Pain in the Cancer Patient

1. Front Matter

   Pages I-IX

   PDF

2. Guidelines for Therapy of Pain in Cancer Patients

   • M. Zimmermann, P. Drings

   Pages 1-12

3. Management of Cancer Pain

   • J. J. Bonica

   Pages 13-27

4. The Telos and Ethos of Pain and Suffering

   • H. Pompey

   Pages 28-32

5. Pathological Anatomy of Cancer Pain

   • K. Hill

   Pages 33-44

6. Neurophysiological Mechanisms of Cancer Pain

   • W. Jänig

   Pages 45-58

7. Pharmacology of the Primary Nociceptive Neuron

   • F. Lembeck

   Pages 59-63

8. Frequency of Pain in Patients with Cancer

   • G. Wagner

   Pages 64-71

9. Clinical Pain Syndromes in Cancer Patients and Their Causes

   • R. Hartenstein, W. Wilmanns

   Pages 72-78

10. Analysis of Cancer Pain by the Neurologist

    • M. Berger, F. Gerstenbrand

    Pages 79-84

11. Pain in the Cancer Patient as a Consequence of Therapy (Surgery, Radiotherapy, Chemotherapy)

    • W. Schreml

    Pages 85-99

12. Control of Cancer Pain with Analgesics Acting in the Central Nervous System

    • R. Wörz

    Pages 100-106

13. Epidural Opiates for the Treatment of Cancer Pain

    • M. Zenz

    Pages 107-114

14. Opiates and Respiratory Function in Advanced Cancer

    • T. D. Walsh

    Pages 115-117

15. The Use of Psychotropic Drugs in the Treatment of Cancer Pain

    • R. Kocher

    Pages 118-126

16. Local Anesthetics in the Treatment of Cancer Pain

    • P. Porges

    Pages 127-136

17. Treatment of Cancer Pain with Neurolytic Agents

    • U. Drechsel

    Pages 137-147

18. Neurosurgical Treatment of Cancer Pain

    • J. Siegfried, A. Kühner, V. Sturm

    Pages 148-156

19. Orthopedic Surgery for Management of Tumor Pain

    • A. Braun, K. Rohe

    Pages 157-170

20. Chemotherapy for the Treatment of Cancer Pain

    • W. Queißer

    Pages 171-177

Pain is unfortunately not an early symptom in neoplastic diseases. When it occurs, however, as it so often does in the advanced stages of the disease, then it can be particularly severe. Many physicians are not able to treat such pain efficiently with the standard methods familiar to them. Even in the oncological clinic, it is common for cancer patients not to receive adequate treatment of their pain; the therapeutic efforts are directed principally at the cancer, the pain often being neglected. This book fills a gap in the literature and should enhance the awareness of pain of all those who deal with cancer patients. For the patient, the symptoms of the disease are usually the direct cause of suffering, and pain is often the most severe symptom. The pain may be potentiated by knowledge of the threat posed by the cancer, or may itself considerably increase the patients existing anxiety. Thus there is a vicious circle of pain and psychological factors which will reduce the patient to a state of despair and distress. It is, therefore, obvious that efficient pain therapy is of utmost signi­ ficance to the patient, who will judge the doctor's ability to provide medical assistance according to the degree of pain relief achieved. The patient's quality of life will also depend critically on the relief obtained.

• Opiate
• Patient
• analgesics
• cancer
• chemotherapy
• oncology
• pain
• pharmacology
• quality of life
• radiotherapy
• surgery
• treatment
• tumor

• II. Physiologisches Institut, Universität Heidelberg, Heidelberg 1, Germany

  Manfred Zimmermann

• Klinik für Thoraxerkrankungen der Landesversicherungsanstalt Baden, Krankenhaus Rohrbach, Heidelberg 1, Germany

  Peter Drings

• Deutsches Krebsforschungszentrum, Heidelberg 1, Germany

  Gustav Wagner

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