Symptom management in a patient with advanced prostate cancer

Katarzyna Blacharska-Krzanowska; Katarzyna Strzępek; Damian Cieślikowski; Michael Kozlowski

doi:10.5114/pm.2018.79838

eISSN: 2081-2833
ISSN: 2081-0016

Medycyna Paliatywna/Palliative Medicine

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3/2018
vol. 10

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abstract:

Case report

Symptom management in a patient with advanced prostate cancer

Katarzyna Blacharska-Krzanowska

,

Katarzyna Strzępek

,

Damian Cieślikowski

,

Michael Kozlowski

MEDYCYNA PALIATYWNA 2018; 10(3): 150–156

DOI: https://doi.org/10.5114/pm.2018.79838

Online publish date: 2018/11/22

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Pain is one of the most frequently occurring symptoms among patients suffering from advanced cancer. Its management often presents a challenge for a physician, requiring complex strategies to provide adequate relief. Breakthrough pain, in particular, with its severe intensity and often unpredictable onset, can be distressing not only for patients and caregivers but also for clinicians. Currently breakthrough pain can be effectively treated with immediate release opioids, as well as intranasal and sublingual fentanyl preparations. In this article, we present the case of a patient with advanced prostate cancer suffering from pain symptoms due to several different pathomechanisms. While complex pharmacologic strategies were required, adequate pain control was ultimately achieved.

keywords:

Symptom management in a patient with advanced prostate cancer

Katarzyna Blacharska-Krzanowska , Katarzyna Strzępek , Damian Cieślikowski , Michael Kozlowski

palliative care, pain management, fentanyl

Katarzyna Blacharska-Krzanowska

,

Katarzyna Strzępek

,

Damian Cieślikowski

,

Michael Kozlowski