Cancer Pain update from Matt Brown and Paul Farquhar-Smith

Saw this via cancerpainres twitter list and posting here too – I don’t know either author but they both work at the Royal Marsden.

Article: Pain in Cancer Survivors – filling in the gaps

https://academic.oup.com/bja/article/119/4/723/4111210#.WhQmdBS0IHM.twitter

Abstract:

Cancer survivorship represents a growing clinical challenge for pain clinicians. The population of cancer survivors is rapidly expanding and many of these patients experience pain as a sequelae of their disease and its treatment. 

The features, patho- physiology and natural history of some painful conditions observed in cancer survivors, such as direct tumour effects, can- cer induced bone pain (CIBP) or chronic post-surgical pain have received extensive exposure elsewhere in the literature. 

In this narrative review, we attempt to ‘fill in the gaps’ in the knowledge, by providing a succinct outline of a range of less well known pain states encountered in the cancer survivor population. 

These include neuropathies as a result of graft ver- sus host disease (GVHD), novel chemotherapeutic agents and monoclonal antibodies (mAb), and radiation induced pain states. The increasing prevalence of visceral post-surgical pain and aromatase inhibitor-induced arthralgia (AIA) is also detailed. Additionally an overview of suggested approaches to the assessment of pain in cancer survivors is provided and potential treatment strategies, with a focus on novel approaches are discussed.

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