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Hung-En Lin1Ming-Cheng Huang1*
1Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan
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Ewing’s sarcoma is a highly invasive and metastatic osteosarcoma usually occurs in children and teenagers. It is mostly caused by gene trans-location and fusion. Patients with Ewing’s sarcoma often have systemic symptoms such as fever, night sweats, fatigue, loss of appetite, and weight loss. The prognosis of Ewing’s sarcoma is determined by whether the tumor has metastasized or not. The treatment plan of Ewing’s sarcoma is mainly based on chemotherapy usually combined with surgery and radiation treatment as appropriate. However, these treatments are often accompanied by serious side effects, of which refractory pain and cachexia are the most difficult to deal with.
This case is a 30-year-old male patient who was diagnosed with Ewing’s sarcoma six years ago attributing to repeated low back pain. Although the surgery had completed, the tumor still metastasized to sacrum, lung, diaphragm, and adrenal glands. During the hospitalization, the patient was suffered from abdominal pain accompanied with uncontrollably low back referred dragging pain so he consulted Chinese medicine doctor for help. The pain was greatly reduced after four sessions of acupuncture treatments, hence morphine was successfully discontinued. In addition, the gastrointestinal symptoms, appetite and intake were also improved. After discharged on stable status, the patient reported the reduced dosage of painkillers and increased body weight during the follow-up in the outpatient clinic. Therefore, we believe that acupuncture may exert beneficial effect to the analgesia, gastrointestinal function, appetite and intake, thereby improving the quality of life.
【Keywords】Acupuncture; Ewing’s Sarcoma; Refractory Pain; Cachexia; Chronic Pain
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233.12 針刺治療伊文氏肉瘤併多重器官轉移之頑固性疼痛和惡病質病例報告
