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CANCER PAIN
Cancer pain is an unpleasant sensory & emotional experience due to actual or potential tissue damage in patients with cancer.
Effective pain management in cancer patients with pain is an essential part of oncologic management due to increasing evidence of survival.
Pancreatic, head & neck cancer has a high prevalence of cancer pain.
During initial evaluation, follow-ups and new therapy initiation of patients with cancer, it is essential that they will be screened & evaluated for pain.

Introduction

  • Effective pain management in cancer patients with pain is an essential part of oncologic management due to increasing evidence of survival
    • Chronic pain syndrome also often occurs following cancer treatments
  • Pancreatic, head and neck cancer has a high prevalence of cancer pain
  • During initial evaluation, follow-ups and new therapy initiation of patients with cancer, it is essential that they be screened and evaluated for pain

Definition

  • An unpleasant sensory and emotional experience due to actual or potential tissue damage in patients with cancer
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Case presentation: The patient is a 46-year-old Korean lady who first presented with aggravating pleuritic chest pain characterised by a stabbing pain in the chest when inhaling and exhaling. A diagnosis of non-small cell lung cancer (NSCLC) was made from computed tomography (CT)-guided needle aspiration biopsy, and the tumour was found to be epidermal growth factor receptor (EGFR) mutation-positive (exon 19 deletion). Chest imaging revealed the presence of left-sided pleural seeding nodules. The patient was treated with afatanib with partial response as best response. Ten months after starting treatment, the patient experienced disease progression.