SummaryIntroductionAcute pain in cancer is an important but often overlooked feature of many patients' oncological journey. Cancer‐related pain is associated commonly with more persistent pain states caused by both the disease and its treatment, but there are numerous causes of acute pain which can develop in patients with cancer. This pain is frequently severe, can be challenging to manage and its suboptimal control can directly impact on oncological outcomes. This narrative review provides an overview of several causes of acute pain in patients with cancer and management approaches.MethodsA focused literature review was conducted to encompass the search terms ‘acute pain’, ‘oncology’ and ‘cancer’ in adult and paediatric populations.ResultsAcute pain is common in patients with cancer with a number of pain generators identified. Broadly, these are disease‐ and treatment‐related but commonality in pain mechanisms and features are present. Importantly, these pain states do not occur in isolation; a patient may experience multiple acute pain episodes during their oncology journey.DiscussionAs the oncological treatment landscape shifts and increasing numbers of novel treatments are employed, the number of causes of acute pain in patients with cancer rises. This pain is often managed by non‐pain specialists and suboptimal control has a variety of deleterious effects. It is important that awareness of acute pain in the oncological population is increased and treatment approaches, which adopt a biopsychosocial structure, are optimised.

中文翻译：

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急性肿瘤性疼痛的原因和管理：叙述性回顾


摘要简介癌症急性疼痛是许多患者肿瘤学旅程中一个重要但经常被忽视的特征。癌症相关疼痛通常与疾病及其治疗引起的更持久的疼痛状态有关，但癌症患者可能出现急性疼痛的原因有很多。这种疼痛通常很严重，可能难以控制，并且其次优控制会直接影响肿瘤学结果。本叙述性综述概述了癌症患者急性疼痛的几种原因和管理方法。方法进行了重点文献综述，以涵盖成人和儿童人群中的搜索词 'acute pain'， 'oncology' 和 'cancer'。结果急性疼痛在癌症患者中很常见，已确定许多疼痛来源。从广义上讲，这些与疾病和治疗相关，但存在疼痛机制和特征的共性。重要的是，这些疼痛状态不是孤立发生的;患者在肿瘤学旅程中可能会经历多次急性疼痛发作。讨论随着肿瘤治疗格局的变化和采用越来越多的新疗法，癌症患者急性疼痛的原因数量增加。这种疼痛通常由非疼痛专家管理，次优控制具有多种有害影响。重要的是，提高肿瘤人群对急性疼痛的认识，并优化采用生物心理社会结构的治疗方法。