Resumo

DIAZ ESTEBAN, Asier; ILLAN VARELLA, Selene; ILLAN VARELLA, Andrea  e  PANADERO AMADO, Sonia. Breaktrhough cancer pain bad controlled secondary to bilateral adrenal masses. Hosp. domic. [online]. 2020, vol.4, n.2, pp.89-94.  Epub 01-Jun-2020. ISSN 2530-5115.  https://dx.doi.org/10.22585/hospdomic.v4i2.97.

We present the case of a 67-year-old male with stage IV adenocarcinoma lung cancer who presented difficult control of breakthrough cancer pain. During the course of the disease, the patient had to be hospitalized several times due to complications. The most common complication was breakthrough cancer pain. After many changes in the analgesic treatment (opioid rotation, changes in coadjuvant drugs and routes of administration), good control of analgesic pain was achieved despite the progression of this underlying disease. Finally, the patient required being hospitalized due to deterioration of the general condition and family claudication. Faced with a por prognosis, the Palliative Care and Oncology team decided to establish treatment with comfort measures. We can conclude that the existence of multidisciplinary trained team is necessary for good therapeutic management and a better quality of life in patients.

Palavras-chave : Breakthrough Pain; Adrenal Gland Neoplasms; Neoplasm Metastasis; Dolor; Cancer Pain; Lung Neoplasms.

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