Victor T Chang and Ryuichi Sekine 10 Introduction

Pain has been studied in patients with advanced cancer, but not generally studied during the extended period of cancer survivorship. Comprehensive review articles are silent about pain in cancer survivors.1,2 There appears to be a widespread lack of knowledge and recognition of common pain syndromes. Yet many cancer survivors live and deal with pain on a regular basis. The incidence and types of pain vary with the cancer and sometimes with treatment modalities. In some groups of patients, pain can be severe and affect quality of life. Clinical experience suggests that pain in cancer survivors can be as debilitating as it is in cancer patients.3 Survivors are defined as those who have completed their major course of treatment for cancer and are considered to be stable with regard to the cancer. Included are patients who still have evidence of tumor or who are at risk for recurrence.

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