Neurological aspects of surgical treatment in breast cancer patients

I. V Obmanov; M. L Jarygin; V. I Shmyrev; E. M Nosenko; L. M Jarygin

doi:10.17816/onco40022

Russian Journal of Oncology ›› 2014, Vol. 19 ›› Issue (1) : 8 -12. DOI: 10.17816/onco40022

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Neurological aspects of surgical treatment in breast cancer patients

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Abstract

Preservation of the intercostobrachial nerves (ICBN) during surgical operations in breast cancer patients is still controversial. Sixty women aged from 36 to 83 (63,1±11,9) were examined to identify the influence of preserving the ICBN. In 40 (66,7%) women ICBN were preserved, but in 20 (33,3%) ones - were transected. The clinical evaluation was performed at 14th day and at 1, 3, 6 and 12 months after surgery. Sensory loss, hands strength dynamometry, quality of life (QOL), lymphedema and depression were estimated in this study. Hypoesthesia, feeling pain and QOL had a significant statistical difference between the two groups. Postmastectomy lymphedema, hands strength and depression were statistically insignificant between the groups. Thus, preservation of the ICBN reduces the sensory changes, pain and improves the quality of life in women after breast cancer surgery.

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breast cancer / intercostobrachal nerves / quality of life

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I. V Obmanov, M. L Jarygin, V. I Shmyrev, E. M Nosenko, L. M Jarygin. Neurological aspects of surgical treatment in breast cancer patients. Russian Journal of Oncology, 2014, 19(1): 8-12 DOI:10.17816/onco40022

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