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Supportive Care in Cancer

, Volume 12, Issue 3, pp 202–204 | Cite as

Palliative surgery of acrometastases from lung cancer: a case report

  • Tiziana Campa
  • Elena Fagnoni
  • Carla RipamontiEmail author
Short Communication

Abstract

A clinical case of a woman with lung cancer and a very painful bone metastases of the phalangette of the 4th finger of the right hand (acrometastases) is described. Palliative radiation on the 4th finger was not indicated due to almost complete bone destruction. Both patient and daughter refused administration of strong opioids, such as morphine, for pain management, due to fear of addiction and of opioid-related adverse effects. Phalangectomy, with palliative intent, was performed under local anaesthesia, in day surgery, resulting in complete pain relief.

Keywords

Acrometastases Lung cancer Pain Palliative surgery Opiodphobia 

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.Rehabilitation and Palliative Care Operative UnitNational Cancer Institute of MilanMilanItaly

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