October 1st 2004
The management of cancer pain requires familiarity with a rangeof therapeutic strategies, including antineoplastic therapies, analgesicpharmacotherapy, and anesthetic, neurosurgical, psychological, andrehabilitation techniques. Successful pain management is characterizedby implementation of the techniques with the most favorable therapeuticindex for the prevailing circumstances, along with provision forrepeated evaluations, so that a favorable balance between pain reliefand adverse effects is maintained. For most patients, pain managementinvolves the administration of specific analgesic approaches. In all cases,these analgesic treatments must be skillfully integrated with the managementof other symptoms.