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KMID : 1123920120260020228
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Korean Journal of Oriental Physiology and Pathology
2012 Volume.26 No. 2 p.228 ~ p.233
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Case of Stage IV Renal Cancer Patient Whose Metastatic Lymph Node and Severe Back Pain Improved after Integrative Treatment
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Han Chang-Woo
Kim Do-Hyung
Park Seung-Chan
Cho Min-Kyoung
Kim So-Yeon
Hong Jin-Woo
Lee In
Park Seong-Ha
Kwon Jung-Nam
Choi Jun-Yong
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Abstract
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Two years ago, a 75-year-old female was diagnosed left renal cancer and went on radical nephrectomy. Recently, metastatized lesions on lumbar spine and various lymph nodes including paraaortic lymph node of which diameter was about 5.5 cm was identified. She suffered from extreme low back pain despite using opioid agents of fentanyl patch and oral oxycodone. During about one month, Korean medicine therpies including herbal medicine(Yang-He tang), acupuncture with her conventional medications were co-administered. However her pain didn’t improved and gradual cough and dyspnea developed. So she transferred to the hemato-oncology part for 2 weeks under the diagnosis of everolimus-induced noninfectious pneumonitis. After quitting everolimus her pneumonitis was improved and she came back our ward and started another herbal medicine, Ai-Tong-Ning tang for about 2 months. During this period, her pain was well managed without oral opioid agents and her paraaortic lymph node was regressed to about 2.2cm in diameter.
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KEYWORD
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advanced renal cancer, herbal medicine, metastasis, pain
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