Neuropathic pain following breast cancer surgery: proposed classification and research update

Jung, Beth F.; Ahrendt, Gretchen; Oaklander, Anne Louise; Dworkin, Robert H.

doi:10.1016/s0304-3959(03)00241-0

Cited by 412 publications

(362 citation statements)

References 58 publications

Supporting

Mentioning

316

Contrasting

Unclassified

Order By: Relevance

“…More recently, chronic pain has been reported after other breast procedures, including lumpectomy, breast reconstruction, augmentation and reduction (Wallace et al, 1996;Carpenter et al, 1998). The exact cause of PMPS is unclear, but various aetiological theories have been postulated, including dissection of the intercostobrachial nerve, intraoperative damage to axillary nerve pathways and pain caused by neuroma (Vecht et al, 1989;Wallace et al, 1996;Jung et al, 2003).…”

mentioning

confidence: 99%

“…The frequency of PMPS ranges from 4 to 56%, depending on the definition used and method of assessment (Vecht et al, 1989;Tasmuth et al, 1995;Wallace et al, 1996). Although evidence regarding the epidemiology of PMPS is growing, little is known about risk factors for the development of PMPS, or the long-term outcome of this chronic pain condition (Jung et al, 2003).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Long-term follow-up of breast cancer survivors with post-mastectomy pain syndrome

et al. 2005

View full text Add to dashboard Cite

Post-mastectomy pain syndrome (PMPS) is a recognised complication of breast surgery although little is known about the long-term outcome of this chronic pain condition. In 1996, Smith et al identified a prevalence rate of PMPS of 43% among 408 women in the Grampian Region, Northeast Scotland. The aim of this study was to assess long-term outcome at 7 -12 years postoperatively in this cohort of women, to describe the natural history of PMPS and impact of pain upon quality of life. Chronic pain and quality of life were assessed using the McGill Pain Questionnaire (MPQ) and Short Form-36 (SF-36). Of 175 women reporting PMPS in 1996, 138 were eligible for questionnaire follow-up in 2002. Mean time since surgery was 9 years (s.d. 1.8 years). A response rate of 82% (113 out of 138) was achieved; 59 out of 113 (52%) women reported continued PMPS and 54 out of 113 (48%) women reported their PMPS had resolved since the previous survey in 1996. Quality of life scores were significantly lower in women with persistent PMPS compared to those women whose pain had resolved. However, for women with persistent PMPS, SF-36 scores had improved over time. Risk factors for persistent PMPS included younger age and heavier weight. This study found that, of women reporting PMPS in 1996, half of those surveyed in 2002 continued to experience PMPS at a mean of 9 years after surgery.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

Long-term follow-up of breast cancer survivors with post-mastectomy pain syndrome

et al. 2005

View full text Add to dashboard Cite

show abstract

“…15  Phantom Breast Pain is experienced in the area of the removed breast.  Intercostobrachial Neuralgia pain is often accompanied with sensory changes in the distribution of the intercostobrachial nerve following breast cancer surgery with or without axillary dissection.…”

Section: Classification Of the Pain After Breast Surgerymentioning

confidence: 99%

“…Damage to the intercostobrachial nerve has been indicated as the most common cause for developing PMPS. 9,15  Neuroma pain (including scar pain) is the pain in the region of a scar on the breast, chest, or arm that is provoked or exacerbated by percussion. A neuroma is formed from masses of tangled axons formed at the cut end of peripheral nerves.…”

Section: Classification Of the Pain After Breast Surgerymentioning

confidence: 99%

Preserving of intercostobrachial nerve relieves breast carcinoma patients from postmastectomy pain syndrome

2017

View full text Add to dashboard Cite

Background: Post-mastectomy pain syndrome (PMPS) is a complication experienced by majority of the patients who undergo breast surgery for cancer. The etiology of this chronic neuropathic pain syndrome seems to be complex and it is still understood below par. Injury to the intercostobrachial (ICB) nerve is presumed to be the dominant one for developing PMPS. This prospective study was designed to appraise the effect of preservation of intercostobrachial nerve on post-mastectomy pain syndrome and also to determine the most common anatomical variation of the intercostobrachial nerve during surgery. Methods: A total of 100 patients were included in this study and were divided into 2 groups. Group A included patients with ICB nerve preserved and Group B patients with ICB nerve sectioned. The patients were evaluated for pain subjectively on the 2 nd day, 1 month and in the 3 rd month post-operatively by short form of McGill pain questionnaire and visual analog scale. During surgical dissection, anatomical variation of ICB nerve was ascertained each time. Results: After 3 months, 68.2% of the patients were asymptomatic in Group A (ICB nerve preservation group) and 31.8% in the Group B (nerve section group) (chi-square test was applied and p value was 0.002). We found that type 1 anatomical variation was commonest with 87%. Conclusions: Preservation of ICB nerve might greatly decrease the incidence of PMPS. Hence, the insight of the anatomical variations of this nerve is very crucial for the operating surgeons to preserve them and to prevent PMPS.

show abstract

“…Classification of the ache after breast surgical procedure, Jung at al outstanding four one of a kind kinds of persistent neuropathic ache following breast most cancers because of surgical trauma. 15  Phantom Breast Pain is experienced within the location of the removed breast.  Intercostobrachial Neuralgia ache is frequently accompanied with sensory changes within the distribution of the intercostobrachial nerve following breast cancers surgery with or without axillary dissection.…”

Section: Introductionmentioning

confidence: 99%

Preservation of Intercostobrachial Nerve Relieves Pain and Sensory Disturbances and Improves Quality of Life of Post Mastectomy Patients

R¹

2017

jmscr

View full text Add to dashboard Cite

Neuropathic pain following breast cancer surgery: proposed classification and research update

Cited by 412 publications

References 58 publications

Long-term follow-up of breast cancer survivors with post-mastectomy pain syndrome

Long-term follow-up of breast cancer survivors with post-mastectomy pain syndrome

Preserving of intercostobrachial nerve relieves breast carcinoma patients from postmastectomy pain syndrome

Preservation of Intercostobrachial Nerve Relieves Pain and Sensory Disturbances and Improves Quality of Life of Post Mastectomy Patients

Contact Info

Product

Resources

About