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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Phantom breast syndrome.

Ramesh1, Nootan K Shukla, Sushma Bhatnagar

  • 1Department of Surgical Oncology, Dr. BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Palliative Care
|July 30, 2010
PubMed
Summary
This summary is machine-generated.

Phantom breast syndrome, affecting up to 80% of mastectomy patients, causes residual sensations and pain, impacting quality of life. Effective management of this neuropathic pain is crucial for breast cancer survivors.

Keywords:
Breast cancerPhantom breast syndromeQuality of life

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Published on: September 19, 2014

Area of Science:

  • Oncology
  • Pain Medicine
  • Neurology

Background:

  • Phantom breast syndrome (PBS) involves sensations of residual breast tissue, including pain, affecting 30-80% of post-mastectomy patients.
  • Increased breast cancer survival rates highlight the importance of post-treatment quality of life, making chronic pain a significant issue.
  • Neuropathic pain after breast cancer surgery, often due to nerve damage, is under-recognized and undertreated.

Purpose of the Study:

  • To review the incidence, risk factors, and management strategies for phantom breast pain and related neuropathic pain syndromes following breast cancer surgery.

Main Methods:

  • Literature review of studies on phantom breast syndrome, neuropathic pain post-mastectomy, and treatment modalities.
  • Analysis of risk factors, including acute postoperative pain and analgesic use.
  • Overview of pharmacological and neuromodulation treatment options.

Main Results:

  • Severe acute postoperative pain and increased analgesic use are key risk factors for developing phantom breast pain.
  • Prophylactic strategies should focus on optimal peri-operative pain control and minimizing surgical nerve damage.
  • Various treatments exist, including antidepressants, anticonvulsants, opioids, and neuromodulation techniques.

Conclusions:

  • Phantom breast pain and associated neuropathic pain are significant post-mastectomy complications impacting survivors' quality of life.
  • Optimal pain management during and after surgery is essential for preventing chronic neuropathic pain.
  • A multimodal approach combining pharmacotherapy and neuromodulation may be necessary for effective treatment.