Vol 12, No 4 (2018)
Case report
Published online: 2019-01-21
Interdisciplinary approach in a patient diagnosed with prostate cancer and spine metastases
Palliat Med Pract 2018;12(4):207-213.
Abstract
Prostate cancer is one of the malignant tumours in which treatment of bone metastases is a significant clinical problem. In this article 66-year-old patient diagnosed with prostate cancer and multiple metastases to all parts of the spine with accompanying neuropathic pain of severe intensity, which disabled self-moving of a patient is presented. The patient was not qualified for surgery during neurosurgeon consultation. During palliative care provision for the patient by an interdisciplinary team of Home Hospice composed pharmacology treatment of pain was introduced using oxycodone/naloxone, ketoprofen and adjuvant analgesics: zoledronate acid with calcium and vitamin D supplementation, pregabalin and dexamethasone. Stability of the spine was provided through high trunk orthosis in order to minimize the risk of spine damage associated with rehabilitation. A significant decrease in pain, constipation and anxiety intensity was achieved with an improvement of overall performance status and quality of life, which enabled a further anticancer treatment and palliative radiotherapy. The submitted case indicates on a necessity of palliative care provided by the interdisciplinary team for patients diagnosed with prostate cancer and dissemination to bones and severe pain intensity, which significantly increases a chance for obtaining satisfactory analgesia, improvement in the quality of life and a possibility of continuing anticancer and symptomatic treatment.
Palliat Med Pract 2018; 12, 4: 207–213
Keywords: bone paintreatmentopioidspainbone metastasesprostate cancer
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