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Treatment of painful hypertrophic osteoarthropathy associated with non-small cell lung cancer with octreotide: a case report and review of the literature
  1. Elizabeth Birch,
  2. Debbie Jenkins and
  3. Simon Noble
  1. Department of Palliative Medicine, Royal Gwent Hospital, Newport, UK
  1. Correspondence to Simon Noble, Department of Palliative Medicine, Royal Gwent Hospital, Cardiff Rd, Newport NP20 2UB, UK; simon.noble{at}wales.nhs.uk

Abstract

Hypertrophic osteoarthropathy (HOA) is a syndrome most commonly associated with non-small cell lung cancer and consists of periostitis, digital clubbing and painful polyarthropathy. Its symptoms may be disabling and are reportedly difficult to manage effectively with conventional analgesia. We present a case of a lung cancer patient with opioid resistant painful HOA in whom analgesia was achieved with octreotide.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained

  • Provenance and peer review Not commissioned; externally peer reviewed