Pain in blood cancers.

Indian Journal of Palliative Care
Pasquale NiscolaVitaliana De Sanctis

Abstract

Patients with blood-related cancers (BRC) suffer from a substantial symptom burden, including several pain syndromes sustained by different causes and pathogenetic mechanisms. So, with regard to pain, a multifaceted clinical scenario may be observed in this setting. Indeed, pain may be correlated to disease itself, to disease-associated complications, to iatrogenic causes or may be due to unrelated clinical conditions. A close diagnostic procedure for the assessment of the underlying causes of the pain and of its pathogenetic mechanisms may direct the treatment approach which should be based on a multidisciplinary management and requires the integration of etiology-targeted interventions and painkilling drugs. The World Health Organization's three-step analgesic ladder for cancer pain relief can provide adequate pain control using oral drugs in most patients with BRC on pain, although more complex interventions may be necessary for many difficult-to-treat pain syndromes which are not infrequently encountered in this setting.

Citations

Apr 23, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Pasquale NiscolaPaolo de Fabritiis
Feb 15, 2019·Palliative Medicine·Carmen Quiñoa-SalanovaMontserrat Edo-Gual
Jan 24, 2019·The Korean Journal of Pain·Vissnukumar VijayakumarSujeet Gautam
Jul 2, 2019·Journal of Pain & Palliative Care Pharmacotherapy·Aparna ChatterjeeP N Jain

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BETA
X-ray
sedation

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