Wu Wei, He Xiaodan, Li Shenjie, Jin Ming, Ni Yali
Department of Gynecology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital and Institute, Shenyang, Liaoning, China.
Front Oncol. 2023 Jul 26;13:1205553. doi: 10.3389/fonc.2023.1205553. eCollection 2023.
Gynecological malignancy remains a prevalent cause of mortality among women. Chronic cancer pain, as a severe complication of malignancy and its therapies, accounts for a substantial burden of physical and psychological distress in affected patients. Accordingly, early identification, assessment, and standardized management of such pain are crucial in the prevention or delay of its progression. In the present review, we provide a comprehensive overview of the pathological factors that contribute to pain in patients with gynecological malignancy while highlighting the underlying mechanisms of pain in this population. In addition, we summarize several treatment modalities targeting pain management in gynecologic cancer patients, including surgery, radiotherapy, and chemotherapy. These interventions are crucial for tumor elimination and patient survival. Chronic cancer pain exerts a significant impact on wellbeing and quality of life for patients with gynecologic cancer. Therefore, our review emphasizes the importance of addressing this pain and its psychological sequelae and advocates for a multidisciplinary approach that encompasses nursing and psychological support. In summary, this review offers valuable insights into the pathological factors underlying pain, reviews pain management modalities, and stresses the critical role of early intervention and comprehensive care in enhancing the quality of life of these patients.
妇科恶性肿瘤仍然是女性死亡的常见原因。慢性癌痛作为恶性肿瘤及其治疗的严重并发症,给受影响患者带来了巨大的身心痛苦负担。因此,早期识别、评估和标准化管理此类疼痛对于预防或延缓其进展至关重要。在本综述中,我们全面概述了导致妇科恶性肿瘤患者疼痛的病理因素,同时强调了该人群疼痛的潜在机制。此外,我们总结了几种针对妇科癌症患者疼痛管理的治疗方式,包括手术、放疗和化疗。这些干预措施对于消除肿瘤和患者生存至关重要。慢性癌痛对妇科癌症患者的幸福感和生活质量有重大影响。因此,我们的综述强调了应对这种疼痛及其心理后遗症的重要性,并提倡采用包括护理和心理支持在内的多学科方法。总之,本综述提供了关于疼痛潜在病理因素的宝贵见解,回顾了疼痛管理方式,并强调了早期干预和综合护理在提高这些患者生活质量方面的关键作用。