title: [Palliative therapy in bronchial carcinoma--implanted delivery system and ports].
abstract: This case report of a 54-year-old patient, with a metastasized non-small cell bronchial carcinoma, shows us the different ways in pain therapy alternatives. We report the possibility of using spinal delivery systems (especially epidural/intrathecal) in palliative therapy, if like in this case oral applicated opioids were not very successful. We discuss the advantages and disadvantages of this method and point out the possible side effects. Finally, we conclude that it has to be decided on a case per case basis, if this therapy is applicable or not.
authors.affiliation: Abteilung für Innere Medizin, Krankenhaur der Barmherzigen Brüder, Wien, Osterreich. abteilung.interne@bbwien.at
authors.forename: Thomas
authors.initials: T
authors.lastname: Reif-Gintl
authors.forename: Wilfried
authors.initials: W
authors.lastname: Ilias
mesh_terms: D000230:Adenocarcinoma / Q000503:physiopathology* / Q000556:secondary; D000368:Aged; D015360:Analgesia, Epidural; D016058:Analgesia, Patient-Controlled; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D001859:Bone Neoplasms / Q000503:physiopathology / Q000556:secondary; D002283:Carcinoma, Bronchogenic / Q000503:physiopathology*; D002408:Catheters, Indwelling; D006801:Humans; D007260:Infusion Pumps; D008175:Lung Neoplasms / Q000503:physiopathology*; D008297:Male; D009020:Morphine / Q000008:administration & dosage*; D009407:Nerve Block; D010148:Intractable Pain / Q000188:drug therapy*; D010166:Palliative Care / Q000379:methods*
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine