Pain due to advanced cancer has a major impact on the quality of life of patients who cannot be cured of their disease. Pain control is therefore a mainstay of the overall strategy of palliative cancer care. Opioid pharmacotherapy is very efficient in controlling cancer pain when appropriately delivered yet a significant minority of patients experience insufficient pain relief due to different not completely understood reasons. One factor complicating cancer pain management is thought to be due to a neuropathic component to its pathophysiology. The diagnosis and treatment of neuropathic pain due to cancer and its impact on opiod responsiveness of the pain will be covered in the first part of this course. General principles of palliative care and innovative strategies of implementation and integration with oncology care will be covered as the second main topic.
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