National Cancer Institute National Cancer Institute
U.S. National Institutes of Health National Cancer Institute
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Pain (PDQ®)     
Last Modified: 07/25/2008
Patient Version
Anticancer Interventions

Radiation Therapy
Radiofrequency Ablation
Surgery

Radiation therapy, radiofrequency ablation, and surgery may be used for pain relief rather than as treatment for primary cancer. Certain chemotherapy drugs may also be used to manage cancer -related pain.

Radiation Therapy

Local or whole-body radiation therapy may increase the effectiveness of pain medication and other noninvasive therapies by directly affecting the cause of the pain (for example, by reducing tumor size). A single injection of a radioactive agent may relieve pain when cancer spreads extensively to the bones. Radiation therapy also helps reduce pain-related interference with walking and other functions in patients who have cancer that has spread to the bones. It is possible for pain to come back after radiation therapy, though more studies about this need to be done.

Radiofrequency Ablation

Radiofrequency ablation uses a needle electrode to heat tumors and destroy them. This minimally invasive procedure may provide significant pain relief in patients who have cancer that has spread to the bones.

Surgery

Surgery may be used to remove part or all of a tumor to reduce pain directly, relieve symptoms of obstruction or compression, and improve outcome, even increasing long-term survival.



Glossary Terms

cancer (KAN-ser)
A term for diseases in which abnormal cells divide without control. Cancer cells can invade nearby tissues and can spread to other parts of the body through the blood and lymph systems. There are several main types of cancer. Carcinoma is cancer that begins in the skin or in tissues that line or cover internal organs. Sarcoma is cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue. Leukemia is cancer that starts in blood-forming tissue such as the bone marrow, and causes large numbers of abnormal blood cells to be produced and enter the blood. Lymphoma and multiple myeloma are cancers that begin in the cells of the immune system. Central nervous system cancers are cancers that begin in the tissues of the brain and spinal cord.
chemotherapy (KEE-moh-THAYR-uh-pee)
Treatment with drugs that kill cancer cells.
drug
Any substance, other than food, that is used to prevent, diagnose, treat or relieve symptoms of a disease or abnormal condition. Also refers to a substance that alters mood or body function, or that can be habit-forming or addictive, especially a narcotic.
electrode (ee-LEK-trode)
In medicine, a device such as a small metal plate or needle that carries electricity from an instrument to a patient for treatment or surgery. Electrodes can also carry electrical signals from muscles, brain, heart, skin, or other body parts to recording devices to help diagnose certain conditions.
injection
Use of a syringe and needle to push fluids or drugs into the body; often called a "shot."
invasive procedure
A medical procedure that invades (enters) the body, usually by cutting or puncturing the skin or by inserting instruments into the body.
medication (MEH-dih-KAY-shun)
A legal drug that is used to prevent, treat, or relieve symptoms of a disease or abnormal condition.
noninvasive (NON-in-VAY-siv)
In medicine, it describes a procedure that does not require inserting an instrument through the skin or into a body opening. In cancer, it describes disease that has not spread outside the tissue in which it began.
obstruction
Blockage of a passageway.
outcome
A specific result or effect that can be measured. Examples of outcomes include decreased pain, reduced tumor size, and improvement of disease.
primary tumor
The original tumor.
radiation therapy (RAY-dee-AY-shun THAYR-uh-pee)
The use of high-energy radiation from x-rays, gamma rays, neutrons, protons, and other sources to kill cancer cells and shrink tumors. Radiation may come from a machine outside the body (external-beam radiation therapy), or it may come from radioactive material placed in the body near cancer cells (internal radiation therapy). Systemic radiation therapy uses a radioactive substance, such as a radiolabeled monoclonal antibody, that travels in the blood to tissues throughout the body. Also called radiotherapy and irradiation.
radioactive (RAY-dee-oh-AK-tiv)
Giving off radiation.
radiofrequency ablation (RAY-dee-oh-FREE-kwen-see uh-BLAY-shun)
A procedure that uses radio waves to heat and destroy abnormal cells. The radio waves travel through electrodes (small devices that carry electricity). Radiofrequency ablation may be used to treat cancer and other conditions.
surgery (SER-juh-ree)
A procedure to remove or repair a part of the body or to find out whether disease is present. An operation.
symptom
An indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
therapy (THAYR-uh-pee)
Treatment.
total-body irradiation
Radiation therapy to the entire body. It is usually followed by bone marrow or peripheral stem cell transplantation.
tumor (TOO-mer)
An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign (not cancerous), or malignant (cancerous). Also called neoplasm.