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Book
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Chapter
Conclusion
Cancer-associated pain in advanced neoplastic diseases of the pelvis is often the most debilitating aspect of the malignant disease; therefore, it is recognized as a significant health issue. About 75 % of the...
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Chapter
General Features of Pelvic Cancer Pain
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...
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Chapter
Central Neuraxial Blocks
About 85 and 90 % of patients with advanced cancer can have their pain well controlled with the use of analgesic drugs and adjuvants, which usually can be taken orally [1]. However, failure in controlling the ...
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Chapter
Minimally Invasive Palliative Treatments
A special chapter of pain management in patients affected by refractory cancer pain, not responding to “standard” treatments, concerns the possibility of using MIPPs [1]. This term refers to several techniques...
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Chapter
Pain Management Team and Palliative Care Setting
Approximately, 65 % of persons diagnosed with cancer today can expect to live at least 5 years after diagnosis compared with only 35 % in the 1950s and 50 % in the 1980s [1]. There are more than 13 million can...
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Chapter
Pelvic Pain in Different Cancer Diseases
The pain may have various characteristics according to the different pelvic neoplastic diseases (Table 3.1). The features and the latency of the symptoms depend on many factors, including the anatomy and inner...
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Chapter
Pain Assessment
While pain is a highly subjective experience, its management necessitates objective standards of care. Consequently, patient’s painful experience assessment is a crucial moment during pain management and makes...
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Chapter
Palliative Radiotherapy
RT can provide safe, cost-effective, efficient palliation of various symptoms of advanced cancer with minimal side effects, also in pelvic cancer diseases. Approximately, one-half of the RT prescribed in the U...
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Chapter
Neurolytic Sympathetic Plexus Blocks
Pain from malignant involvement of visceral organs is conveyed along sympathetic pathways and may be amenable to interruption of these pathways [1] (see also Table 7.1).
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Chapter
Psychological, Behavioral, and Rehabilitation Approaches to Cancer Pain Management
Cancer pain is usually treated medically with pharmacological and non-pharmacological approaches; nevertheless, both patients and healthcare professionals often underestimate the impact of cancer pain on psych...
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Chapter
Pain Syndromes Associated with Cancer Therapy
Cancer pain is mostly disease related; however, considering that the cancer incidence increases and the survival improves, thanks to the better oncological management, there is an increasing number of patients...
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Chapter
Pharmacological Approaches
Guidelines have been developed to assist providers in assessing and treating the cancer pain [1, 2]. Analgesics, particularly opioids, are the mainstay of cancer pain treatment, but it is possible to use a gre...