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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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 ...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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).

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)

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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...

    Marco Cascella, Arturo Cuomo in Features and Management of the Pelvic Canc… (2016)