Page 24 - CPG - Clinical Practice Guidelines - Management of Cancer Pain
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• Somatic Pain { Pain that is due to tissue damage associated with an
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Management of Cancer Pain (Second Edition)
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Knowledge about pain characteristics, syndromes and pathophysiology
provides a useful background to understand cancer pain and helps to
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due to the underlying cancer or from its treatment. However, not all
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differentiate benign causes of pain (e.g. osteoarthritis, migraine and
osteoporosis) which may be managed differently from cancer pain. 9
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• Nociceptive syndromes related to direct tumour involvement
{ Base of skull metastasis
{ Vertebral syndrome
{ Diffuse or multifocal bone pain
{ Pain due to neoplastic involvement of viscera e.g. liver capsular pain
• Neuropathic syndromes related to direct tumour involvement
{ Peripheral nerve syndromes
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{ Leptomeningeal metastasis
{ Epidural spinal cord, nerve root or cauda equina compression
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{ Post-operative pain syndromes such as post-thoracotomy pain
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