Possibilities of pain management during photodynamic therapy
The authors consider the possibilities of pain management during photodynamic therapy (PDT) of visible tumors based on the observation of 102 patients. Of the total number of patients, 62 had verified basal cell skin cancer, 10 people - squamous cell skin cancer, another 10 - oral and oropharynx muc...
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Non-profit partnership for development of domestic photodynamic therapy and photodiagnosis "Russian Photodynamic Association"
2020-10-01
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Online Access: | https://www.pdt-journal.com/jour/article/view/438 |
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doaj-83ca2d3d683f420eaef31f04987009992021-07-29T08:06:59ZrusNon-profit partnership for development of domestic photodynamic therapy and photodiagnosis "Russian Photodynamic Association"Biomedical Photonics2413-94322020-10-0193132010.24931/2413-9432-2020-9-13-20210Possibilities of pain management during photodynamic therapyS. A. Shinkarev0V. A. Borisov1S. N. Boldyrev2V. N. Podolsky3Z. I. Abdurashidov4A. P. Zagadaev5O. N. Klycheva6Lipetsk State Oncology Clinic; Voronezh State Medical University named after N.N. BurdenkoLipetsk State Oncology Clinic; Voronezh State Medical University named after N.N. BurdenkoLipetsk State Oncology ClinicLipetsk State Oncology ClinicLipetsk State Oncology ClinicLipetsk State Oncology Clinic; Voronezh State Medical University named after N.N. BurdenkoLipetsk State Oncology ClinicThe authors consider the possibilities of pain management during photodynamic therapy (PDT) of visible tumors based on the observation of 102 patients. Of the total number of patients, 62 had verified basal cell skin cancer, 10 people - squamous cell skin cancer, another 10 - oral and oropharynx mucosa cancer, 8 - oral leukoplakia and dysplasia, in 6 - lower lip cancer, in 4 - breast cancer, in 2 - other localizations of neoplasms. In 15 patients, nonsteroidal anti-inflammatory drugs (NSAID) were used as pain management, in 69 - a combination of NSAID with tramadol, in 14 - nerve block anesthesia, in 4 - PDT was performed under general anesthesia. The intensity of pain syndrome during laser irradiation of the tumor was assessed on the verbal rating scale (VRS). The absence of pain was recorded in 9% of cases. Mild pain was noted by 58% of patients, moderate pain - 20%, severe pain - 10%, very severe pain was noted by 3% of patients.The degree of expression of pain syndrome during PDT depends on the incidence of a lesion, histological form of tumor, and method of anesthesia. NSAID alone, or in combination with an opioid analgesic, allows effective control of pain syndrome in PDT of basal cell skin cancer in 89%, in PDT of squamous cell skin cancer in 66% of observations. Nerve block anesthesia allows stoping pain syndrome during PDT of oropharyngeal tumors.https://www.pdt-journal.com/jour/article/view/438photodynamic therapypainanesthesiaskin canceroral canceroral leukoplakia |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
S. A. Shinkarev V. A. Borisov S. N. Boldyrev V. N. Podolsky Z. I. Abdurashidov A. P. Zagadaev O. N. Klycheva |
spellingShingle |
S. A. Shinkarev V. A. Borisov S. N. Boldyrev V. N. Podolsky Z. I. Abdurashidov A. P. Zagadaev O. N. Klycheva Possibilities of pain management during photodynamic therapy Biomedical Photonics photodynamic therapy pain anesthesia skin cancer oral cancer oral leukoplakia |
author_facet |
S. A. Shinkarev V. A. Borisov S. N. Boldyrev V. N. Podolsky Z. I. Abdurashidov A. P. Zagadaev O. N. Klycheva |
author_sort |
S. A. Shinkarev |
title |
Possibilities of pain management during photodynamic therapy |
title_short |
Possibilities of pain management during photodynamic therapy |
title_full |
Possibilities of pain management during photodynamic therapy |
title_fullStr |
Possibilities of pain management during photodynamic therapy |
title_full_unstemmed |
Possibilities of pain management during photodynamic therapy |
title_sort |
possibilities of pain management during photodynamic therapy |
publisher |
Non-profit partnership for development of domestic photodynamic therapy and photodiagnosis "Russian Photodynamic Association" |
series |
Biomedical Photonics |
issn |
2413-9432 |
publishDate |
2020-10-01 |
description |
The authors consider the possibilities of pain management during photodynamic therapy (PDT) of visible tumors based on the observation of 102 patients. Of the total number of patients, 62 had verified basal cell skin cancer, 10 people - squamous cell skin cancer, another 10 - oral and oropharynx mucosa cancer, 8 - oral leukoplakia and dysplasia, in 6 - lower lip cancer, in 4 - breast cancer, in 2 - other localizations of neoplasms. In 15 patients, nonsteroidal anti-inflammatory drugs (NSAID) were used as pain management, in 69 - a combination of NSAID with tramadol, in 14 - nerve block anesthesia, in 4 - PDT was performed under general anesthesia. The intensity of pain syndrome during laser irradiation of the tumor was assessed on the verbal rating scale (VRS). The absence of pain was recorded in 9% of cases. Mild pain was noted by 58% of patients, moderate pain - 20%, severe pain - 10%, very severe pain was noted by 3% of patients.The degree of expression of pain syndrome during PDT depends on the incidence of a lesion, histological form of tumor, and method of anesthesia. NSAID alone, or in combination with an opioid analgesic, allows effective control of pain syndrome in PDT of basal cell skin cancer in 89%, in PDT of squamous cell skin cancer in 66% of observations. Nerve block anesthesia allows stoping pain syndrome during PDT of oropharyngeal tumors. |
topic |
photodynamic therapy pain anesthesia skin cancer oral cancer oral leukoplakia |
url |
https://www.pdt-journal.com/jour/article/view/438 |
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