Postmastectomy neuropathic pain: Results of microsurgical lymph nodes transplantation
Postmastectomy neuropathic pain: Results of microsurgical lymph nodes transplantation
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DOI：
10.1016/j.breast.2007.12.007
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发表时间：
2008-10-01
期刊：
影响因子：
3.9
通讯作者：
Riquet, Marc
中科院分区：
文献类型：
--
作者：
Becker, Corinne;Pham, Duc Nhat Minh;Riquet, Marc
Postmastectomy chronic pain may be divided into widespread and regional pain. Almost half patients with regional pain, which is more likely related to neuropathic phenomena, do not benefit any pain relief from medication. Our purpose was to report results on pain relief obtained by axillary lymph nodes autotransplantation.Methods: Six patients presented with chronic regional neuropathic pains and upper limb lymphedema after breast cancer surgery and radiation therapy. Despite medication, pain was intolerable and daily activity dramatically reduced. Lymph nodes were harvested in the femoral region, transferred to the axillary region and transplanted by microsurgical procedures.Results: Lymphedema resolved in 5 out of 6 patients. Pain was relieved in all permitting return to work and daily activity; analgesic medication was discontinued.Conclusion: This procedure proved efficient and may be advocated in case of neuropathic pain when discussing lymphedema management. (C) 2008 Elsevier Ltd. All rights reserved.
