Percutaneous Palliative Care Interventions in the Cancer Patient

Benjamin Fang; Dimitrios Filippiadis; Ornella Moschovaki Zeiger; Elias Brountzos; Alexios D. Kelekis

Disclosures

Chin Clin Oncol. 2019;8(6):66 

In This Article

Abstract and Introduction

Abstract

Patients with incurable cancer face lots of problems before they expire. Complications resulting from cancer or its treatment are a significant determinant of the quality of life of cancer patients. It is of outmost importance to make use of all treatment options in order to improve their survival and quality of life. Nowadays, available are a number of Interventional Radiology procedures that are minimally invasive, can be performed under local anesthesia or conscious sedation and are indispensable in helping patient through the cancer disease process. These techniques can be broadly classified into drainage of fluid collections, decompression and relief of obstruction, pain and tumor burden reduction, vascular and gastrointestinal tract access as well as hemostasis. The purpose of this article is to describe the basic concepts of minimally invasive techniques applied as palliative care therapies in the cancer patients. Controversies concerning techniques and products and the need for patient-centered tailored approaches will be discussed.

Introduction

Cancer is the second leading cause of death worldwide, accounting for 17.08% (9.6 million) of all deaths in 2017; in developed countries, this proportion is even higher, closely trailing behind cardiovascular disease.(1) While the overall age-standardized death rate of cancers is on a decreasing trend, the absolute number of cancer deaths has increased from 5.7 to 9.6 million since 1990 to 2017 (68% increase) along with increasing population size and life expectancy.[1] Together with the progressively lengthening of overall survival, the role of cancer palliative care is ever increasing. Complications resulting from cancer or its treatment are a significant determinant of the quality of life of cancer patients. There is a wide array of percutaneous procedures offered by the interventionist that can alleviate such complications, most of which are minimally invasive and can be performed under local anesthesia or sedation.

Broadly, such procedures can be grouped into several categories including:

  1. Drainage of collections;

  2. Decompression and relief of obstruction;

  3. Pain reduction;

  4. Gastrointestinal access.

The purpose of this article is to describe the basic concepts of minimally invasive techniques applied as palliative care therapies in the cancer patients. Controversies concerning techniques and products and the need for patient-centered tailored approaches will be discussed.

Comments

3090D553-9492-4563-8681-AD288FA52ACE

processing....