Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

多角的アプローチにより癌性疼痛のコントロールを得ることができた非小細胞肺癌の一例

Ichihara, Eiki
Matsuoka, Junji
Matsuzaki, Takashi
Katsui, Kuniaki ORCID Kaken ID
Thumnail 121_173.pdf 618 KB
Abstract
We report a case of cancer-related pain relieved by a polyhedral approach. A woman in her late 30s with advanced non small cell lung cancer suffered from back pain caused by the cancer invasion to a thoracic vertebra. She could not take a sufficient dose of opioid due to its adverse effects. A supplementary analgesic was not found to be effective. Palliative radiation was considered desirable, but she could not maintain a dorsal position for irradiation due to back pain. Continuous epidural anesthesia was then introduced. Epidural anesthesia allowed her to lie in a spine position for radiation therapy. After completion of radiation therapy, her back pain was relieved with a low dose of transdermal fentanyl without epidural anesthesia.
Keywords
癌性疼痛 (cancer-related pain)
硬膜外ブロック (epidural anesthesia)
放射線療法 (radiation therapy)
Note
症例報告
ISSN
0030-1558
NCID
AN00032489
DOI