A case of lung cancer with gingival metastasis successfully treated by palliative care
10.2512/jspm.7.518
- VernacularTitle:高度の全人的苦痛への対応に苦慮した肺がん歯肉転移の1例─全人的ケアにより最期まで鎮静が回避できた経験
- Author:
Koji Amano
;
Muneyoshi Kawasaki
;
Atsushi Sasanabe
;
Norimasa Tsuzuki
;
Akihiro Ito
;
Takashi Higashiguchi
- Publication Type:Journal Article
- Keywords:
lung cancer;
gingival metastasis;
palliative care;
sedation
- From:Palliative Care Research
2012;7(1):518-525
- CountryJapan
- Language:Japanese
-
Abstract:
We report a patient with gingival metastasis of lung cancer in whom the use of sedatives was successfully avoided by employing holistic care approaches. A 64-year-old man had been receiving chemotherapy with the diagnosis of advanced lung cancer. Eighteen months later, a rapidly growing gingival metastasis was observed. Arterial embolization was performed, but it failed to control the bleeding. No active treatment was performed, and he was subsequently transferred to our hospital. He desired death, with markedly pessimistic views, and wished to undergo deep and continuous palliative sedation (DCPS) due to severe total pain (particularly psychological and spiritual) from the beginning. However, he died peacefully before receiving DCPS. We present a literature review of gingival metastasis from lung cancer, as well as our assessment and palliative care for the total pain of this patient.
