CA: A Cancer Journal for Clinicians, Vol 14, 22-31, Copyright
© 1964 by American Cancer Society
Neurological Procedures for the Treatment of Pain in Advanced Cancer
Donald D. Matson M.D.1 and
John Shillito Jr. M.D.2
1 Clinical Professor of Surgery, Harvard Medical School; surgeon, Peter Bent Brigham Hospital; neurosurgeon, Children's Hospital Medical Center, Boston, and neurosurgeon, Pondville Hospital, Walpole, Massachusetts.
2 Assistant in Surgery, Harvard Medical School; junior associate in surgery, Peter Bent Brigham Hospital; senior associate neurosurgeon, Children's Hospital Medical Center; and assistant neurosurgeon, Pondville Hospital.
The results of neurosurgical procedures for painful states due to cancer can be very satisfactory and are much superior to those obtained in attempting relief of chronic pain of non-cancerous or unknown origin. Some of these operations have a poor reputation because of inadequate and short-lasting relief obtained in various types of unusual and poorly understood painful states. Such experience should not detract from their effectiveness when they are employed early for severe pain known to be due to cancer involving particularly major nerve trunks, bone and open skin lesions.