Document Detail

Long-term phantom breast syndrome after mastectomy.
MedLine Citation:
PMID:  1493345     Owner:  NLM     Status:  MEDLINE    
Phantom breast syndrome after mastectomy has already been reported by us and other authors. The temporal course, character, and extent of these phenomena, however, have not yet been elucidated. OBJECTIVE: To investigate in a prospective study the incidence, clinical picture, and temporal course of phantom breast syndrome during a 6-year period. DESIGN: One-hundred twenty women who embarked on consecutive postoperative control or treatment at our department during a 1-year period were interviewed by a standard questionnaire 3 weeks after the operation. Of these, 110 patients were interviewed 1 year later and 69 were interviewed again 6 years later. PATIENTS: The median age at the first interview was 54 years (Quartile (Q)1 = 45 years; Q3 = 62 years) and at the third interview 6 years later, 60 years (Q1 = 51 years; Q3 = 68 years). RESULTS: The incidence of phantom pain and nonpainful phantom sensations was 13.3% and 15.0%, respectively, 3 weeks after mastectomy, 12.7% and 11.8%, respectively, after a year, and 17.4% and 11.8%, respectively, after 6 years. We found significant relationships between preoperative pain and phantom breast syndrome, but no significant relationship between age and the occurrence of this syndrome. Neither postoperative sequelae nor cancer treatment including radiotherapy seemed to affect the occurrence of phantom breast syndrome. Pain in the scar, which was clearly distinguishable from phantom pain, was present in 35.0% of the patients 3 weeks postoperatively, in 22.7% after 1 year, and persisted in 30.9% 6 years later. CONCLUSIONS: The present incidence of phantom-related phenomena is close to the incidence reported by others. However, persistent phantom pain after mastectomy may be more common than usually expected. Also, the persistence of pain in the scar seems to be more common than generally expected.
K Krøner; U B Knudsen; L Lundby; H Hvid
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Clinical journal of pain     Volume:  8     ISSN:  0749-8047     ISO Abbreviation:  Clin J Pain     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-03-08     Completed Date:  1993-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8507389     Medline TA:  Clin J Pain     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  346-50     Citation Subset:  IM    
Danish Pain Research Center, University of Aarhus.
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MeSH Terms
Age Factors
Cicatrix / etiology,  physiopathology,  psychology
Middle Aged
Pain, Postoperative / etiology*,  physiopathology
Prospective Studies

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