A case report on the treatment of intractable anal pain from metastatic carcinoma of the cervix

Cancer pain in the terminally ill often poses great therapeutic dilemma. Opioids, whilst being useful in most cases, often leaves a patient heavily sedated and constipated at high doses and sometimes, in persistent agony from cancer pain. An Indian lady who suffered from metastatic carcinoma of the cervix experienced tremendous pain and disability despite high doses of narcotics and membrane stabilizers. A ganglion of impar block and superior hypogastric plexus block were performed with a neurolytic agent. The patient's pain and opioids usage were markedly reduced. Neurolytic nerve block can offer a great therapeutic option in selected cancer patients.