Gan to kagaku ryoho. Cancer & chemotherapy
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Gan To Kagaku Ryoho · Dec 2011
[Is home palliative care for head and neck cancer patients a possibility ?].
It is likely that home palliative care for head and neck cancer patients could be treatable at general hospitals or clinics whereas combined joint efforts by medical cooperation from specialists, who are specialized in understanding of the singularity and how to cope with the symptoms, are existed.
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Gan To Kagaku Ryoho · Dec 2011
Review[Prostatectomy-pros and cons on open surgery/laparoscopic surgery/robot-assisted surgery].
We have 3 options when perfoming prostatectomy for the treatment of localized prostate cancer. Those are retropubic radical prostatectomy, laparoscopic radical prostatectomy and robot-assisted laparoscopic radical prostatectomy. ⋯ However, it would be very difficult to adopt it in Japan because it would pose economical difficulties. The administrative assistance in the insurance systems requireds much more than we have.
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Gan To Kagaku Ryoho · Dec 2011
Case Reports[Strontium-89 therapy and subarachnoid phenol block successfully eliminated intractable pain of metastasis in the patient with advanced urachal carcinoma].
We report a case of a 39-year-old man with intractable multifocal pain caused by metastatic urachal carcinoma to the bone. The patient underwent a partial cystectomy in May 2008, and lung metastasis occurred 9 months after the surgery. He then received salvage chemotherapy, but developed metastasis to the liver, brain, and bone. ⋯ Even a combination of fentanyl-patch, oral acetaminophen, gabapentin and paroxetine was not effective for pain control. Strontium-89 therapy and subarachnoid phenol block successfully eliminated intractable pain. The patient could be discharged from hospital and received a palliative care at home for a short period of time.
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In order to clarify the clinical characteristics along with practical care of home hospice care for urological cancer patients, we analyzed 62 terminal ill urological cancer patients who died at home, and these patients were compared with 737 non-urological cancer patients in the period from July 2003 through June 2010. There was a tendency to have a longer homecare period for urological terminal cancer patients. ⋯ On the other hand, there was no big difference for consumption of strong opioid usage among the urological and non-urological cancer patients. In conclusion, although ordinary medical treatments for urological cancer patients showed no significant differences compared with non-urological cancer patients, professional special assistance such as a change of the nephrostomy catheter were required for urological cancer patients.