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The range and role of palliative interventions for locally advanced breast cancer

Jarvis, Virginia

Current Opinion in Supportive and Palliative Care: March 2014 - Volume 8 - Issue 1 - p 70–76
doi: 10.1097/SPC.0000000000000029

Purpose of review The role of palliative care interventions in patients with nonmetastatic disease is unclear. Locally advanced breast cancer (LABC) is such a diagnosis that presents a platform to examine the relationship of symptom management while patients are receiving treatment with curative intent.

Recent findings Overwhelming physical and psychological symptoms can affect women with LABC. Fungating lesions at the time of primary presentation remain a major challenge. Treatments specifically for the treatment of fungating lesions using new dressings, topical analgesics, buccal opioids, and old techniques such as larval therapy were explored.

Summary LABC is a complex biosocial disease that requires a collaborative interdisciplinary approach to care.

Supportive and Palliative Care, The Ottawa Hospital Cancer Centre, Ottawa, Ontario, Canada

Correspondence to Virginia Jarvis, RN, RM, BScN, MPC, Supportive and Palliative Care, The Ottawa Hospital, 501 Smyth Road, Ottawa, ON K1H 8L6, Canada. Tel: +1 613 737 7700x78940; fax: +1 613 739 6182; e-mail:

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins