RESUMO
OBJECTIVE: to explore the sensory disturbances in the arm on the side of operation compared to the opposite upper extremity and evaluate quality of life in patients with breast cancer with postmastectomy syndrome. MATERIAL AND METHODS: Authors examined 110 women during one year including 64 (58.2%) with intact intercostal and shoulder nerves (group 1) and 46 (41.8%) with the nerves removed due to the progression of cancer or anatomical characteristics (group 2). We studied sensory disturbances and assessed quality of life with SF-36 questionnaire. RESULTS AND CONCLUSION: In group 1, there were less women with hyperesthesia, and quality of life level was higher compared to group 2. In group 2, the signs of hyperesthesia were more marked that may be related with the damage and/or compression of these nerves during the axillary lymphadenectomy. Preservation of intercostal and shoulder nerves during the axillary lymphadenectomy in patients with breast cancer can reduce sensory disturbances and improve quality of life of the patients.
Assuntos
Neoplasias da Mama/cirurgia , Hiperestesia/diagnóstico , Hipestesia/diagnóstico , Complicações Pós-Operatórias/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Hiperestesia/etiologia , Hipestesia/economia , Excisão de Linfonodo/efeitos adversos , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Qualidade de Vida , Ombro/inervação , Inquéritos e QuestionáriosRESUMO
Postmastectomy syndrome often follows the radical surgery oа the breast cancer. The intersection of the branches of the intercostal nerve is an infrequent cause of the postmastectomy syndrome development. We studied the long-term follow up results in 30 patients after radical mastectomy by Madden with preservation of the branches of the intercostal nerve on the level of Th1-Th3. The method demonstrated the decrease of the postmastectomy syndrome and the improvement of quality of life.