Arm pain in the patient with breast cancer.
Identifieur interne : 005688 ( Ncbi/Curation ); précédent : 005687; suivant : 005689Arm pain in the patient with breast cancer.
Auteurs : C J VechtSource :
- Journal of pain and symptom management [ 0885-3924 ] ; 1990.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Douleur.
- diagnostic : Douleur.
- physiopathologie : Tumeurs du sein.
- étiologie : Douleur.
- Bras, Diagnostic différentiel, Femelle, Humains.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Pain.
- etiology : Pain.
- pathology : Pain.
- physiopathology : Breast Neoplasms.
- Arm, Diagnosis, Differential, Female, Humans.
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.
PubMed: 2348086
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