Metastatic breast cancer with multiple osseous lesions and severe local pain in vertebrae column treated with the single application of a fentanyl transdermal patch: A case report

• Main Authors: Gregory Tsoucalas, Aliki Fiska
• Format: Article
• Language: English
• Published: Balkan Medical Union 2018-03-01
• Series: Archives of the Balkan Medical Union
• Subjects: breast cancer; bone metastases; spinal column; fentanyl transdermal patch; cancer pain
• Online Access: http://umbalk.org/wp-content/uploads/2018/03/22.METASTATIC-BREAST-CANCER-WITH-MULTIPLE.pdf

Breast cancer is the most frequent type of malignancy among female patients, while spine metastases represent the most frequent anatomic area for both-bone metastases and relapse lesions. The application of a fentanyl transdermal patch presents a significant variant for pain palliation. Although a complete remission of pain after a single application is rather rare, we present a female patient who reported it. GBPI, HADS and ECOG evaluation scales showed significant improvement. Practitioners who deal with oncology and palliative medicine should have a good working knowledge of this opioid.