ABSTRACT
Introduction: Cancer pain in the terminally ill often pose great therapeutic dilemma. Opioids, whilst being useful in most cases, often leaves a patient heavily sedated and constipated at high doses and sometimes, in persistent agony from cancer pain.
Clinical Picture: An Indian lady who suffered from metastatic carcinoma of the cervix experienced tremendous pain and disability despite high doses of narcotics and membrane stabilisers. Treatment: A ganglion of impar block and superior hypogastric plexus block were performed with a neurolytic agent. Outcome: The patient’s pain and opioids usage were markedly reduced. Conclusion: Neurolytic nerve block can offer a great therapeutic option in selected cancer patients.Unremitting pain remained a primary therapeutic challenge in cancer patients. Both opioids and non-opioids are often the main stay of therapy for many.
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