Case of Stage IV Renal Cancer Patient Whose Metastatic Lymph Node and Severe Back Pain Improved after Integrative Treatment

한양방 통합 치료로 통증감소 및 전이 림프절 축소가 관찰된 4기 신장암 환자 1례

  • Han, Chang-Woo (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Kim, Do-Hyung (Department of Korean Medical Science, School of Korean Medicine, Pusan National University) ;
  • Park, Seung-Chan (Department of Korean Medical Science, School of Korean Medicine, Pusan National University) ;
  • Cho, Min-Kyoung (Department of Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Kim, So-Yeon (Department of Korean Medical Science, School of Korean Medicine, Pusan National University) ;
  • Hong, Jin-Woo (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Lee, In (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Park, Seong-Ha (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Kwon, Jung-Nam (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Choi, Jun-Yong (Department of Korean Medical Science, School of Korean Medicine, Pusan National University)
  • 한창우 (부산대학교 한의학전문대학원 한의학과) ;
  • 김도형 (부산대학교 한의학전문대학원 한의과학과) ;
  • 박승찬 (부산대학교 한의학전문대학원 한의과학과) ;
  • 조민경 (부산대학교 한방병원 한방내과) ;
  • 김소연 (부산대학교 한의학전문대학원 한의과학과) ;
  • 홍진우 (부산대학교 한의학전문대학원 한의학과) ;
  • 이인 (부산대학교 한의학전문대학원 한의학과) ;
  • 박성하 (부산대학교 한의학전문대학원 한의학과) ;
  • 권정남 (부산대학교 한의학전문대학원 한의학과) ;
  • 최준용 (부산대학교 한의학전문대학원 한의과학과)
  • Received : 2012.03.12
  • Accepted : 2012.04.12
  • Published : 2012.04.25

Abstract

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.

Keywords

References

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