• Bulletin du cancer · Sep 2009

    [Neuropathic pain in cancer.].

    • V Guastella and G Mick.
    • CETD et USP, CHU de Clermont-Ferrand, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 01, France, CETD, hôpital neurologique, CHU de Lyon, 59, boulevard Pinel, 69394 Lyon cedex 03, France.
    • Bull Cancer. 2009 Sep 1; 96 Suppl 2: 47-58.

    AbstractNeuropathic pain often occurs in the course of cancer evolution, but also as sequelae of surgical treatment, chemotherapy, or radiotherapy, when a nervous structure is impaired. Clinical features of neuropathic pain are specific, including spontaneous and evoked painful symptoms that are localized in an area of sensitive nerve distribution. Neuropathic pain may be concomitant to nociceptive pain, and its diagnosis can be easily performed in clinical practice using the DN4 questionnaire. Treatment of neuropathic pain is also specific, based on certain antidepressant or antiepileptic, often in combination with strong opioids.

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