Percutaneous cervical cordotomy for managing refractory pain in a patient with a Pancoast tumor: A case report

doi:10.12998/wjcc.v12.i21.4770

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Jul 26, 2024 (publication date) through Jun 30, 2024

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Clin Cases. Jul 26, 2024; 12(21): 4770-4776
Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4770

Percutaneous cervical cordotomy for managing refractory pain in a patient with a Pancoast tumor: A case report

Kuan-Yu Lu, Feng-Sheng Lin, Chia-Shiang Lin, Hsuan-Chih Lao

Kuan-Yu Lu, Chia-Shiang Lin, Hsuan-Chih Lao, Department of Anesthesiology, MacKay Memorial Hospital, Taipei 10449, Taiwan

Feng-Sheng Lin, Department of Anesthesiology, National Taiwan University Hospital, Taipei 10002, Taiwan

Chia-Shiang Lin, Department of Anesthesiology, Shuang-Ho Hospital, Taipei 23561, Taiwan

Hsuan-Chih Lao, Institute of Brain Science, College of Medicine, National Yang Ming Chiao Tung University, Taipei 11203, Taiwan

Hsuan-Chih Lao, Department of Medicine, MacKay Medical College, Taipei 23245, Taiwan

Author contributions: Lu KY, Lin FH, Lin CS, and Lao HC participated in the clinical treatment of the patient; Lu KY and Lao HC wrote the manuscript; All authors have read and approved the final manuscript.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: The authors have no conflicts of interest to declare.

CARE Checklist (2016) statement: The author has read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Hsuan-Chih Lao, MSc, Chief physician, Director, Department of Anesthesiology, MacKay Memorial Hospital, No. 92 Sec.2, Zhongshan N. Road, Zhongshan District, Taipei 10449, Taiwan. hclao4799@gmail.com

Received: March 26, 2024
Revised: May 15, 2024
Accepted: May 30, 2024
Published online: July 26, 2024
Processing time: 95 Days and 17.9 Hours

Core Tip

Core Tip: Percutaneous cervical cordotomy provides a valuable alternative for the management of intractable cancer-related pain resistant to analgesics. The presented case involves a patient with advanced bronchogenic carcinoma experiencing severe upper limb pain and restricted range of motion. Conscious sedation ensures a comfortable and safe procedure. After cordotomy, the patient experienced relief from cancer-related pain without relying on opioids, significantly improving his quality of life.