): 251–253.
- Delanian S, Chatel C, Porcher R, et al. Complete restoration of refractory mandibular osteoradionecrosis by prolonged treatment with a pentoxifylline-tocopherol-clodronate combination (PENTOCLO): a phase II trial. Int J Radiat Oncol Biol Phys. 2011; 80(3): 832–839.
- Paice JA, Portenoy R, Lacchetti C, et al. Management of Chronic Pain in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline. J Clin Oncol. 2016; 34(27): 3325–3345.
- Fallon MT. Neuropathic pain in cancer. Br J Anaesth. 2013; 111(1): 105–111.
- Szczudlik A, Dobrogowski J, Wordliczek J, et al. Rozpoznanie i leczenie bólu neuropatycznego: przegląd piśmiennictwa i zalecenia Polskiego Towarzystwa Badania u i Towarzystwa Neurologicznego – część pierwsza. Ból. 2014; 14(2): 8–18.
- Szczudlik A, Dobrogowski J, Wordliczek J, et al. Rozpoznanie i leczenie bólu neuropatycznego: przegląd piśmiennictwa i zalecenia Polskiego Towarzystwa Badania u i Towarzystwa Neurologicznego – część druga. Ból. 2014; 14(3): 8–21.
- Gatti A, Sabato AF, Occhioni R, et al. Controlled-release oxycodone and pregabalin in the treatment of neuropathic pain: results of a multicenter Italian study. Eur Neurol. 2009; 61(3): 129–137.
- Semenchuk MR, Sherman S, Davis B. Double-blind, randomized trial of bupropion SR for the treatment of neuropathic pain. Neurology. 2001; 57(9): 1583–1588.
- Semenchuk MR, Davis B. Efficacy of sustained-release bupropion in neuropathic pain: an open-label study. Clin J Pain. 2000; 16(1): 6–11.
