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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery

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Postmastectomy Pain Syndrome: A Narrative Review.

Sajad Ahmad Salati¹, Lamees Alsulaim², Mariyyah H Alharbi³

¹General Surgery, Unaizah College of Medicine & Medical Sciences, Qassim University, Qassim, SAU.

|November 29, 2023

Summary

Postmastectomy pain syndrome significantly impacts breast cancer survivors

Keywords:

antidepressants gabapentinoids intercostobrachial nerve mastectomy neuroma neuromodulation neuropathy postmastectomy pain syndrome

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Area of Science:

Oncology
Pain Medicine
Surgical Research

Background:

Postmastectomy pain syndrome (PMPS) is a prevalent complication following breast cancer surgery.
This chronic pain condition adversely affects the quality of life for breast cancer survivors.
The exact mechanisms driving PMPS remain unclear, but several risk factors are known.

Purpose of the Study:

To review the current understanding of postmastectomy pain syndrome.
To highlight the importance of identifying and mitigating preoperative risk factors.
To discuss current and future research directions in PMPS management.

Main Methods:

Literature review of postmastectomy pain syndrome.
Analysis of identified risk factors and their implications.
Overview of multidisciplinary treatment approaches.

Main Results:

Postmastectomy pain syndrome is a common and debilitating condition.
Preoperative identification and management of risk factors are crucial.
Multidisciplinary treatments, including surgical and non-surgical options, are employed.

Conclusions:

Further research is essential to fully elucidate the pathophysiology of PMPS.
Optimizing preoperative assessments and treatments can improve patient outcomes.
Addressing PMPS is critical for enhancing the long-term well-being of breast cancer survivors.