[Methods of symptom control in malignant ascites].
Ascites remains a challenge in many patients with advanced cancers in palliative care. Although paracentesis, diuretics and shunting are the commonly used procedures, the evidence is weak. A fast but temporary effect is achieved on symptom relief by paracentesis. Some inherent risks have to be taken into account. On the basis of a case report, different attempts to control malignant ascites are discussed. The report of a young woman with relapsing ovarian cancer and recurrent ascites is presented including the management of symptomatic malignant ascites.
Bodisch
Astrid
A
Department für Palliativmedizin, Hospiz am Rennweg, 2. Medizinische Abteilung, Krankenhaus der Barmherzigen Schwestern, Wien, Osterreich. astrid.bodisch@chello.at
Muschitz
Christian
C
Karthaus
Meinolf
M
D000328:Adult; D001201:Ascites / Q000523:psychology / Q000628:therapy*; D001317:Austria; D003131:Combined Modality Therapy / Q000941:ethics / Q000523:psychology; D018450:Disease Progression; D004232:Diuretics / Q000627:therapeutic use; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000523:psychology / Q000628:therapy*; D010051:Ovarian Neoplasms / Q000523:psychology / Q000628:therapy*; D010166:Palliative Care / Q000941:ethics / Q000379:methods* / Q000523:psychology; D019152:Paracentesis / Q000941:ethics / Q000523:psychology; D010348:Patient Care Team / Q000941:ethics; D010534:Peritoneal Neoplasms / Q000523:psychology / Q000556:secondary* / Q000628:therapy; D026684:Personal Autonomy; D013727:Terminal Care / Q000941:ethics / Q000523:psychology; D014455:Ukraine / Q000208:ethnology
D004232:Diuretics