Resumo
JUSTIFICATIVA E OBJETIVOS: Diversas técnicas podem ser utilizadas no controle de dor em pacientes oncológicos. O objetivo deste relato é mostrar o uso de algumas medidas terapêuticas empregadas para tratar um paciente com quadro doloroso importante de difícil controle. RELATO DO CASO: Paciente do sexo masculino, 70 anos, com cordoma sacral e com possibilidade terapêutica muito difícil. Apresentava quadro de dor importante associado ao tumor. São relatadas diversas técnicas utilizadas no seu tratamento e os resultados obtidos. CONCLUSÕES: Os bloqueios neurolíticos, para o controle da dor em paciente com tumores cuja possibilidade terapêutica é difícil, constituem técnica eficaz quando bem indicados e realizados dentro de critérios estabelecidos.
Palavras-chave
DOR, Crônica, TERAPÊUTICA, TERAPÊUTICA
Abstract
BACKGROUND AND OBJECTIVES: Different techniques may be used to control cancer pain. This report aimed at describing some therapeutic measures used to treat a patient with a severe and bad responsive pain. CASE REPORT: A 70-year-old male patient a sacral chordoma of very difficult therapeutic. He referred major tumor-associated pain. Several techniques used to treat pain of this patient and results obtained are reported. CONCLUSIONS: Neurolytic block is an efficient technique to control pain in cancer patients who have no possibilities with standard treatment, especially when properly indicated and following well established routines.
Keywords
PAIN, PAIN, TERAPHEUTIC, TERAPHEUTIC
References
Hongo T, Tsunoda K, Egami Y. Efficacy of epidural neurolysis. Masui. 1995;44:1537-1541.
Hayashi I, Odashiro M, Sasaki Y. Two cases of epidural neurolysis using ethyl alcohol and histopathologic chances in the spinal cord. Masui. 2000;49:877-880.
Patt RB, Payne R, Farhat GA. Subarachnoid neurolytic block under general anesthesia in a 3-year-old with neuroblastoma. Clin J Pain. 1995;11:143-146.
Patt RB, Reddy S. Spinal neurolysis for cancer pain: indications and recent results. Ann Acad Med Singapore. 1994;23:216-220.
Garcia E, Patt RB, Ginsberg LE. Effective but near disastrous subarachnoid neurolysis for mechanical root pain in a paraplegic cancer patient. Clin J Pain. 1996;12:243-249.
McGarvey ML, Ferrante FM, Patel RS. Irreversible spinal cord injury as a complication of subarachnoid ethanol neurolysis. Neurology. 2000;54:1522-1524.