Pain management and palliation face a great challenge with inclusion of the palliation teams from the earliest phases of diagnosis. The presented case report highlights that early inclusion of pain and palliative physicians in patient care demands comprehensive evaluation of the symptoms by the palliative physicians with possibly curable comorbid conditions requiring active and aggressive curative management. In summary, it is crucial for the treating palliative physician to be more proactive in the management of comorbid treatable conditions in a patient who may be an established case of advanced stage cancer.
Currow DC, Stevenson JP, Abernethy AP, Plummer J., Shelby-James TMPrescribing in palliative care as death approaches. J Am Geriatr Soc. 2007;55:590-595.
2.
Cunningham AL , Dworkin RHThe management of postherpetic neuralgia. BMJ. 2000;321:778-779.
3.
Huff JSNeoplasms, Spinal cord. Available at: http://www.emedicine.com/emerg/TOPIC337.HTM . Accessed April 29, 2008.
4.
Lu C., Stomper PC, Drislane FW, et al. Suspected spinal cord compression in breast cancer patients: a multidisciplinary risk assessment. Breast Cancer Res Treat . 1998;51:121-131.
5.
Kim HR, Hwang SS, Ro YK, et al. Solid-organ malignancy as a risk factor for tuberculosis. Respirology. 2008;13:413-419.
