Aims and objectives
Cancer pain can be effectively managed in about 90% of patients with stepwise use of the WHO analgesic ladder system (1) 80% of the patients with cancer their pain is often severe enough that treatment with opioid analgesics is required.
(2) Although there has been progress in the management of cancer-related pain,
the current treatments still have negative effects on quality of life and survival rates(3) Pain related to the cancer can be caused by a direct mass effect of the tumor,
Methods and materials
18 patients diagnosed with inoperable locally advanced pancreatic cancer ,
8 patients with hepatic malignancies reaching the liver capsule,
(size range 2-5 cm ),
2 patients with aggressive fibromatosis in the lower limbs , 2 patients with retroperitoneal malignant masses (leiomyosarcoma and metastatic lymph nodes ,
1 patient with hemipelvic bony metastatic cancer breast ,
2 patients with metastatic rib from HCC,
6 patients with adenomyosis (2 focal ,
4 diffuse) . They all underwent US guided...
Overall reduction of the pain Visual Analogue scale score,
daily morphine consumption,
Oswestry Disability Index score,
and Patient’s Global Impression of Change score before and 1 week,
and 12 weeks after the procedure In cases of adenomyosis 2 sessions were required to alleviate of the pain ,
with mean interval 10 weeks,
reached the maximum effect of pain relief after mean 12 weeeks after the end of treatment. Complication rate : 0%
US HIFU is safe and efficient in pain control of neoplastic and non neoplastic lesions
Pain and its treatment in outpatients with metastatic cancer.
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Curr Opin Support Palliat Care...