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...
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| Veröffentlicht in: | Annals of the Academy of Medicine, Singapore Singapore, 2001-11, Vol.30 (6), p.632-635 |
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| container_end_page | 635 |
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| container_title | Annals of the Academy of Medicine, Singapore |
| container_volume | 30 |
| creator | Yeo, S N Chong, J L |
| description | 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. |
| format | Article |
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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.</description><identifier>ISSN: 0304-4602</identifier><identifier>PMID: 11817293</identifier><language>eng</language><publisher>Singapore</publisher><subject>Adult ; Anal Canal ; Anesthetics, Local - administration & dosage ; Autonomic Nerve Block - methods ; Carcinoma - secondary ; Female ; Ganglia, Autonomic ; Humans ; Hypogastric Plexus ; Lidocaine - administration & dosage ; Pain, Intractable - drug therapy ; Pain, Intractable - etiology ; Rectal Neoplasms - complications ; Rectal Neoplasms - secondary ; Uterine Cervical Neoplasms - pathology</subject><ispartof>Annals of the Academy of Medicine, Singapore, 2001-11, Vol.30 (6), p.632-635</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11817293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yeo, S N</creatorcontrib><creatorcontrib>Chong, J L</creatorcontrib><title>A case report on the treatment of intractable anal pain from metastatic carcinoma of the cervix</title><title>Annals of the Academy of Medicine, Singapore</title><addtitle>Ann Acad Med Singapore</addtitle><description>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.</description><subject>Adult</subject><subject>Anal Canal</subject><subject>Anesthetics, Local - administration & dosage</subject><subject>Autonomic Nerve Block - methods</subject><subject>Carcinoma - secondary</subject><subject>Female</subject><subject>Ganglia, Autonomic</subject><subject>Humans</subject><subject>Hypogastric Plexus</subject><subject>Lidocaine - administration & dosage</subject><subject>Pain, Intractable - drug therapy</subject><subject>Pain, Intractable - etiology</subject><subject>Rectal Neoplasms - complications</subject><subject>Rectal Neoplasms - secondary</subject><subject>Uterine Cervical Neoplasms - pathology</subject><issn>0304-4602</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kMtOwzAURL0A0VL4BeQVu0h-JHGyrCpeUiU2sI6ub26EUewE20Hw97SiXY00OnMWc8HWQouyKGuhVuw6pU8hSiNUfcVWUjbSqFavWbflCIl4pHmKmU-B5w_iORJkT-FQDNyFHAEz2JE4BBj5DC7wIU6ee8qQMmSHB0tEFyYPx8nRgRS_3c8NuxxgTHR7yg17f3x42z0X-9enl912X8xKmFxoEkBS1qopK1UNvdE1mlIMwuoKqbUarK2JsLEKLWJrehjQ9KaVskelrN6w-3_vHKevhVLuvEtI4wiBpiV1RmmltJYH8O4ELtZT383ReYi_3fkS_Qf2O12x</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>Yeo, S N</creator><creator>Chong, J L</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20011101</creationdate><title>A case report on the treatment of intractable anal pain from metastatic carcinoma of the cervix</title><author>Yeo, S N ; Chong, J L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p207t-3e0ae116284525fd736c740f0b35ce9b3abb6eec8b2cbcc97dafc7d7911dc22b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Anal Canal</topic><topic>Anesthetics, Local - administration & dosage</topic><topic>Autonomic Nerve Block - methods</topic><topic>Carcinoma - secondary</topic><topic>Female</topic><topic>Ganglia, Autonomic</topic><topic>Humans</topic><topic>Hypogastric Plexus</topic><topic>Lidocaine - administration & dosage</topic><topic>Pain, Intractable - drug therapy</topic><topic>Pain, Intractable - etiology</topic><topic>Rectal Neoplasms - complications</topic><topic>Rectal Neoplasms - secondary</topic><topic>Uterine Cervical Neoplasms - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yeo, S N</creatorcontrib><creatorcontrib>Chong, J L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of the Academy of Medicine, Singapore</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yeo, S N</au><au>Chong, J L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case report on the treatment of intractable anal pain from metastatic carcinoma of the cervix</atitle><jtitle>Annals of the Academy of Medicine, Singapore</jtitle><addtitle>Ann Acad Med Singapore</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>30</volume><issue>6</issue><spage>632</spage><epage>635</epage><pages>632-635</pages><issn>0304-4602</issn><abstract>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.</abstract><cop>Singapore</cop><pmid>11817293</pmid><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0304-4602 |
| ispartof | Annals of the Academy of Medicine, Singapore, 2001-11, Vol.30 (6), p.632-635 |
| issn | 0304-4602 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72322331 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Anal Canal Anesthetics, Local - administration & dosage Autonomic Nerve Block - methods Carcinoma - secondary Female Ganglia, Autonomic Humans Hypogastric Plexus Lidocaine - administration & dosage Pain, Intractable - drug therapy Pain, Intractable - etiology Rectal Neoplasms - complications Rectal Neoplasms - secondary Uterine Cervical Neoplasms - pathology |
| title | A case report on the treatment of intractable anal pain from metastatic carcinoma of the cervix |
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