[Radiosurgical hypophysectomy in cancer pain treatment. Literature review and clinical case].

Autor:	Golanov AV; Burdenko Neurosurgical Center, Moscow, Russia., Kostjuchenko VV; Business Center of Neurosurgery, Moscow, Russia., Antipina NA; Burdenko Neurosurgical Center, Moscow, Russia., Isagulyan ED; Burdenko Neurosurgical Center, Moscow, Russia., Makashova ES; Burdenko Neurosurgical Center, Moscow, Russia.; Sechenov First Moscow State Medical University, Moscow, Russia., Abuzarova GR; Gertsen Moscow Research Oncological Institute, National Medical Research Center of Radiology, Obninsk, Russia., Astafyeva LI; Burdenko Neurosurgical Center, Moscow, Russia., Savateev AN; Business Center of Neurosurgery, Moscow, Russia., Asriyants SV; Burdenko Neurosurgical Center, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko [Zh Vopr Neirokhir Im N N Burdenko] 2020; Vol. 84 (5), pp. 102-109.
DOI:	10.17116/neiro202084051102
Abstrakt:	Cancer pain is one of the main problem in modern medicine. According European Society for Medical Oncology data, cancer pain prevalence is 64% among patient with terminal stage of disease and in 46% standard pain therapy was ineffective. Radiosurgical hypophysectomy is one of the important and perspective method in cancer pain treatment. This method could be offered patient with chronic disease. According literature review, endocrinology complications were very rare and occurred 10 months after therapy. Value of analgesic effect was 70-90%. In some trials, procedure was effective not only nociceptive, but also in neuropathic pain. More trials require for determination of indications and mechanism of action. The case of successful relief of resistant pain in patient with pancreatic cancer by means of radiosurgical hypophysectomy is described.
Databáze:	MEDLINE
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