IMMEDIATE AND LONG-TERM PHANTOM BREAST SYNDROME AFTER MASTECTOMY - INCIDENCE, CLINICAL CHARACTERISTICS AND RELATIONSHIP TO PRE-MASTECTOMY BREAST PAIN
IMMEDIATE AND LONG-TERM PHANTOM BREAST SYNDROME AFTER MASTECTOMY - INCIDENCE, CLINICAL CHARACTERISTICS AND RELATIONSHIP TO PRE-MASTECTOMY BREAST PAIN
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DOI：
10.1016/0304-3959(89)90092-4
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发表时间：
1989-03-01
期刊：
影响因子：
7.4
通讯作者：
JORGENSEN, HS
中科院分区：
文献类型：
--
作者：
KRONER, K;KREBS, B;JORGENSEN, HS
乳房切除术后出现的假乳房综合征（PBS）已有其他作者报道。然而，这些现象的时间进程、性质和程度尚未阐明。在一项前瞻性研究中，我们调查了PBS的发病率、临床表现和时间进程。120名妇女，在1年期间，在该部门连续进行术后控制或治疗，在手术后3周进行了标准问卷调查。一年后，110名患者再次接受了采访。首次访谈时的中位年龄为54岁（Q1 = 45岁; Q3 = 62岁）。PBS的发生率在第一次访谈时为25.8%，在第二次访谈时为24.5%。乳房切除术后3周幻痛和非痛性幻痛的发生率分别为13.3%和15.0%，1年后分别为12.7%和11.8%。我们发现术前疼痛与PBS之间存在显著关系，但年龄与PBS的发生之间无显著关系。无论是术后后遗症还是癌症治疗（包括放疗）似乎都不会影响PBS的发生。外感受性疼痛是两次访谈中最主要的疼痛类型。在第一次访谈时，35.0%的患者出现瘢痕疼痛，与幻痛明显不同; 1年后，22.7%的患者出现持续性瘢痕疼痛。目前PBS的发病率接近其他人报告的发病率。然而，持续性幻痛可能比通常预期的更常见。此外，瘢痕疼痛的持续性似乎比通常预期的更常见。
Phantom breast syndrome (PBS) following mastectomy has already been reported by other authors. The temporal course, character and extent of these phenomena, however, have not yet been elucidated. In a prospective study, we investigated the incidence, clinical picture and the temporal course of PBS. One hundred and twenty women who, during a 1 year period, embarked consecutively on post-operative control or treatment at the department, were interviewed by a standard questionnaire 3 weeks after the operation. One year later 110 patients were interviewed again. The median age at the first interview was 54 years (Q1 = 45 years; Q3 = 62 years). The incidence of PBS was 25.8% at the first interview and 24.5% at the second. The incidence of phantom pain and non-painful phantom sensations was 13.3% and 15.0%, respectively, 3 weeks after mastectomy and 12.7% and 11.8%, respectively after 1 year. We found significant relationships between pre-operative pain and PBS, but no significant relation between age and the occurrence of PBS. Neither post-operative sequelae nor cancer treatment including radiotherapy seemed to affect the occurrence of PBS. Exteroceptive-like pain emerged as the most predominant type of pain from both interviews. At the time of the first interview, 35.0% of the patients experienced cicatrix pain which was clearly distinguishable from phantom pain; after 1 year, 22.7% of the patients had persistent cicatrix pain. The present incidence of PBS is close to the incidence reported by others. Persistent phantom pain may, however, be more common than usually expected. Also persistence of cicatrix pain seems to be more common than generally expected.