Therapeutic approach to the Pancoast pain syndrome.
The incidence of the Pancoast syndrome ranges from 2 to 5% of patients with lung cancer. We treated 20 cases between 1979 and 1984 with 29 procedures including percutaneous cordotomy, selective posterior radiculotomy, decompressive laminectomy, central administration of opiates, and TENS. Selective posterior radiculotomy gave the best pain relief.
D002047:Buprenorphine / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D007278:Injections, Spinal; D007796:Laminectomy; D009020:Morphine / Q000008:administration & dosage; D010148:Intractable Pain / Q000628:therapy*; D010178:Pancoast Syndrome / Q000503:physiopathology*; D013116:Spinal Cord / Q000601:surgery; D013126:Spinal Nerve Roots / Q000601:surgery
D002047:Buprenorphine; D009020:Morphine