Article Commentary: Pain after Mastectomy and Breast Reconstruction
Article Commentary: Pain after Mastectomy and Breast Reconstruction
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文章评论：乳房切除术和乳房重建术后的疼痛
DOI：
10.1177/000313480807400402
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
D. Narayan
中科院分区：
文献类型：
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作者：
N. Vadivelu;M. Schreck;Javier López;Gopal Kodumudi;D. Narayan
乳腺癌是一种潜在致命的疾病，影响八分之一的女性。随着乳腺癌微创治疗的趋势，例如保乳治疗、前哨淋巴结活检以及放疗和化疗的早期治疗，乳腺癌术后的预期寿命有所增加。然而，乳腺癌手术后的疼痛是一个主要问题，接受乳房切除术和乳房重建的女性大约有一半会经历术后疼痛综合症。乳房切除术和乳房重建术后的患者可能会遭受急性伤害性疼痛和慢性神经性疼痛综合征。已经尝试了几种控制急性术后疼痛和慢性疼痛状态（例如乳房切除术后疼痛和幻痛）的预防措施。本综述重点关注最近为控制接受乳腺癌微创治疗的患者的急性和慢性疼痛所做的研究，例如乳房切除术和乳房重建的保乳治疗、前哨淋巴结活检以及放射和化疗的早期治疗。
Breast cancer is a potentially deadly disease affecting one in eight women. With the trend toward minimally invasive therapies for breast cancer, such as breast conserving therapies, sentinel node biopsies, and early treatments of radiation and chemotherapy, life expectancy after breast cancer has increased. However, pain after breast cancer surgery is a major problem and women undergoing mastectomy and breast reconstruction experience postoperative pain syndromes in approximately one-half of all cases. Patients post mastectomy and breast reconstruction can suffer from acute nociceptive pain and chronic neuropathic pain syndromes. Several preventative measures to control acute post operative pain and chronic pain states such as post mastectomy pain and phantom pain have been tried. This review focuses on the recent research done to control acute and chronic pain in patients receiving minimally invasive therapies for breast cancer, such as breast conserving therapies of mastectomies and breast reconstruction, sentinel node biopsies, and early treatments of radiation and chemotherapy.