Post-mastectomy pain syndrome: the magnitude of the problem.

Abstract:

BACKGROUND AND OBJECTIVES:Breast cancer is the most frequent neoplastic tumor in women, and surgical treatment is indicated in most patients. Complications related to this treatment, such as post-mastectomy pain syndrome (PMPS), a persistent pain that develops after surgery, have been reported. Although the genesis of the pain is multifactorial, sectioning of the intercostobrachial nerve is the nerve lesion diagnosed more often. The objective of this study was to review the etiopathogeny, diagnosis, presentation, aggravating or attenuating factors, and risk factors related with the post-mastectomy pain syndrome. CONTENTS:Provides the definition of the post-mastectomy pain syndrome and the knowledge to facilitate its diagnosis and prevention. CONCLUSIONS:The approach to patients undergoing surgery for breast cancer requires pre- and postoperative follow-up by a multidisciplinary team. This approach can provide a rational choice of surgical technique, identify patients with risk factors, minimize or eliminate risk factors whenever possible, diagnose beforehand the post-mastectomy pain syndrome, and provide adequate treatment to improve the quality of life for this specific patient population.

journal_name

Rev Bras Anestesiol

authors

Couceiro TC,Menezes TC,Valênça MM

doi

10.1590/s0034-70942009000300012

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

358-65

issue

3

eissn

0034-7094

issn

1806-907X

pii

S0034-70942009000300012

journal_volume

59

pub_type

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