Aguiar-Rosas Sebastián, Plancarte-Sanchez Ricardo, Hernandez-Porras B Carolina, García-Andreu Jorge, Lezcano-Velazquez Brenda Olivia, Reyes-Torres Ignacio, Alarcón-Barrios Silvia
Pain Clinic, Instituto Nacional de Cancerología, Mexico City, Mexico.
Independent Researcher, Mexico City, Mexico.
Front Oncol. 2024 Apr 25;14:1371779. doi: 10.3389/fonc.2024.1371779. eCollection 2024.
Cervical cancer (CC) occupies the second place in incidence and mortality among women in México. Despite this, Cervical Cancer continues to have a late diagnosis which leads to a high rate of complications. Pain represents the most feared and disabling symptom, being present in up to 86% of patients with advanced disease. The approach to managing pain in this population has not been studied and described to a full extent. In addition, there is a pressing need to provide concise recommendations to promote adequate pain control. We performed a review of the literature in CC and had experts in the field of pain management evaluate the evidence found. We then issued relevant recommendations on pharmacology and interventional pain management. Thus, the approach to pain management must be comprehensive and individualized, considering the timely and appropriate use of pharmacologic treatment as well as interventional procedures.
宫颈癌(CC)在墨西哥女性的发病率和死亡率中位居第二。尽管如此,宫颈癌仍然存在诊断延迟的情况,这导致了高并发症发生率。疼痛是最令人恐惧且致残的症状,在高达86%的晚期疾病患者中出现。针对这一人群疼痛管理的方法尚未得到充分研究和描述。此外,迫切需要提供简洁的建议以促进充分的疼痛控制。我们对宫颈癌相关文献进行了综述,并让疼痛管理领域的专家评估所发现的证据。然后我们就药物治疗和介入性疼痛管理发布了相关建议。因此,疼痛管理方法必须全面且个体化,要考虑及时、适当地使用药物治疗以及介入程序。