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CIPN involves various symptoms such as tingling, pain, and numbness in the hands and feet. [2] These symptoms can impair activities of daily living, such as typing or dressing, reduce balance, and increase risk of falls and hospitalizations. They can also give cause to reduce or discontinue chemotherapy.
Evidence for prevalence of pain in newly diagnosed cancer is scarce. One study found pain in 38 percent of people who were newly diagnosed, another found 35 percent of such people had experienced pain in the preceding two weeks, while another reported that pain was an early symptom in 18–49 percent of cases.
It may also be caused by therapies such as radiation or chemotherapy. With competent management, cancer pain can be eliminated or well controlled in 80% to 90% of cases, but nearly 50% of cancer patients in the developed world receive less than optimal care. Worldwide, nearly 80% of people with cancer receive little or no pain medication. [15]
One study [2] found that infection was the cause of pain in four percent of nearly 300 cancer patients referred for pain relief. Another report [ 3 ] described seven patients, whose previously well-controlled pain escalated significantly over several days.
When a person has primary bone cancer, the cancer cells are bone cells that have become cancerous. According to the NHS , around 550 cases of primary bone cancer are diagnosed each year in the UK.
Dr. Narayanan says that bone pain can also be a sign of prostate cancer recurrence in patients who have already had the disease. The link between prostate cancer and bone pain may be a surprising one.
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