Pain syndrome after surgical treatment of breast cancer

Manturova N.E.

Pirogov Russian National Research Medical University;
Institute of Plastic Surgery and Cosmetology

SPIN RSCI: 5232-0412
Scopus AuthorID: 55461712100
ORCID: 0000-0003-4281-1947

Karasev V.E.

Omsk State Medical University;
Clinical Oncology Dispensary

Ismagilov A.Kh.

Republican Clinical Oncology Dispensary

Pain syndrome after surgical treatment of breast cancer

Authors:

Manturova N.E., Karasev V.E., Ismagilov A.Kh.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2022;(4): 35‑40

DOI: 10.17116/plast.hirurgia202204135

Downloaded: 357

To cite this article:

Manturova NE, Karasev VE, Ismagilov AKh. Pain syndrome after surgical treatment of breast cancer. Plastic Surgery and Aesthetic Medicine. 2022;(4):35‑40. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202204135

Подписка 2025-2 (Plastic Surgery and Aesthetic Medicine)

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OBJECTIVE

To identify the features of pain syndrome before and after various surgical treatments of breast cancer, choose the optimal method and improve the quality of life in working-age patients.

MATERIAL AND METHODS

We followed-up 353 women with breast cancer before and for 5 years after surgery using the visual analogue scale, the Hospital Anxiety and Depression Scale and the SF-36 questionnaire.

RESULTS

Pain bothered 89% of patients within 6 months after surgical treatment. The most intense pain syndrome (8±1.3 points) was observed in early postoperative period. Moderate and severe pain syndrome (up to 7±1.2 points) was also observed after installation of expander. Insertion of implant decreased pain syndrome. There was weak correlation between pain syndrome and anxiety (G=0.16, p=0.027), pain syndrome and depression (G=0.18, p=0.019). Maximum scores were observed in the mastectomy group. Mean cumulative SF-36 score decreased by 15.9% (p=0.074) over 5-year follow-up in the mastectomy group. This value increased by 18.3% and 20.1% in the simultaneous and delayed reconstruction groups, respectively.

CONCLUSION

Reconstructive plastic surgery reduced severity of pain and improved psycho-emotional state of women that positively affects quality of life.

Keywords:

postmastectomy syndrome

pain

breast cancer

reconstructive surgery

Authors:

Manturova N.E.

Pirogov Russian National Research Medical University;
Institute of Plastic Surgery and Cosmetology

SPIN RSCI: 5232-0412
Scopus AuthorID: 55461712100
ORCID: 0000-0003-4281-1947

Karasev V.E.

Omsk State Medical University;
Clinical Oncology Dispensary

Ismagilov A.Kh.

Republican Clinical Oncology Dispensary

Received:

22.06.2022

Accepted:

20.07.2022

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