Treatment of treatment-resistant neuropathic pain in a patient with malignant peripheral nerve sheath tomour of the cauda equina

Anna Klimczak; Beata Jadwiga Stypuła-Ciuba; Marta Kulpa; Elwira Góraj

doi:10.5114/pm.2023.134690

eISSN: 2081-2833
ISSN: 2081-0016

Medycyna Paliatywna/Palliative Medicine

Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

4/2023
vol. 15

Send email

Copy url:

abstract:

Case report

Treatment of treatment-resistant neuropathic pain in a patient with malignant peripheral nerve sheath tomour of the cauda equina

Anna Klimczak

¹

,

Beata Jadwiga Stypuła-Ciuba

²

,

Marta Kulpa

^{3, 4}

,

Elwira Góraj

²

Klinika Nowotworów Tkanek Miękkich i Kości oraz Czerniaków, NIO-PIB, Warszawa, Polska
Klinika Diagnostyki Onkologicznej, Kardioonkologii i Medycyny Paliatywnej, NIO-PIB, Warszawa, Polska
Studium Psychologii Zdrowia, Warszawski Uniwersytet Medyczny, Warszawa, Polska
Poradnia Psychoonkologii NIO-PIB, Warszawa, Polska

Medycyna Paliatywna 2023; 15(4): 211–215

DOI: https://doi.org/10.5114/pm.2023.134690

Online publish date: 2023/12/29

View full text Get citation

PlumX metrics:

We present a case of a patient with MPNST of the cauda equina with treatment-resistant neuropathic pain in which multiple drug rotations and interventional methods of pain treatment were used. Difficult to control pain was the reason for referral of the patient to the care of the Pain Treatment and Palliative Medicine Clinic. The patient was treated with surgical methods of pain treatment and a rotation of analgesics, as well as psychological and physiotherapeutic support. The interdisciplinary approach to the treatment of the patient led to good pain control and a significant improvement in the quality of life. Concurrently, the patient underwent oncological treatment. The multidisciplinary approach increased the patient’s lifespan, despite the unfavourable prognosis of this sarcoma subtype and its location, and it allowed an increase in self-service of basic life functions. The patient is currently in a stable condition, without recurrence of cancer, and she is under the care of a home hospice and the Pain Treatment and Pain Medicine Clinic and the NIO-PIB Oncology Clinic in Warsaw.

keywords:

Treatment of treatment-resistant neuropathic pain in a patient with malignant peripheral nerve sheath tomour of the cauda equina

Anna Klimczak 1 , Beata Jadwiga Stypuła-Ciuba 2 , Marta Kulpa 3, 4 , Elwira Góraj 2

neuropathic pain, pain management clinic, MPNST (malignant peripheral nerve sheath tumour), NRS (numerical rating scale)

Anna Klimczak

¹

,

Beata Jadwiga Stypuła-Ciuba

²

,

Marta Kulpa

^{3, 4}

,

Elwira Góraj

²