Dolor crónico de origen neoplásico

Última actualización el 22/08/2016

0.5

Introducción

Definición

Conceptos Generales

Es el DOLOR CRÓNICO  de origen  neoplásico .

Epidemiología

Etiopatogenia

-Las causas del dolor oncológico incluyen:

A) Efecto directo del tumor y de sus metástasis (es lo más frecuente).

B) Tratamientos antineoplásicos.

C) Secundario a exploraciones diagnósticas.

D) Síndromes paraneoplásicos.

E)  Dolor no asociado al cáncer.

 

Factores Precipitantes

-

Clínica

El dolor oncológico puede ser :

1)  DOLOR DE TIPO  NOCICEPTIVO

DOLOR SOMÁTICO  : 

  • Sordo, continuo , profundo  ,  bien localizado 
  • Ejm  :  dolor  que  acompaña  a las metástasis  óseas ,  afectación pleural

DOLOR VISCERAL

  • Continuo, mal localizado  ,  descrito  como una presión profunda o compresiva con frecuencia  irradiado a la piel,
  • Ejm :  Metástasis  hepáticas  , distensión intestinal proximal a la  obstrucción , etc

2) DOLOR NEUROPÁTICO

  • Urente , quemante  , paroxístico , punzante
  • Ejm :  sdme  postoracotomía, plexopatía  lumbar  y  braquial  ( sdme  de Pancoast )

( Estos  dos  tipos  de dolor  pueden  acompañarse    de dolor  tipo  simpático  )

(Pueden  coexistir  distintos  tipos de dolr  en un mismo paciente  :  nociceptivo , neuropático ,  simpático )

 

En los pacientes con dolor oncológico  de moderado a intenso  generalmente se encuentran  2 componentes : el dolor de base , por proceso canceroso , de carácter continuo  o perisitente , con una duración  superior a 12 horas al día  , y el denominado dolor irruptivo , que es una exacerbación de este dolor  de base , de mayor intensidad , cuya aparición no está relacionada  con el control analgésico del mismo. Este último tipo de dolor aparece 85 % de todos los dolores por cáncer. Generalmente se presenta de forma súbita, con un pico a los pocos minutos y una duración aproximada de 30 minutos. Puede aparecer varias veces  al día . 

 

 

Complicaciones

-

Diagnóstico

Anamnesis

-

Exploración Física

-

Exploraciones Complementarias

-

Diagnóstico Diferencial

-

Pronóstico

-

Prevención

-

Tratamiento

Estrategias terapéuticas
Tratamiento conservador
Fármacológico

-

No farmacológico

-

Tratamiento intervencionista

-

Cirugía

-

Algoritmo de actuación

-

Última actualización el 22/08/2016

Imprimir

Comentarios

    Publicado el 15/06/2021 a las 23:38

    Hookup Girls Makes use of Free of charge Matters? A Great Horizontal Reward! Free hookup females free best hookups on the web is the solution if you're sick and tired of going to night clubs and organizations merely to be prevented, or perhaps even worse, laughed at. I am aware what it's like because I've been there. I had been solitary and desperate during the day -- I needed a new partner -- nevertheless i continued striving because I had not one other choice. If you're a single man who wishes to hookup with attractive ladies without likely to those locations in which the ladies are by yourself, than the post may just improve your life. It is going to make clear why dating on the internet is the best alternative if you're a masculine that is too shy to technique an attractive female in the nightclub or group.

      Publicado el 15/06/2021 a las 23:38

      Hookup Girls Makes use of Free of charge Matters? A Great Horizontal Reward! Free hookup females free best hookups on the web is the solution if you're sick and tired of going to night clubs and organizations merely to be prevented, or perhaps even worse, laughed at. I am aware what it's like because I've been there. I had been solitary and desperate during the day -- I needed a new partner -- nevertheless i continued striving because I had not one other choice. If you're a single man who wishes to hookup with attractive ladies without likely to those locations in which the ladies are by yourself, than the post may just improve your life. It is going to make clear why dating on the internet is the best alternative if you're a masculine that is too shy to technique an attractive female in the nightclub or group.

        Publicado el 15/06/2021 a las 23:38

        Hookup Girls Makes use of Free of charge Matters? A Great Horizontal Reward! Free hookup females free best hookups on the web is the solution if you're sick and tired of going to night clubs and organizations merely to be prevented, or perhaps even worse, laughed at. I am aware what it's like because I've been there. I had been solitary and desperate during the day -- I needed a new partner -- nevertheless i continued striving because I had not one other choice. If you're a single man who wishes to hookup with attractive ladies without likely to those locations in which the ladies are by yourself, than the post may just improve your life. It is going to make clear why dating on the internet is the best alternative if you're a masculine that is too shy to technique an attractive female in the nightclub or group.

          Publicado el 15/06/2021 a las 23:38

          Hookup Girls Makes use of Free of charge Matters? A Great Horizontal Reward! Free hookup females free best hookups on the web is the solution if you're sick and tired of going to night clubs and organizations merely to be prevented, or perhaps even worse, laughed at. I am aware what it's like because I've been there. I had been solitary and desperate during the day -- I needed a new partner -- nevertheless i continued striving because I had not one other choice. If you're a single man who wishes to hookup with attractive ladies without likely to those locations in which the ladies are by yourself, than the post may just improve your life. It is going to make clear why dating on the internet is the best alternative if you're a masculine that is too shy to technique an attractive female in the nightclub or group.

            Publicado el 15/10/2021 a las 22:45

            Hookup Ladies Utilizes Free of charge Matters? An Incredible Horizontal Benefit! Free of charge hookup ladies sex online is the solution if you're sick and tired of gonna pubs and clubs only to be ignored, and even even worse, laughed at. I am aware what it's like because I've been there. I was solitary and eager back in the day time -- I required a whole new lover -- however i kept on attempting because I had not one other decision. If you're one particular guy who wishes to hookup with alluring females without planning to those areas in which the ladies are alone, this write-up may just change your existence. It would describe why internet dating on the internet is the greatest option if you're a men that is shy to technique a beautiful girl within a club or team.

              Publicado el 15/10/2021 a las 22:45

              Hookup Ladies Utilizes Free of charge Matters? An Incredible Horizontal Benefit! Free of charge hookup ladies sex online is the solution if you're sick and tired of gonna pubs and clubs only to be ignored, and even even worse, laughed at. I am aware what it's like because I've been there. I was solitary and eager back in the day time -- I required a whole new lover -- however i kept on attempting because I had not one other decision. If you're one particular guy who wishes to hookup with alluring females without planning to those areas in which the ladies are alone, this write-up may just change your existence. It would describe why internet dating on the internet is the greatest option if you're a men that is shy to technique a beautiful girl within a club or team.

                Publicado el 15/10/2021 a las 22:45

                Hookup Ladies Utilizes Free of charge Matters? An Incredible Horizontal Benefit! Free of charge hookup ladies sex online is the solution if you're sick and tired of gonna pubs and clubs only to be ignored, and even even worse, laughed at. I am aware what it's like because I've been there. I was solitary and eager back in the day time -- I required a whole new lover -- however i kept on attempting because I had not one other decision. If you're one particular guy who wishes to hookup with alluring females without planning to those areas in which the ladies are alone, this write-up may just change your existence. It would describe why internet dating on the internet is the greatest option if you're a men that is shy to technique a beautiful girl within a club or team.

                  Publicado el 15/10/2021 a las 22:45

                  Hookup Ladies Utilizes Free of charge Matters? An Incredible Horizontal Benefit! Free of charge hookup ladies sex online is the solution if you're sick and tired of gonna pubs and clubs only to be ignored, and even even worse, laughed at. I am aware what it's like because I've been there. I was solitary and eager back in the day time -- I required a whole new lover -- however i kept on attempting because I had not one other decision. If you're one particular guy who wishes to hookup with alluring females without planning to those areas in which the ladies are alone, this write-up may just change your existence. It would describe why internet dating on the internet is the greatest option if you're a men that is shy to technique a beautiful girl within a club or team.

                  Añadir comentario

                  Créditos