eISSN: 1897-4309
ISSN: 1428-2526
Contemporary Oncology/Współczesna Onkologia
Current issue Archive Manuscripts accepted About the journal Supplements Addendum Special Issues Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
2/2021
vol. 25
 
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abstract:
Case report

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

Marcin Miszczyk
1
,
Jerzy Wydmański
2
,
Małgorzata Kocot-Kępska
3
,
Małgorzata Malec-Milewska
4
,
Łukasz Dolla
2
,
Wioletta Miśta
2
,
Leszek Miszczyk
2
,
Maoz Ben-Ailan
5
,
Yaacov Richard Lawrence
5

1.
IIIrd Department of Radiotherapy and Chemotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, Poland
2.
Radiotherapy Department, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, Poland
3.
Department of Pain Research and Treatment, Jagiellonian University Medical College, Krakow, Poland
4.
Department of Anaesthesiology and Intensive Care, Medical Centre for Postgraduate Education, Warsaw, Poland
5.
Radiation Oncology, Sheba Medical Centre, Ramat Gan, Israel
Contemp Oncol (Pozn) 2021; 25 (2): 140–145
Online publish date: 2021/07/01
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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.
keywords:

radiosurgery, celiac plexus, pain, quality of life

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