Campa Tiziana, Fagnoni Elena, Ripamonti Carla
Rehabilitation and Palliative Care Operative Unit, National Cancer Institute of Milan, via Venezian 1, 20133 Milan, Italy.
Support Care Cancer. 2004 Mar;12(3):202-4. doi: 10.1007/s00520-003-0574-1. Epub 2004 Feb 4.
A clinical case of a woman with lung cancer and a very painful bone metastases of the phalangette of the 4th finger of the right hand (acrometastases) is described. Palliative radiation on the 4th finger was not indicated due to almost complete bone destruction. Both patient and daughter refused administration of strong opioids, such as morphine, for pain management, due to fear of addiction and of opioid-related adverse effects. Phalangectomy, with palliative intent, was performed under local anaesthesia, in day surgery, resulting in complete pain relief.
描述了一名患有肺癌且右手无名指指骨出现非常疼痛的骨转移（肢端转移）的女性临床病例。由于几乎完全的骨质破坏，未对无名指进行姑息性放疗。患者及其女儿因担心成瘾和阿片类药物相关的不良反应，拒绝使用吗啡等强效阿片类药物进行疼痛管理。出于姑息目的，在局部麻醉下于日间手术中进行了指骨切除术，术后疼痛完全缓解。
