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Arm pain in the patient with breast cancer

Identifieur interne : 005635 ( Istex/Checkpoint ); précédent : 005634; suivant : 005636

Arm pain in the patient with breast cancer

Auteurs : Charles J. Vecht [Pays-Bas]

Source :

RBID : ISTEX:14F00B97D24056B5AF92BB9DA98119FFF880874E

English descriptors

Abstract

Abstract: The causes of ipsilateral arm pain were analyzed in a consecutive series of 38 patients with breast cancer. A lesion of the brachial plexus was diagnosed in 17 patients, of whom 8 had tumor involvement, 5 had radiation fibrosis, 1 had lymphedema entrapment, and 3 had a probable transient neuritis of the plexus. In four patients, a cervical radiculopathy was found; two of these patients had a Horner's syndrome. A carpal tunnel syndrome was seen in four patients and could possibly be attributed to lymphedema in two patients. In five patients, a pericapsulitis of the shoulder joint was seen. Seven of eight patients with a postsurgical pain had a neuropathic pain related to damage of the intercostobrachial nerve induced by a postaxillary dissection. These diagnoses probably indicate the most common causes of ipsilateral arm pain in breast cancer. A postaxillary dissection pain seems the most frequent type of postsurgical pain in breast cancer.

Url:
DOI: 10.1016/S0885-3924(05)80024-7


Affiliations:


Links toward previous steps (curation, corpus...)


Links to Exploration step

ISTEX:14F00B97D24056B5AF92BB9DA98119FFF880874E

Le document en format XML

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<title level="j">Journal of Pain and Symptom Management</title>
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<div type="abstract" xml:lang="en">Abstract: The causes of ipsilateral arm pain were analyzed in a consecutive series of 38 patients with breast cancer. A lesion of the brachial plexus was diagnosed in 17 patients, of whom 8 had tumor involvement, 5 had radiation fibrosis, 1 had lymphedema entrapment, and 3 had a probable transient neuritis of the plexus. In four patients, a cervical radiculopathy was found; two of these patients had a Horner's syndrome. A carpal tunnel syndrome was seen in four patients and could possibly be attributed to lymphedema in two patients. In five patients, a pericapsulitis of the shoulder joint was seen. Seven of eight patients with a postsurgical pain had a neuropathic pain related to damage of the intercostobrachial nerve induced by a postaxillary dissection. These diagnoses probably indicate the most common causes of ipsilateral arm pain in breast cancer. A postaxillary dissection pain seems the most frequent type of postsurgical pain in breast cancer.</div>
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{{Explor lien
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   |area=    LymphedemaV1
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   |type=    RBID
   |clé=     ISTEX:14F00B97D24056B5AF92BB9DA98119FFF880874E
   |texte=   Arm pain in the patient with breast cancer
}}

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