Treatment of cancer pain

Cancer piercing pain is a transient worsening of pain in the form of sudden, short-term, and very intense attacks that occur spontaneously or in conjunction with a specific unpredictable or predictable “trigger mechanism”, despite a relatively stable, well-controlled basic (back) pain.

For all patients with cancer, piercing pain is one of the most common syndromes caused by tumor disease. During the illness, many cancer patients are more afraid of pain than death, because this type of pain occurs with varying frequency and in the diagnosis of malignancy, it is present in 25 to 50% of cases.

In cancer patients, we distinguish two basic components of pain: persistent pain lasting at least 12 hours a day, and breakthrough pain.

The intnsity of breakthrough pain is medium strong to severe with a peak of pain after three to five minutes, and an average duration of about 30 minutes. In order to distinguish this type of pain from a poorly controlled elementary pain, it is defined as: “four, or less, episodes in 24 hours.”

Breakthrough pain occurs as a result of different (neuropathic, nociceptive or combined) pathophysiological mechanisms. According to available data from literature, the incidence of breakthrough pain ranges between 40 and 86% (33% to 90%).
Researches have shown that in 67-76% of cases it is caused by malignant cancer itself (tumor), in 20-33% of episodes pain occurs as a result of oncology therapy, while in about 4% of cases the breakthorugh pain does not have known cause.

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Word of doctor

PhD Branislava Jakovljević

Each patient is provided with the maximum commitment of an experienced and responsible oncology team. The medicines are provided by the Health Insurance Fund, and patients receive chemotherapy with a referral from a family doctor, patients are allowed to receive oncology therapy in a pleasant ambience, with discretion and comfort.

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