Women who undergo axillary lymph node surgery for cancer more likely to develop chronic pain in -
An analysis conducted by researchers from McMaster University found that women who undergo surgery lymph nodes in the armpit breast cancer are much more likely to develop chronic pain.
CMAJ today released its review of studies investigating the risk factors for the development of chronic pain after breast cancer surgery that also included younger age and radiotherapy.
"ten-year survival rates for patients with breast cancer are now around 83%, but up to 60% of women who undergo surgery as part of cancer treatment, can develop chronic pain, "said lead author Jason Busse. He is an assistant professor of anesthesia, and a researcher at the Institute G. DeGroote Michael for research and treatment of pain in Michael G. DeGroote School of Medicine.
the international research team, led by postdoctoral student Dr. Busse, Dr. Wang Li, conducted a systematic review which analyzed 30 observational studies which enrolled 20,000 women undergoing surgery for breast cancer. the analysis of these data suggests that disruption of the sensory nerves in the axilla (underarm) lymph nodes are removed is associated with the development of chronic pain.
" We can not be certain that efforts to save the nerves during axillary surgery for breast cancer will prevent the development of chronic pain, "said Busse. "Although we found a 21% increase in the risk of chronic post-surgical pain associated with surgery axillary nodes, sparing nerve may not always be possible, and if possible can not reduce the risk of chronic pain as much as current evidence suggests. "
changes are made in the world to change treatment, said Dr. Susan Reid, author of the study. She is also professor and chair of surgery at the Michael G. DeGroote School of Medicine at McMaster University and a breast cancer surgeon.
"The current standards in axillary surgery have already undergone a significant change to sentinel node biopsy, which reduces the potential complications for many patients," she said.
CMAJ today released its review of studies investigating the risk factors for the development of chronic pain after breast cancer surgery that also included younger age and radiotherapy.
"ten-year survival rates for patients with breast cancer are now around 83%, but up to 60% of women who undergo surgery as part of cancer treatment, can develop chronic pain, "said lead author Jason Busse. He is an assistant professor of anesthesia, and a researcher at the Institute G. DeGroote Michael for research and treatment of pain in Michael G. DeGroote School of Medicine.
the international research team, led by postdoctoral student Dr. Busse, Dr. Wang Li, conducted a systematic review which analyzed 30 observational studies which enrolled 20,000 women undergoing surgery for breast cancer. the analysis of these data suggests that disruption of the sensory nerves in the axilla (underarm) lymph nodes are removed is associated with the development of chronic pain.
" We can not be certain that efforts to save the nerves during axillary surgery for breast cancer will prevent the development of chronic pain, "said Busse. "Although we found a 21% increase in the risk of chronic post-surgical pain associated with surgery axillary nodes, sparing nerve may not always be possible, and if possible can not reduce the risk of chronic pain as much as current evidence suggests. "
changes are made in the world to change treatment, said Dr. Susan Reid, author of the study. She is also professor and chair of surgery at the Michael G. DeGroote School of Medicine at McMaster University and a breast cancer surgeon.
"The current standards in axillary surgery have already undergone a significant change to sentinel node biopsy, which reduces the potential complications for many patients," she said.
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