Noninvasive celiac plexus radiosurgery in palliative treatment for patients with symptomatic pancreatic cancer

Advanced pancreatic cancer is commonly associated with significant visceral pain, radiating in a belt-like distribution to the upper abdomen, referring to the lower back, and significantly affecting patients’ quality of life (QoL). The pain is often poorly controlled by pharmacotherapy, or the doses...

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Autores principales: Marcin Miszczyk, Jerzy Wydmański, Magdalena Kocot-Kępska, Małgorzata Malec-Milewska, Łukasz Dolla, Wioletta Miśta, Leszek Miszczyk, Maoz Ben-Ailan, Yaacov Richard Lawrence
Formato: article
Lenguaje:EN
Publicado: Termedia Publishing House 2021
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Acceso en línea:https://doaj.org/article/f09a4336cf294ff282b843c7c0b78427
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Sumario:Advanced pancreatic cancer is commonly associated with significant visceral pain, radiating in a belt-like distribution to the upper abdomen, referring to the lower back, and significantly affecting patients’ quality of life (QoL). The pain is often poorly controlled by pharmacotherapy, or the doses necessary to control the pain produce substantial adverse effects. Other available pain management options include invasive celiac plexus block or neurolysis, palliative radiotherapy, and systemic chemotherapy, all with limited efficacy. In this case report, we present the first non-invasive celiac plexus radiosurgery performed in Europe in a patient with pancreatic cancer, demonstrating that significant pain relief can be achieved through a non-invasive procedure performed within 2 outpatient visits.