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Post-mastectomy pain syndrome: Incidence and risks

2012; Elsevier BV; Volume: 21; Issue: 3 Linguagem: Inglês

10.1016/j.breast.2012.01.019

1532-3080

Erica Alves Nogueira Fabro, Anke Bergmann, Blenda do Amaral e Silva, Ana Carolina Padula Ribeiro, Karen de Souza Abrahão, Maria Giseli da Costa Leite Ferreira, Ricardo de Almeida Dias, Luiz Cláudio Santos Thuler,

Cancer Treatment and Pharmacology

Post-mastectomy pain syndrome is defined as a chronic pain that persists beyond the normal healing time of 3 months. It is considered a neuropathic condition that arises after surgery for breast cancer.To evaluate the incidence and risk factors of pain syndromes in patients undergoing surgical treatment of breast cancer in the National Cancer Institute.This study is a prospective cohort of women undergoing surgical treatment for breast cancer from September 2008 to June 2009, followed up until 6 months postoperatively.One hundred seventy-four women were examined. The mean age was 58 years. The incidence of pain syndrome was 52%. Younger women (<40 years) and those who were submitted to axillary lymph node dissection (with more than 15 lymph nodes excised) have shown a significantly increased risk of pain syndrome after surgery for breast cancer (relative risk (RR) =5.23 95% confidence interval (CI): 1.11-24.64) and (RR=2.01 95% CI: 1.08-3.75).