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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
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Treating Persistent Pain After Breast Cancer Surgery.
James S Khan1,2, Karim S Ladha2,3, Faraj Abdallah4
1Department of Anaesthesia and Pain Management, Mount Sinai Hospital, Toronto, ON, Canada.
Drugs
|December 1, 2019
Summary
Persistent pain after breast cancer surgery affects 30% of women, often with neuropathic features. This review covers its causes and current management strategies for better patient outcomes.
Area of Science:
- Oncology
- Pain Medicine
- Surgical Complications
Background:
- Breast cancer prognosis has improved, leading to increased focus on long-term management complications.
- Persistent pain after breast cancer surgery affects approximately 30% of patients, impacting quality of life.
- This pain often presents with neuropathic characteristics, ranging from mild-to-moderate, with a subset experiencing severe pain.
Purpose of the Study:
- To provide a comprehensive overview of persistent pain following breast cancer surgery.
- To discuss the underlying pathophysiology of this common complication.
- To review current and emerging management strategies for persistent pain.
Main Methods:
- This is a review article.
- Literature search on persistent pain after breast cancer surgery, its mechanisms, and treatments.
- Synthesis of current knowledge on pathophysiology and management.
Main Results:
- Persistent pain post-breast cancer surgery is a significant issue, affecting a substantial portion of patients.
- The pain is characterized by neuropathic features and varies in intensity.
- There is a clear need for preventative measures and novel treatments.
Conclusions:
- Persistent pain is a common and challenging complication of breast cancer surgery.
- Understanding the pathophysiology is crucial for developing effective interventions.
- Transitional pain programs and perioperative strategies are key for prevention and management.
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