Page 170 - BSAVA Guide to Pain Management in Small Animal Practice

7 | Cancer pain

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Case examples
In the following case examples we try to demonstrate how a systematic approach to the
assessment of cancer-associated pain in a veterinary patient provided a framework for planning
an effective pain management protocol.
Through examining the local and systemic extent of a tumour and considering the tumour’s
growth rate and growth pattern, conclusions could be made regarding the possible nature
of the tumour-associated pain. The characterization of the pain with respect to its type,
localization, duration and intensity helped to guide therapy.

e ex p e Transitional cell carcinoma

HISTORY AND PRESENTATION TYPES OF PAIN
A year old male neutered rench Bulldog oderate to severe, complex pain in amma
with transitional cell carcinoma of the tory and visceral pain components; probable
prostate and bladder. isease locali ed to the chronic pain associated with central sensiti a
lower urinary tract based on ultrasound tion with the potential for neuropathic pain.
imaging, with no evidence of bone
metastases. CLINICAL EXAMINATION

CLINICAL SIGNS Enlarged and painful prostate on rectal
examination. Concurrent urinary tract
arked dysuria, stranguria, haematuria and infection was also diagnosed following
faecal tenesmus. clinical pathology.

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