title: [Interventional radiological treatment of tumor pain].
abstract: Tumor pain occurs in 70-80% of all cancer patients who have reached an advanced tumor stage. In the case of failure or poor response to chemotherapy and in cases of recurrence following radiotherapy, tumors will often become enlarged with infiltration of organs, nerve roots or bone which causes severe pain to the patient. Interventional radiological minimally invasive local tumor therapy is often the last resort for tumor patients suffering from severe pain. Interventional radiologists have several options to treat tumor pain but firstly the cause of the pain must be identified. This article presents a classification of patients suffering from tumor pain which can help therapists to decide on the correct form of treatment. Treatment options are discussed using typical case histories and it is shown that patients suffering from severe tumor pain must be treated sequentially, which means that treatment is carried out in multiple steps and each cycle of therapy has to be adapted to the stage of the disease. Local pain treatment is fundamentally based on individual case decisions which should be discussed within an interdisciplinary tumor board and the panel should arrive at a consensus decision. In addition, the radiologist performing the procedure should have many years of experience in interventional oncological radiology. By fulfilling these conditions the interventional radiologist can help the patient in a variety of ways because the available treatment options are effective and do not result in much distress for the patient.
authors.affiliation: Zentralinstitut für Radiologie und Neuroradiologie, Krankenhaus Nordwest, Steinbacher Hohl 2-26, 60488, Frankfurt/Main, Deutschland, duex.markus@khnw.de.
authors.forename: M
authors.initials: M
authors.lastname: Düx
mesh_terms: D059350:Chronic Pain / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D003131:Combined Modality Therapy / Q000379:methods; D000431:Ethanol / Q000627:therapeutic use; D006801:Humans; D006979:Hyperthermia, Induced / Q000379:methods*; D009369:Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement / Q000379:methods; D010166:Palliative Care / Q000379:methods; D015641:Radiography, Interventional / Q000379:methods*; D012597:Sclerosing Solutions / Q000627:therapeutic use
chemical_list: D012597:Sclerosing Solutions; D000431:Ethanol