Frequency and Risk Factors for Post Mastectomy Pain Syndrome [PMPS] in Female Breast Cancer patients
Said Zaman Khan, Sabih Nofil, Anum Arif, Maria Mir Jan, Bismah Riaz, Nawabzada Zeeeak Farhat Khan Sherwani
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ABSTRACT
Post mastectomy pain syndrome is one of the most common complications
after axillary surgery for breast cancer. PMPS is considered a neuropathic pain
and is thought to be caused by a variety of pre-operative, intraoperative and
postoperative risk factors. In this study all post operative patients for
breast cancer were interviewed at follow-up visits for symptoms of pain
according to DN4 neuropathic pain score questionnaire and VAS scale for pain
intensity. A total of 97 patients were included according to inclusion
criteria. Among them 24(24.74%) patients were having PMPS and 73(77.06%) were
having no PMPS. Among risk factors, ALND was found to be the most important
risk factor for development of PMPS. In
most patients the pain was mild in intensity according to VAS scale. And site
of the pain was mostly found to be ipsilateral chest wall and axilla and
majority of patients pin responded to simple NSAIDS and Arm exercises.
Keywords: Breast cancer, mastectomy, pain