A Targeted Approach to Post-Mastectomy Pain and Persistent Pain following Breast Cancer Treatment

Cancers

卷:13

Arash Asher¹  Philip J. Chang¹  Sean R. Smith² 

[1] Department of Physical Medicine and Rehabilitation, Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA;

[2] Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48108, USA;

关键词: post-mastectomy pain;    persistent pain in breast cancer;    cancer rehabilitation;    post-mastectomy pain syndrome;   

DOI  :  10.3390/cancers13205191

来源: DOAJ

【 摘 要 】

Persistent pain following treatment for breast cancer is common and often imprecisely labeled as post-mastectomy pain syndrome (PMPS). PMPS is a disorder with multiple potential underlying causes including intercostobrachial nerve injury, intercostal neuromas, phantom breast pain, and pectoralis minor syndrome. Adding further complexity to the issue are various musculoskeletal pain syndromes including cervical radiculopathy, shoulder impingement syndrome, frozen shoulder, and myofascial pain that may occur concurrently and at times overlap with PMPS. These overlapping pain syndromes may be difficult to separate from one another, but precise diagnosis is essential, as treatment for each pain generator may be distinct. The purpose of this review is to clearly outline different pain sources based on anatomic location that commonly occur following treatment for breast cancer, and to provide tailored and evidence-based recommendations for the evaluation and treatment of each disorder.

【 授权许可】

Unknown