• Vol. 30 No. 6, 632–635
  • 15 November 2001

A Case Report on the Treatment of Intractable Anal Pain from Metastatic Carcinoma of the Cervix



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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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