PDF(Pubmed)
Abstract：
Advances in medicine have made long-term survival of cancer patients possible. Hence, it is now necessary to consider how to approach common symptoms, such as cancer-related pain, in these patients. In this study, we describe a lung cancer patient in whom relief of intractable thoracic pain caused by pleural metastasis was achieved through thoracic radiofrequency thermocoagulation (RF), improving his quality of life (QOL). The patient was a man in his 70s with right upper lobe lung cancer, left 9th -11th rib metastasis, and left thoracic pain associated with parietal pleural metastasis. The patient experienced insomnia and weight loss due to poor appetite caused by opioid analgesics and inadequate pain control. Therefore, RF was performed as interventional treatment, resulting in a decrease in the numerical rating scale score from 10/10 to 2/10, and an improvement in QOL. In cases wherein long-term survival is expected, a long-term treatment plan for chronic cancer-related pain, which has a tendency to become persistent, becomes necessary. RF for the nerve roots might be a viable option for pain caused by pleural metastasis in cancer survivors.
摘要：
医学的进步使癌症患者的长期生存成为可能。因此，现在有必要考虑如何处理常见症状，比如癌症相关的疼痛，在这些患者中。在这项研究中,我们描述了一位肺癌患者，其中通过胸部射频热凝（RF）缓解了由胸膜转移引起的顽固性胸痛，提高他的生活质量（QOL）。病人是一名70多岁的男性，患有右上叶肺癌，左第9-11肋骨转移，左侧胸痛伴胸膜转移。患者由于阿片类镇痛药引起的食欲不振和疼痛控制不足而出现失眠和体重减轻。因此,射频作为介入治疗，导致数字评分量表得分从10/10降低到2/10，生活质量提高。在预期长期生存的情况下，慢性癌症相关疼痛的长期治疗计划，有一种变得持久的趋势，变得必要。神经根的RF可能是癌症幸存者胸膜转移引起的疼痛的可行选择。
