Pain associated with advanced gynecological malignancy and their treatment
Authors:
Pavla Navrátilová
Authors‘ workplace:
Klinika radiační onkologie, Masarykův onkologický ústav a LF MU, přednosta prof. MUDr. Pavel Šlampa, CSc.
Published in:
Prakt Gyn 2013; 17(1): 47-52
Category:
Oncogynecology: Review Article
Overview
Patients with advanced gynecological malignancy frequently suffer from serious complications caused by the tumour infiltration and pressure on the surrounding pelvic tissues and organs, by the condition of the lymphatic vessels and later also by complications associated with distant metastases. Pain, especially that of chronic nature, is among the most frequent symptoms. Every physician of any specialization should be familiar with the evaluation and basic treatment of pain. The paper discusses the practical principles of therapy and possibilities of reducing the pain related to gynecological malignancies. Special attention is also given to the palliative radiotherapy.
Key words:
pain – gynaecological cancer – analgetics – palliative radiotherapy
Sources
1. Epidemiologie zhoubných nádorů v České republice. Dostupné z WWW: <http://www.svod.cz> .
2. Booth S, Bruera E, Tate T (eds). Paliative care consultations in gynaeoncology. University Press Oxford: Oxford 2004. ISBN 019–852806-X.
3. Sláma O, Adam Z, Ševčík P. Onkologická bolest a její léčba. Kap. 18.3. In: Souček M, Špinar J, Vorlíček J (eds) et al. Vnitřní lékařství: Vol. 2: 1515–1519.
4. Sláma O, Kabelka L, Vorlíček J (eds) et al. Paliativní medicína pro praxi. Galén: Praha 2007. ISBN 978–80–7262–505–5.
5. Vyzula R (ed) et al. Modrá kniha České onkologické společnosti. 15. vyd. (platné od 1. 8. 2012). Brno: Česká onkologická společnost ČLS JEP: 185(tab. 4). ISBN 978–80–904989–0–7. Dostupné z WWW: <http://www.linkos.cz/informace-pro-praxi/modra-kniha/ 30-farmakoterapie-nadorove-bolesti/>.
6. Dostupné z WWW: <http://www.linkos.cz/lecba-bolesti-2/mapa--pracovist-pro-lecbu-bolesti/>.
7. Princ D, Garčicová J, Šlampa P et al. Radiační onkologie v praxi. 3. vyd. Masarykův onkologický ústav: Brno 2011. ISBN 978–80–86793–19–1.
8. Spanos WJ jr, Clery M, Perez CA et al. Late effect of multiple daily fraction palliation schedule for advanced pelvic malignancies (RTOG 8502). Int J Radiat Oncol Biol Phys 1994; 29(5): 961–967.
9. Spanos WJ jr, Pajak TJ, Emami B et al. Radiation palliation of cervical cancer. J Natl Cancer Inst Monogr 1996 (21): 127–130.
10. Kraiphibul P, Srisupundit S, Kiatgumjaikajorn S, Pairachvet V. The experience in using whole pelvic irradiation in management of massive bleeding from carcinoma of the uterine cervix. J Med Assoc Thai 1993; 76(Suppl 1): 78–81.
11. Tan HS. Use of high dose rate gammamed brachytherapy in the palliative treatment of gynaecological cancer. Ann Acad Med Singapore 1994; 23(2): 231–234.
12. Corn BW, Lanciano RM, Boente M et al. Recurrent ovarian cancer. Effective radiotherapeutic palliation after chemotherapy failure. Cancer 1994; 74(11): 2979–2983.
12. Gelblum D, Mychalczak B, Almadrones L et al. Palliative benefit of external-beam radiation in the management of platinum refractory epithelial ovarian carcinoma. Gynecol Oncol 1998; 69(1): 36–41.
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Practical Gynecology
2013 Issue 1
Most read in this issue
- Problems of large birth trauma and associated complications
- Rare complications associated with uterine myomatosis: case reports
- Indications of mammography, breast ultrasound and breast magnetic resonance imaging in young women
- Influence of some anesthetics and sedatives on source of sexual hallucination: undervalued forensic risk for doctors