Percutaneous cervical cordotomy for managing refractory pain in a patient with a Pancoast tumor:A case report  

作　　者：Kuan-Yu Lu Feng-Sheng Lin Chia-Shiang Lin Hsuan-Chih Lao 

机构地区：[1]Department of Anesthesiology,MacKay Memorial Hospital,Taipei 10449,Taiwan [2]Department of Anesthesiology,National Taiwan University Hospital,Taipei 10002,Taiwan [3]Department of Anesthesiology,Shuang-Ho Hospital,Taipei 23561,Taiwan [4]Institute of Brain Science,College of Medicine,National Yang Ming Chiao Tung University,Taipei 11203,Taiwan [5]Department of Medicine,MacKay Medical College,Taipei 23245,Taiwan

出　　处：《World Journal of Clinical Cases》2024年第21期4770-4776,共7页世界临床病例杂志

摘　　要：BACKGROUND According to the World Health Organization analgesic ladder,cancer-related pain generally begins with pharmacotherapy in a stepwise approach.Nevertheless,some patients continue to experience poorly controlled pain despite medications,particularly when considering adverse effects and self-care quality.Percutaneous cervical cordotomy is an alternative interventional procedure for unremitting unilateral intractable cancer-related pain.CASE SUMMARY The patient was diagnosed with lung cancer with destruction of the brachial plexus and ribs.For 2 mo,the patient experienced progressive severe weakness and pain in the right upper extremity.Notably,the pain intensity reached an extreme level,particularly when lying supine,even under heavy sedation.This heightened pain response posed a significant challenge;as a result,the patient was unable to undergo further evaluation through magnetic resonance imaging.Ultimately,he underwent percutaneous cervical cordotomy for symptom relief,resulting in complete resolution of right arm pain.After a 3-mo follow-up,the pain did not recur,and only a flurbiprofen local patch was required for mild scapular tightness.CONCLUSION Cordotomy,under careful patient selection,appears to enhance the quality of life of patients with unilateral cancerrelated pain.

关 键 词：Cordotomy Cancer pain Intractable pain FLUOROSCOPY Radiofrequency therapy Case report 

分 类 号：R736.3[医药卫生—肿瘤]