Multimodal locoregional procedures for cancer pain management: a literature review

Author:

Iezzi Roberto12,Kovács György3,Dimov Vladimir4,Contegiacomo Andrea1ORCID,Posa Alessandro1,Efthymiou Evgenia5,Lancellotta Valentina6,Rodolfino Elena1,Punzi Ernesto2,Trajkovski Zoran B4,Valentini Vincenzo26,Manfredi Riccardo12,Filippiadis Dimitrios5

Affiliation:

1. Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia - Istituto di Radiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

2. Università Cattolica del Sacro Cuore, Rome, Italy

3. Università Cattolica del Sacro Cuore, Gemelli-INTERACTS, Rome, Italy

4. Acibadem Sistina Hospital Skopje, Skopje, North Macedonia

5. "ATTIKON" University Hospital, Athens, Greece

6. UOC Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Roma, Italy

Abstract

Pain is the most common and fearsome symptom in cancer patients, particularly in the advanced stage of disease. In cancer pain management, the first option is represented by analgesic drugs, whereas surgery is rarely used. Prior to considering surgical intervention, less invasive locoregional procedures are available from the wide pain management arsenal. In this review article, comprehensive information about the most commonly used locoregional options available for treating cancer pain focusing on interventional radiology (neurolysis, augmentation techniques, and embolization) and interventional radiotherapy were provided, also highlighting the potential ways to increase the effectiveness of treatments.

Publisher

British Institute of Radiology

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

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