Abstract
There is abundant evidence that cancer pain is undertreated despite the availability of therapies that could benefit most patients.1 Undertreatment has many causes, among the most important of which is inadequate assessment.2,3 Assessment is a dynamic process that includes evaluation of presenting problems, elucidation of pain syndromes and pathophysiology, and formulation of a comprehensive plan for continuing care.4–8 In this process, the management of pain must be incorporated within a broader therapeutic agenda that addresses the need for antineoplastic treatment, symptom palliation, and functional rehabilitation. 8,9
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References
Stjemsward J, Teoh N. The scope of the cancer pain problem. In: Foley KM, Bonica JJ, Ventafridda V, eds. Advances in Pain Research and Therapy. Second International Congress on Cancer Pain. New York: Raven Press; 1990;16:7–12.
Grossman SA, Sheidler VR, Swedeen K, et al. Correlation of patient and caregiver ratings of cancer pain. J Pain Symptom Manage. 1991;6:53–57.
Von Roenn JH, Cleeland CS, Gonin R, et al. Physicians’ attitudes and practice in cancer pain management: a survey from the Eastern Cooperative Oncology Group. Ann Int Med. 1993;119:121–126.
Cherny NI, Portenoy RK. Cancer pain: principles of assessment and syndromes. In: Wall PD, Melzack R, eds. Textbook of Pain. 3rd ed. London: Churchill Livingstone. 1994;787–824.
Coyle N. A model of continuity of care for cancer patients with chronic pain. Med Clin N Am. 1987;71:259–270.
Levy MH. Effective integration of pain management into comprehensive cancer care. Postgrad Med J. 1991;67(suppl 2):35–43.
Shegda LM, McCorkle R. Continuing care in the community. J Pain Symptom Manage. 1990; 5:279–286.
Ventafridda V. Continuing care: a major issue in cancer pain management. Pain. 1989;36:137–143.
World Health Organization. Cancer Pain Relief and Palliative Care. Geneva: World Health Organization; 1990.
Gonzales GR, Elliot KJ, Portenoy RK, et al. The impact of a comprehensive evaluation in the management of cancer pain. Pain. 1991;47:141–144.
Breitbart W. Psychiatric management of cancer pain. Cancer. 1989;63:2336–2342.
Derogatis LR, Morrow GR, Fetting J, et al. The prevalence of psychiatric disorders among cancer patients. JAMA. 1983;249:751–757.
Saunders C. The philosophy of terminal care. In: Saunders C, ed. The Management of Terminal Malignant Disease. 2nd ed. Baltimore: Arnold; 1984:232–241.
Ventafridda V, DeConno F, Ripamonti C, et al. Quality of life assessment during a palliative care program. Ann Oncol. 1990;1:415–420.
Portenoy RK. Cancer pain: pathophysiology and syndromes. Lancet. 1992;339:1026–1031.
Amer S, Meyerson BA. Lack of analgesic effect of opioids on neuropathic and idiopathic forms of pain. Pain. 1988;33:11–23.
Ventafridda V, Caraceni A. Cancer pain classification: a controversial issue. Pain. 1991;46:1–2.
Devor M, Basbaum AI, Bennett GJ, et al. Group report: mechanisms of neuropathic pain following peripheral injury. In: Basbaum A, Besson J-M, eds. Towards a New Pharmacotherapy of Pain. New York: Wiley; 1991:417–440.
Mense S, Stahnke M. Responses in muscle afferent fibers of slow conduction velocity to contractions and ischaemia in the cat. J Physiol (Lond). 1983;342:343–348.
Ness TJ, Gebhart GE. Visceral pain: a review of experimental studies. Pain. 1990;41:167–234.
Willis WD. The Pain System: The Neural Basis of Nociceptive Transmission in the Mammalian Nervous System. Basel: Karger; 1985.
Portenoy RK. Issues in the management of neuropathic pain. In: Basbaum A, Besson J-M, eds. Towards a New Pharmacotherapy of Pain. New York: Wiley; 1991:393–416.
Bonica JJ, Ventafridda V, Twycross RG. Cancer pain. In: Bonica JJ, ed. The Management of Pain. 2nd ed. Philadelphia: Lea & Febiger; 1990:400–460.
Banning A, Sjogren P, Henriksen H. Pain causes in 200 patients referred to a multidisciplinary cancer pain clinic. Pain. 1991;45:45–48.
Foley KM. Clinical assessment of pain. Acta Anaesth Scand. 1982;74(suppl):91–96.
Twycross RG, Fairfield S. Pain in far-advanced cancer. Pain. 1982;14:303–310.
Foley KM. The treatment of cancer pain. N Engl J Med. 1985;313:84–95.
Nielsen OS, Munro AJ, Tannock IF. Bone metastases: pathophysiology and management policy. J Clin Oncol. 1991;9:509–524.
Payne R. Pharmacological management of bone pain in the cancer patient. Clin J Pain. 1989;5(suppl 2):S43–50.
Wagner G. Frequency of pain in patients with cancer. Recent Results Cancer Res. 1984;89:64–71.
Jonsson OG, Sartain P, Ducore JM, et al. Bone pain as an initial symptom of childhood acute lymphoblastic leukemia: association with nearly normal hematologic indexes. J Pediatr. 1991; 117:233–237.
Gilbert RW, Kim JH, Posner JB. Epidural spinal cord compression from metastatic tumor: diagnosis and treatment. Ann Neurol. 1978;3:40–51.
Sorensen S, Borgesen SE, Rohde K, et al. Metastatic epidural spinal cord compression. Results of treatment and survival. Cancer. 1990;65:1502–1508.
Constans JP, DeVitis E, Donzelli R, et al. Spinal metastases with neurological manifestations: review of 600 cases. J Neurosurg. 1983;59:111–118.
Phillips E, Levine AM. Metastatic lesions of the upper cervical spine. Spine. 1989;14:1071–1077.
Sundaresan N, Galicich JH, Lane JM, et al. Treatment of odontoid fractures in cancer patients. J Neurosurg. 1981;54:187–192.
Bosley TM, Cohen DA, Schatz NJ, et al. Comparison of metrimazole computed tomography with magnetic resonance imaging in the evaluation of lesions at the cervicomedullary junction. Neurology. 1985;35:485–492.
Posner JB. Back pain and epidural spinal cord compression. Med Clin N Am. 1987;71:185–206.
Barcena A, Lobato RD, Rivas JJ, et al. Spinal metastatic disease: analysis of factors determining functional prognosis and choice of treatment. Neurosurgery. 1984;15:820–827.
Portenoy RK, Galer BS, Salamon 0, et al. Identification of epidural neoplasm. Radiography and bone scintigraphy in the symptomatic and asymptomatic spine. Cancer. 1989;64:2207–2213.
Ruff RL, Lanska DJ. Epidural metastases prospectively evaluated in veterans with cancer and back pain. Cancer. 1989;63:2234–2241.
Grant R, Papadopoulos SM, Greenberg HS. Metastatic epidural spinal cord compression. Neurolog Clin. 1991;9:825–841.
Harrington KD. Anterior cord decompression and spinal stabilization for patients with metastatic lesions of the spine. J Neurosurg. 1984;61:107–117.
Sundaresan N, Galicich JH, Lane JM, et al. Treatment of neoplastic epidural cord compression by vertebral resection and stabilization. J Neurosurg. 1985;63:676–684.
Portenoy RK, Lipton RB, Foley KM. Back pain in the cancer patient: an algorithm for evaluation and management. Neurology. 1987;37:134–138.
Hagen N, Stulman J, Krol G, et al. The role of myelography and magnetic resonance imaging in cancer patients with symptomatic and asymptomatic epidural disease. Neurology. 1989;39:309.
Stark RJ, Henson RA, Evans SJW. Spinal metastases: a retrospective survey from a general hospital. Brain. 1982;105:189–197.
DeLattre JY, Arbit E, Thaler HT, et al. A dose response study of dexamethasone in a model of spinal cord compression caused by epidural tumor. J Neurosurg. 1989;70:920–925.
Greenberg HS, Kim J, Posner JB. Epidural spinal cord compression from metastatic tumor: results with a new treatment protocol. Ann Neurol. 1980;8:361–366.
Vecht CJ, Haaxma-Reiche H, van Putten WLJ, et al. Initial bolus of conventional versus high-dose dexamethasone in metastatic spinal cord compression. Neurology. 1989;39:1255–1257.
Rodichok LD, Harper GR, Ruckdeschel JC, et al. Early diagnosis of spinal epidural metastases. Am J Med. 1981;70:1181–1184.
Graus F, Krol G, Foley KM. Early diagnosis of spinal epidural metastasis: correlation with clinical and radiological findings. Proc Am Soc Clin Oncol 5. 1986: Abstract 1047.
O’Rourke T, George CB, Redmond J. Spinal computed tomography and computer tomographic metrimazide myelography in the early diagnosis of spinal metastatic disease. J Clin Oncol. 1986;4:576–581.
Sim FH. Metastatic bone disease: lesions of the pelvis and hip. In: Sim FH, ed. Diagnosis and Management of Metastatic Bone Disease. A Multidisciplinary Approach. New York: Raven Press; 1988:183–198.
Beatrous TE, Choyke PL, Frank JA. Diagnostic evaluation of cancer patients with pelvic pain: comparison of scintigraphy, CT, and MR imaging. Am J Roentgen. 1990;155:85–88.
Forsyth PA, Posner JB. Headache associated with intracranial neoplasms. In: Olesen J, Tfelt-Hansen P, Welch KMA, eds. The Headaches. New York: Raven Press. 1993;705–714.
Fadul C, Misulis KE, Wiley RG. Cerebellar metastases: diagnostic and management considerations. J Clin Oncol. 1987;5:1110–1115.
Posner JB, Chernik NL. Intracranial metastases from systemic cancer. Adv Neurol. 1978;19:575–587.
Greenberg HS, Deck MDF, Vikram B, et al. Metastasis to the base of the skull: clinical findings in 43 patients. Neurology. 1981;31:530–537.
Bingas B. Tumors of the base of the skull. In: Vinken PJ, Bruyn GW, eds. Handbook of Clinical Neurology. Amsterdam: Elsevier; 1974;17:136–233.
Bullitt E, Tew JM, Boyd J. Intracranial tumors in patients with facial pain. J Neurosurg. 1986;64:865–871.
Silen W. Cope’s Early Diagnosis of the Acute Abdomen. 16th ed. New York: Oxford; 1983.
Coombs DW. Pain due to liver capsular distention. In: Ferrer-Brechner T, ed. Common Problems in Pain Management. Common Problems in Anesthesia. Chicago: Year Book Medical Publishers; 1990:247–253.
Mulholland MW, Debas H, Bonica JJ. Diseases of the liver, biliary system and pancreas. In: Bonica JJ, ed. The Management of Pain. Philadelphia: Lea & Febiger, 1990;2:1214–1231.
Baines MJ. Management of malignant intestinal obstruction in patients with advanced cancer. In: Foley KM, Bonica JJ, Ventafridda V, eds. Advances in Pain Research and Therapy: Second International Congress on Cancer Pain. New York: Raven Press; 1990;16:327–336.
Ventafridda V, Ripamonti C, Caraceni A, et al. The management of inoperable gastrointestinal obstruction in terminal cancer patients. Tumori. 1990;76:389–393.
Bender MD. Diseases of the peritoneum, mesentery and diaphragm. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal Disease: Pathophysiology,Diagnosis, Management. 4th ed. Philadelphia: Saunders; 1989:1932–1967.
Lynch MA, Cho KC, Jeffrey RI, et al. CT of peritoneal lymphomatosis. Am J Roentgen. 1988; 151:713–715.
Stillman M. Perineal pain: diagnosis and management, with particular attention to perineal pain of cancer. In: Foley KM, Bonica JJ, Ventafridda V, eds. Advances in Pain Research and Therapy: Second International Congress on Cancer Pain. New York: Raven Press; 1990;16:359–377.
Seefeld PH, Bargen JA. The spread of carcinoma of the rectum: invasion of lymphatics, veins and nerves. Ann Surg. 1943;118:76–90.
Sinaki M, Merritt JL, Stilwell GK. Tension myalgia of the pelvic floor. Mayo Clin Proc. 1977; 52:717–722.
Fair WR. Urologic emergencies. In: DeVita VT, Hellman S, Rosengerg SA, eds. Cancer Principles and Practice of Oncology. 3rd ed. Philadelphia: Lippincott; 1989:2016–2028.
Greenfield A, Resnick MI. Genitourinary emergencies. Semin Oncol. 1989;16:516–520.
Talner LB. Specific causes of obstruction. In: Pollack HM, ed. Clinical Urography. Philadelphia: Saunders; 1990;2:1629–1751.
Cantwell BM, Richardson PG, Campbell SJ. Gynaecomastia and extragonadal symptoms leading to diagnosis delay of germ cell tumours in young men. Postgrad Med J. 1991;67:675–677.
Hands LJ, Greenall MJ. Gynaecomastia. Br J Surg. 1991;78:907–911.
Tseng AJ, Horning SJ, Freiha FS, et al. Gynecomastia in testicular cancer patients. Prognostic and therapeutic implications. Cancer. 1985;56:2534–2538.
Chrisp P, Sorkin EM. Leuprorelin. A review of its pharmacology and therapeutic use in prostatic disorders. Drugs Aging. 1991;1:487–509.
Eberlein TJ. Gynecomastia. In: Harris JR, Hellman S, Henderson IC, Kinne D, eds. Breast Diseases. Philadelphia: Lippincott; 1991:46–50.
Delaere KP, Van Thillo E. Flutamide monotherapy as primary treatment in advanced prostatic carcinoma. Semin Oncol. 1991;5:13–18.
Buchi K. Radiation proctitis: therapy and prognosis. JAMA. 1991; 265:1180.
Earnest DL, Trier JS. Radiation enteritis and colitis. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal Disease: Pathophysiology,Diagnosis, Management. Philadelphia: Saunders; 1989;2:1369–1382.
Epstein JB, Wong FLW, Stephenson-Moore P. Osteoradionecrosis: clinical experience and a proposal for classification. J Oral Maxillofac Surg. 1987;45:104–110.
Epstein JB, Schubert MM, Scully C. Evaluation and treatment of pain in patients with orofacial cancer. Pain Clin. 1991;4:3–20.
Portenoy RK. Evaluation of back pain in the patient with cancer. J Back Pain Musculoskel Rehab. 1993;3:44–52.
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Portenoy, R.K. (1997). Chronic Nociceptive Pain Syndromes: Cancer Pain. In: North, R.B., Levy, R.M. (eds) Neurosurgical Management of Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1938-5_7
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DOI: https://doi.org/10.1007/978-1-4612-1938-5_7
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