Skip to main content

Differential Diagnosis of Pain in Cancer Patients

  • Conference paper
Supportive Care in Cancer Patients

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 108))

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 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

    Google Scholar 

  2. Kanner RK, Foley KM (1980) Patterns of narcotic drug use in a cancer pain clinic. Ann NY Acad Sci 362: 161–172

    Article  Google Scholar 

  3. Morgan WA Jr, Engel GL (1968) The clinical approach to the Patient. Saunders, Philadelphia

    Google Scholar 

  4. Adler R, Hemmeler W (1986) Praxis und Theorie der Anamnese. Der Zugang zu den biologischen, psychischen und sozialen Aspekten des Kranken. Fischer, Stuttgart

    Google Scholar 

  5. Drossman DA (1982) Patients with psychogenic abdominal pain: six year’s observation in the medical setting. Am J Psychiatry 193: 1549–1557

    Google Scholar 

  6. 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.

    Google Scholar 

  7. Adler RH (1981) The differentiation of organic and psychogenic pain. Pain 10: 249–252

    Article  PubMed  CAS  Google Scholar 

  8. Engel GL (1970) Conversion symptoms. In: MacBryde CM (ed) Signs und symptoms. Applied physiology and clinical interpretation, 5th edn. Lippincott, Philadelphia, pp 650–668

    Google Scholar 

  9. Freud S (1957) The metapsychological supplement to the theory of dreams, SE XIV, Hogarth, London, pp 217–237

    Google Scholar 

  10. Freud S (1957) Instincts and their vicissitudes, SE XIV. Hogarth, London, pp 109–140

    Google Scholar 

  11. 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

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag Berlin·Heidelberg

About this paper

Cite this paper

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-82932-1_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-82934-5

  • Online ISBN: 978-3-642-82932-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics