pancoast tumor accounts for 3%-5% of all non-small cell lung carcinomas. this tumor has a distinct clinical presentation through local invasion and the resulting clinical entity called pancoast syndrome. this syndrome includes severe shoulder pain, arm pain, and horner’s syndrome andatrophy of forearm and hand muscles. the differential diagnosis of arm and shoulder pain is extensive. thoracic o...

Radiotherapy is an essential part of the multimodality treatment of breast cancer. Applying safe and effective treatment requires appropriate facilities, staff, and equipment, as well as support systems, initiation of treatment without undue delay, geographic accessibility, and completion of radiotherapy without undue prolongation of the overall treatment time. Radiotherapy can be delivered wit...

The reliability of preemptive analgesia is controversial. Its effectiveness may vary among anatomical areas or surgical types. We evaluated preemptive analgesia by epidural morphine in six surgery types in a randomized, double-blind manner. Pain intensity was rated using a visual analog scale, a verbal report, and a measurement of postsurgical morphine consumption. Preemptive analgesia was effe...

Background: Herbal medical compounds and their major constituent have been used in the management and treatment of opioid withdrawal syndrome and pain. This study was carried out to clarify the effect of curcumin, the major compound of turmeric, on morphine withdrawal syndrome in mouse model and its possible mechanisms of pain relieving activity by assessing in writhing test as a model of visce...

Chronic pain after surgery has until recently been a neglected topic. The extent of the problem ®rst came to light in a survey of patients attending pain clinics in Scotland and the north of England. This survey showed that about 20% of patients attending chronic pain clinics implicated surgery as one of the causes of their chronic pain and, in about half of these, it was the sole cause. An ext...

The patient is a 42 year old female with metastatic breast carcinoma with progressive metastatic brain disease requiring prolonged corticosteroid therapy. Her chief complaint was bilateral aching shoulder pain. Past history was also positive for diabetes mellitus, anemia, radical mastectomy, and gamma knife surgery for brain metastases. Medications included decadron, lamotrigine, oxycodone, fen...

Background: Local anesthetics have become vital part of multimodal analgesia approach. Instillation local through surgical drain is easier and safer method than conventional nerve blocks. Various anesthetic drugs adjuvants been used for post-operative pain management drains. Aims Objectives: This study was conducted to evaluate the efficacy instillation ropivacaine with fentanyl, dexmedetomidin...