General Features of Pelvic Cancer Pain

  • Chapter
  • First Online:
Features and Management of the Pelvic Cancer Pain

Abstract

The pelvis contains manifold and complexly innervated structures that are potential sources of pain. As a consequence, in pelvic cancer diseases, several factors cause pain, such as the primary solid tumors of the pelvic organs and other pelvic tissues, the metastatic tumors, or the nodal conglomerates causing mass effect. Thus, the pelvic cancer pain is a clinical condition related to the involvement of viscera, pelvic muscular structures, or neural structures due to primitive tumors, local recurrences, or metastasis. Additionally, pain may also follow the treatments of the pelvic masses, for example, the chemotherapy, the radiotherapy, and the surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
EUR 29.95
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 42.79
Price includes VAT (Germany)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
EUR 53.49
Price includes VAT (Germany)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sams T (ed) (2006) ABC’s of pain relief and treatment: advances, breakthroughs, and choices. iUniverse, New York

    Google Scholar 

  2. Chang HM (1999) Cancer pain management. Med Clin North Am 83(3):711–736, vii

    Article  CAS  PubMed  Google Scholar 

  3. Dahl JL (1996) Effective pain management in terminal care. Clin Geriatr Med 12(2):279–300

    CAS  PubMed  Google Scholar 

  4. Procacci P, Meresca M (1990) Pathophysiology of visceral pain. In: Lipton S et al (eds) Advances in pain research and therapy, vol 13. Raven, New York, p 123

    Google Scholar 

  5. Giamberardino MA, Affaitati G, Costantini R (2006) Referred pain from internal organs. In: Cervero F, Jensen TS (eds) Handbook of clinical neurology. Elsevier, Amsterdam, pp 343–360

    Google Scholar 

  6. Stillman MJ (1990) Perineal pain. Diagnosis and management, with particular attention to perineal pain of cancer. In: Foley KM et al (eds) Advances in research and therapy, vol 16. Raven, New York, pp 359–377

    Google Scholar 

  7. Sikandar S, Dickenson AH (2012) Visceral pain: the ins and outs, the ups and downs. Curr Opin Support Palliat Care 6(1):17–26. doi:10.1097/SPC.0b013e32834f6ec9

    Article  PubMed  PubMed Central  Google Scholar 

  8. Jaeckle KA, Young DF, Foley KM (1985) The natural history of lumbosacral plexopathy in cancer. Neurology 35(1):8–15

    Article  CAS  PubMed  Google Scholar 

  9. Casey EB, Jellife AM, Le Quesne PM et al (1973) Vincristine neuropathy. Clinical and electrophysiological observations. Brain 96(1):69–86

    Article  CAS  PubMed  Google Scholar 

  10. Weng HR, Cordella JV, Dougherty PM (2003) Changes in sensory processing in the spinal dorsal horn accompany vincristine-induced hyperalgesia and allodynia. Pain 103(1–2):131–138

    Article  CAS  PubMed  Google Scholar 

  11. Reategui C, Chiang FF, Rosen L et al (2013) Phantom rectum following abdominoperineal excision for rectal neoplasm: appearance and disappearance. Colorectal Dis 15(10):1309–1312. doi:10.1111/codi.12312

    Article  CAS  PubMed  Google Scholar 

  12. Fingren J, Lindholm E, Carlsson E (2013) Perceptions of phantom rectum syndrome and health-related quality of life in patients following abdominoperineal resection for rectal cancer. J Wound Ostomy Continence Nurs 40(3):280–286. doi:10.1097/WON.0b013e31827e8b20

    Article  PubMed  Google Scholar 

  13. Rigor BM Sr (2000) Pelvic cancer pain. J Surg Oncol 75(4):280–300

    Article  PubMed  Google Scholar 

  14. Portenoy RK, Hagen NA (1990) Breakthrough pain: definition, prevalence and characteristics. Pain 41(3):273–281

    Article  CAS  PubMed  Google Scholar 

  15. Zeppetella G (2011) Breakthrough pain in cancer patients. Clin Oncol (R Coll Radiol) 23(6):393–398. doi:10.1016/j.clon.2010.12.002

    Article  CAS  Google Scholar 

  16. Gatti A, Mediati RD, Reale C et al (2012) Breakthrough pain in patients referred to pain clinics: the Italian pain network retrospective study. Adv Ther 29(5):464–472. doi:10.1007/s12325-012-0022-z

    Article  PubMed  Google Scholar 

  17. Portenoy RK, Bennett DS, Rauck R et al (2006) Prevalence and characteristics of breakthrough pain in opioid-treated patients with chronic noncancer pain. J Pain 7(8):583–591

    Article  PubMed  Google Scholar 

  18. Gatti A, Gentili M, Iorno V et al (2013) Beyond the traditional definition of breakthrough pain: an observational study. Adv Ther 300(3):298–305. doi:10.1007/s12325-013-0013-8

    Article  Google Scholar 

  19. Davies AN, Dickman A, Reid C et al (2009) The management of cancer-related breakthrough pain: recommendations of a task group of the Science Committee of the Association for Palliative Medicine of Great Britain and Ireland. Eur J Pain 13(4):331–338. doi:10.1016/j.ejpain.2008.06.014

    Article  PubMed  Google Scholar 

  20. Mercadante S, Radbruch L, Caraceni A et al (2002) Episodic (breakthrough) pain: consensus conference of an expert working group of the European Association for Palliative Care. Cancer 94(3):832–839

    Article  PubMed  Google Scholar 

  21. Doyle D, Hanks G, Cherny N, Calman K (eds) (2004) Oxford textbook of palliative medicine. Oxford University Press, Oxford

    Google Scholar 

  22. Svendsen KB, Andersen S, Arnason S et al (2005) Breakthrough pain in malignant and non-malignant diseases: a review of prevalence, characteristics and mechanisms. Eur J Pain 9(2):195–206

    Article  PubMed  Google Scholar 

  23. Swanwick M, Haworth M, Lennard RF (2001) The prevalence of episodic pain in cancer: a survey of hospice patients on admission. Palliat Med 15(1):9–18

    Article  CAS  PubMed  Google Scholar 

  24. Davies A, Buchanan A, Zeppetella G et al (2013) Breakthrough cancer pain: an observational study of 1000 European oncology patients. J Pain Symptom Manage 46(5):619–628. doi:10.1016/j.jpainsymman.2012.12.009

    Article  PubMed  Google Scholar 

  25. American Pain Foundation (2011) Breakthrough cancer pain: mending the break in the continuum of care. J Pain Palliat Care Pharmacother 25(3):252–264. doi:10.3109/15360288.2011.599920

    Article  CAS  PubMed  Google Scholar 

  26. Mercadante S et al (2015) Italian Oncologic Pain Survey (IOPS): a multi-centre Italian study of breakthrough pain performed in different settings. Clin J Pain 31(3):214–221. doi:10.1097/AJP.0000000000000161

    Article  PubMed  Google Scholar 

  27. Portenoy RK, Payne D, Jacobsen P (1999) Breakthrough pain: characteristics and impact in patients with cancer pain. Pain 81(1–2):129–134

    Article  CAS  PubMed  Google Scholar 

  28. Hwang SS, Chang VT, Kasimis B (2003) Cancer breakthrough pain characteristics and responses to treatment at a VA medical center. Pain 101(1–2):55–64

    Article  PubMed  Google Scholar 

  29. Caraceni A, Martini C, Zecca E et al; Working Group of an IASP Task Force on Cancer Pain (2004) Breakthrough pain characteristics and syndromes in patients with cancer pain. An international survey. Palliat Med 18(3):177–183

    Google Scholar 

  30. Webber K, Davies AN, Cowie MR (2015) Accuracy of a diagnostic algorithm to diagnose breakthrough cancer pain as compared with clinical assessment. J Pain Symptom Manage 50(4):495–500. doi:10.1016/j.jpainsymman.2015.05.006

    Article  PubMed  Google Scholar 

  31. Mercadante S, Marchetti P, Cuomo A et al; IOPS MS study Group (2016) Breakthrough pain and its treatment: critical review and recommendations of IOPS (Italian Oncologic Pain Survey) expert group. Support Care Cancer 24(2):961–968. doi: 10.1007/s00520-015-2951-y

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Cascella, M., Cuomo, A., Viscardi, D. (2016). General Features of Pelvic Cancer Pain. In: Features and Management of the Pelvic Cancer Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-33587-2_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-33587-2_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33586-5

  • Online ISBN: 978-3-319-33587-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Navigation