Intravenous phenytoin in the management of crescendo pelvic cancer-related pain.
Rapidly progressive pain, or "crescendo" pain, can be a difficult management problem. A cancer patient is presented who experienced crescendo neuropathic pain due to progressive pelvic disease. This patient reported significant pain relief with the administration of intravenous phenytoin. The case illustrates the type of therapeutic approach that may be considered for crescendo pain and highlights a potential role for intravenous phenytoin in the management of patients with crescendo cancer-related neuropathic pain.
Chang
V T
VT
Department of Medicine, Veterans Administration New Jersey Health Care System, East Orange, USA.
D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D008875:Middle Aged; D010166:Palliative Care; D010386:Pelvic Neoplasms / Q000188:drug therapy*; D010672:Phenytoin / Q000008:administration & dosage* / Q000627:therapeutic use
D010672:Phenytoin