Special needs related to the pain and discomfort of patients with gynecologic cancer.

Patients with gynecologic malignancies can experience pain associated with a variety of causes. Chronic pain associated with the disease or treatment presents the most problems. Chronic cancer-related pain is associated with negative mood states and a decrease in the patient's quality of life. Clinicians must conduct pain assessments on a routine basis to accurately diagnose the specific pain syndrome in patients with gynecologic cancer. An overview of how to conduct a pain assessment with such patients is provided. The etiology, clinical manifestations, and treatment strategies for the most common pain syndromes seen in patients with gynecologic cancer are reviewed. The use of nonpharmacologic interventions with this patient population is discussed.

[1]  P. Stevens,et al.  Prevalence, characteristics, and impact of postmastectomy pain syndrome: an investigation of women's experiences , 1995, Pain.

[2]  C. Miaskowski Current concepts in the assessment and management of cancer-related pain. , 1993, Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses.

[3]  J. S. McDonald,et al.  Role of spinal opioid receptors in the antinociceptive interactions between intrathecal morphine and bupivacaine. , 1992, Anesthesia and analgesia.

[4]  S. D. Du Pen,et al.  Management of patients receiving combined epidural morphine and bupivacaine for the treatment of cancer pain. , 1992, Journal of pain and symptom management.

[5]  M. Brennan,et al.  Lymphedema following the surgical treatment of breast cancer: a review of pathophysiology and treatment. , 1992, Journal of pain and symptom management.

[6]  K. Buchi Radiation proctitis: therapy and prognosis. , 1991, JAMA.

[7]  J. Puente,et al.  Variations in sensitivity after sectioning the intercostobrachial nerve. , 1990, American journal of surgery.

[8]  S. D. Du Pen,et al.  Infection during chronic epidural catheterization: diagnosis and treatment. , 1990, Anesthesiology.

[9]  J. Aldrete,et al.  Superior hypogastric plexus block for pelvic cancer pain. , 1990, Anesthesiology.

[10]  F. Boureau,et al.  Study of verbal description in neuropathic pain , 1990, Pain.

[11]  C. Post,et al.  Local Anesthetics Potentiate Spinal Morphine Antinociception , 1988, Anesthesia and analgesia.

[12]  K. Foley Pain syndromes in patients with cancer. , 1987, The Medical clinics of North America.

[13]  R. Lipton,et al.  Back pain in the cancer patient , 1987, Neurology.

[14]  C. Feinmann Pain relief by antidepressants: Possible modes of action , 1985, Pain.

[15]  Josef K. Wang Intrathecal morphine for intractable pain secondary to cancer of pelvic organs , 1985, Pain.

[16]  H. Fields,et al.  Pain due to peripheral nerve damage , 1984, Neurology.

[17]  Morton Rosenberg,et al.  Management of Cancer Pain, Clinical Practice Guideline No. 9. , 1996 .