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Pelvic cancer pain
1Department of Anesthesiology, School of Medicine, University of Louisville, Louisville, Kentucky, USA.
Journal of Surgical Oncology
|January 3, 2001
Summary
Pelvic cancer causes visceral, neuropathic, and somatic pain. Advanced pain management strategies help patients achieve better pain control and improve their quality of life.
Area of Science:
- Oncology
- Pain Medicine
- Palliative Care
Background:
- Pelvic cancers manifest with diverse pain types, including visceral, neuropathic, and somatic pain.
- Neuropathic pain is prevalent, affecting up to 60% of patients due to nerve infiltration and destruction.
- Visceral pain arises from organ distortion, inflammation, ischemia, or tumor encroachment.
Purpose of the Study:
- To elucidate the mechanisms and characteristics of different pain types in pelvic cancer.
- To highlight the impact of nerve infiltration on neuropathic pain development.
- To discuss the management modalities for various pain types in pelvic cancer patients.
Main Methods:
- Review of pain mechanisms in pelvic cancer.
- Analysis of neuropathic pain prevalence and causes.
- Discussion of pain management strategies based on patient factors and available resources.
Main Results:
- Pelvic cancer pain is categorized into visceral, neuropathic, and somatic types.
- Neuropathic pain results from direct nerve invasion, leading to plexopathies and sensory deficits.
- Visceral pain is linked to smooth muscle spasms, organ capsule distortion, and tumor effects.
Conclusions:
- Effective pain management in pelvic cancer requires understanding the specific pain mechanisms.
- Modern pain control modalities, guided by algologists, significantly improve patient outcomes.
- Tailored pain management plans are crucial for enhancing the quality of life for pelvic cancer patients.