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J Pediatr Hematol Oncol ; 36(3): e162-4, 2014 Apr.
Article in English | MEDLINE | ID: mdl-23652866

ABSTRACT

A 15-year-old girl with combined immune deficiency syndrome, diagnosed with metastatic squamous cell cancer of the anus, had significant pain secondary to vulvar-perianal condyloma. Conventional treatment with oral and intravenous analgesics was limited by significant side effects of mental status changes and urinary retention leading to clinical deterioration that precluded attempts at chemotherapy. An intrathecal pump was implanted in the challenging setting of neutropenia. There was a drastic improvement in her quality of life and the ability to tolerate further chemotherapy. The option of an intrathecal pump for pain control extended our patient's ability to enjoy important quality time with family by several months.


Subject(s)
Analgesics/administration & dosage , Infusion Pumps, Implantable , Injections, Spinal , Pain, Intractable/drug therapy , Adolescent , Anus Neoplasms/complications , Anus Neoplasms/pathology , Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/secondary , Condylomata Acuminata/drug therapy , Condylomata Acuminata/pathology , Condylomata Acuminata/virology , Fatal Outcome , Female , Humans , Immunologic Deficiency Syndromes/complications , Immunologic Deficiency Syndromes/pathology , Neutropenia/drug therapy , Neutropenia/etiology , Pain Measurement , Pain, Intractable/etiology , Prognosis , Vulvar Diseases/virology
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