Vasanth, M S (2020) A Study on the Incidence of Post Mastectomy Pain and Phantom Breast Syndrome following Mastectomy. Masters thesis, Stanley Medical College, Chennai.
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Abstract
INTRODUCTION: The majority of women diagnosed with breast cancer undergo some kind of breast surgery as part of their treatment. Up to 55% of these women experience pain after their surgery, pain which in some cases persists for months to years . The purposes of this study is to identify the different kinds of pain experienced by women after breast cancer surgery, to explore the current literature addressing its nature and incidence, and to discuss the implications of this information for treating the women with breast cancer, Two pain syndromes that commonly follow breast surgery, post axillary dissection pain and phantom breast pain, will be discussed.Strategies for pain management, including educational intervention and treatment approaches, will also be addressed. AIM OF THE STUDY: The objectives are To find out the incidence of post mastectomy pain syndrome and phantom breast syndrome in patients undergoing simple mastectomy or modified radical mastectomy for carcinoma breast. MATERIALS AND METHODS: Place : Department of surgery. Design : observational Study. Period : 2018-2019. Sample Size : 100 Patients. Inclusion criteria: Patients above 18 years. Patients who underwent modified radical mastectomy/simple mastectomy. Patients who were given neoadjuvant or adjuvant chemotherapy. Patients who were given radiotherapy. Exclusion criteria: Patients less than 18 yrs. Patients with bilateral breast disease. Patients who underwent lumpectomy or quardrantectomy or breast reconstruction. Patients who underwent previous surgery in axilla Pain associated with upper extremity lymphedema patients with local recurrence. METHODS: Patients were reviewed during follow up approximately 8 —12 weeks after surgery. Patients were subjected to thorough physical examination .. Patients were evaluated with a standardized Questionnaire in a language Acceptable and understandable for them. OBSERVATION AND RESULTS: 81 of them underwent modified radical mastectomy with axillary lymph node dissection and 19 of them underwent simple mastectomy for locally advanced carcinoma breast as a palliative measure. Of these patients post operatively after complete healing of the main wound (> 3 weeks) and following a period of 10 -12 weeks with the help of a questionnaire incidence of post mastectomy pain syndrome presenting with chest wall pain, axillary pain and both were found. CONCLUSION: 1. out of 100 patients, 81 underwent Modified Radical Mastectomy and the remaining underwent simple Mastectomy. 2. Mean age of patients 47. 21% of patients experienced post mastectomy pain over the chest wall and 11% of them having pan in the arm. 3. 17% of Patients felt themselves disabled following mastectomy. 4. 5.4% of patients experienced phantom pain alone. 5. 6.6% of them experienced phantom sensation in the region of operated breast. 6. The occurrence of phantom breast syndrome in our patients was found to be 17%.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711070 |
| Uncontrolled Keywords: | Incidence, Post Mastectomy Pain, Phantom Breast Syndrome, Mastectomy. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 09 Feb 2021 02:24 |
| Last Modified: | 09 Feb 2021 02:24 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13957 |
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