Abstract
Purpose The characteristics and natural history of the
paclitaxel–acute pain syndrome (P-APS) and paclitaxel's
more chronic neuropathy have not been well delineated.
paclitaxel–acute pain syndrome (P-APS) and paclitaxel's
more chronic neuropathy have not been well delineated.
Methods Patients receiving weekly paclitaxel (70 to 90 mg/m2) completed daily questionnaires and weekly European
Organisation for Research and Treatment of Cancer (EORTC) Chemotherapy-Induced Peripheral Neuropathy (CIPN) –20
instruments during the entire course of therapy.
Organisation for Research and Treatment of Cancer (EORTC) Chemotherapy-Induced Peripheral Neuropathy (CIPN) –20
instruments during the entire course of therapy.
Results P-APS symptoms peaked 3 days after chemotherapy.
Twenty percent of patients had pain scores of 5 to 10 of 10 with
the first dose of paclitaxel. Sensory neuropathy symptoms wer
e more prominent than were motor or autonomic neuropathy
symptoms. Of the sensory neuropathy symptoms, numbness and
tingling were more prominent than was shooting or burning pain. Patients with higher P-APS pain scores with the first dose of
paclitaxel appeared to have more chronic neuropathy.
Twenty percent of patients had pain scores of 5 to 10 of 10 with
the first dose of paclitaxel. Sensory neuropathy symptoms wer
e more prominent than were motor or autonomic neuropathy
symptoms. Of the sensory neuropathy symptoms, numbness and
tingling were more prominent than was shooting or burning pain. Patients with higher P-APS pain scores with the first dose of
paclitaxel appeared to have more chronic neuropathy.
Conclusion These data support that the P-APS is related to nerve pathology as opposed to being arthralgias and/or myalgias.
Numbness and tingling are more prominent chronic neuropathic symptoms than is shooting or burning pain.
Numbness and tingling are more prominent chronic neuropathic symptoms than is shooting or burning pain.
define: arthralgias: Aches or pains in joints, without obvious
swelling, warmth, or redness.
vasculitis.med.jhu.edu/whatis/glossary.html
swelling, warmth, or redness.
vasculitis.med.jhu.edu/whatis/glossary.html
define: myalgias: pain in a muscle or group of muscles
wordnetweb.princeton.edu/perl/webwn
wordnetweb.princeton.edu/perl/webwn