Abstract
Pain in cancer inpatients is due to the underlying disease in 78%, is caused by or associated with cancer therapy in 19%, and is due to other medical conditions in 3%. The corresponding figures for outpatients are 65%, 25%, and 10% [1,2]. Although the pain is of somatic origin in most cases, it is nevertheless important to establish an exact diagnosis of the pain in the individual patient because this will determine the therapeutic approach. Coping with the cancer diagnosis is a difficult task for the patient. Therefore it is no surprise that psychic decompensation may occur, leading to a contribution of psychological factors to organically determined pain or to psychogenic pain.
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References
Foley KM (1979) The management of pain of malignant origin. In: Tyler HR, Dawson DM (eds) Current neurology, vol 2. Houghton-Mifflin, Boston, pp 279–302
Kanner RK, Foley KM (1980) Patterns of narcotic drug use in a cancer pain clinic. Ann NY Acad Sci 362: 161–172
Morgan WA Jr, Engel GL (1968) The clinical approach to the Patient. Saunders, Philadelphia
Adler R, Hemmeler W (1986) Praxis und Theorie der Anamnese. Der Zugang zu den biologischen, psychischen und sozialen Aspekten des Kranken. Fischer, Stuttgart
Drossman DA (1982) Patients with psychogenic abdominal pain: six year’s observation in the medical setting. Am J Psychiatry 193: 1549–1557
Sauvant JD, Hürny C, Hemmeler W, Adler RH (1986) The reliability in time of the diagnosis of psychogenic pain: a five year follow-up study. Submitted for publication.
Adler RH (1981) The differentiation of organic and psychogenic pain. Pain 10: 249–252
Engel GL (1970) Conversion symptoms. In: MacBryde CM (ed) Signs und symptoms. Applied physiology and clinical interpretation, 5th edn. Lippincott, Philadelphia, pp 650–668
Freud S (1957) The metapsychological supplement to the theory of dreams, SE XIV, Hogarth, London, pp 217–237
Freud S (1957) Instincts and their vicissitudes, SE XIV. Hogarth, London, pp 109–140
Adler R (1987) Psychosomatische, diagnostische und therapeutische Überlegungen zum Gesichtsschmerz. In: Bergener M, Herzmann C (eds) Das Schmerz-Syndrom — eine interdisziplinäre Aufgabe. VCH, Weinheim, pp 169–177
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© 1988 Springer-Verlag Berlin·Heidelberg
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Adler, R.H., Hürny, C. (1988). Differential Diagnosis of Pain in Cancer Patients. In: Senn, HJ., Glaus, A., Schmid, L. (eds) Supportive Care in Cancer Patients. Recent Results in Cancer Research, vol 108. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82932-1_1
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DOI: https://doi.org/10.1007/978-3-642-82932-1_1
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