This case report describes acupuncture treatment to manage paraneoplastic night sweating secondary to pancreatic cancer. A 56-year-old gentleman with a 2-month history of night sweating responded well over a 10-week course of acupuncture treatment. Acupuncture was selected for symptom management after no success was achieved with pharmacological and conventional managements. The severity of night sweating had reduced from 9/10 to 1/10 on visual analog scale at the end of treatment. This case report suggests that acupuncture has a favorable effect on paraneoplastic night sweating in patients with advanced pancreatic cancer and recommends further research.
BackgroundHot flashes and night sweating are a common disruptive clinical problem that affects nearly two-thirds of all breast cancer survivors. Adjuvant hormonal therapies are an essential part of the treatment regimen for early breast cancer, and are used to prevent recurrence. However, hot flashes and night sweating are the most frequently occurring side effects of these interventions.AimTo assess the effectiveness of acupuncture in breast cancer related hot flashes and sweating.MethodsA 44 year -old woman with a diagnosis of breast cancer had been suffering from intractable hot flashes and night sweating for the past two years. She had tried all other measures but these had very little or no effects on her symptoms. The subject received acupuncture treatment once a week for eight weeks, and the needles were stimulated manually every 10 min during each sessions. In all the treatment sessions, acupuncture points were stimulated manually and the needles were left in situ for 30 mins. Subjective measurement of vasomotor symptoms used Visual Analogue Scale (VAS).ResultsA noticeable reduction in hot flashes and night sweating were observed after six sessions of treatment, which had a huge impact on her sleep pattern and psychological wellbeing. By the end of eight weeks of treatment the subject reported a significant reduction in both her vasomotor and associated symptoms such as palpitations, anxiety, irritability and headaches.ConclusionIt would appear that eight sessions of acupuncture treatment had been shown to be effective in reducing vasomotor symptoms, especially for breast cancer patients who are seeking nonpharmacological therapies.
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