A retrospective cohort study of post mastectomy pain syndrome.

摘要: Post mastectomy pain syndrome is a condition which can occur following breast surgery and has until recently been regarded as uncommon. Recent reports have suggested that it may affect 20% or more of women mastectomy. The symptoms are distressing be difficult to treat however treatment for neuropathic successful. This paper retrospective cohort consecutive cases over six year period in one region whom 511 survivors were traced eligible survey. A total 408 completed questionnaire survey revealed 175 (43%) had ever suffered from postmastectomy 119 (29%) reported current although the majority decreasing intensity. striking finding was very high cumulative prevalence younger (65%) 26% 70 group. details onset, frequency intensity described along with their natural history. age effect on influences marital status, employment housing, educational status those who report typical symptoms. Body weight height also associated post syndrome. Relationship between radiotherapy, chemotherapy use tamoxifen unravel because combinations pre operative treatments received confounded by age. implications much higher discussed regard management counselling. important possible explanations explored.