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.

About the authors

I. V Obmanov

Federal State Budgetary Institution «Educational scientific medical center» of the president administrative department of the Russian Federation, 121359, Moscow, Russian Federation

Email: ivan_obmanov@mail.ru
врач-невролог, аспирант каф. неврологии 121359, Moscow, Russian Federation

M. L Jarygin

Federal State Budgetary Institution «Central clinical hospital with polyclinic» of the president administrative department of the Russian Federation

121359, Moscow, Russian Federation

V. I Shmyrev

Federal State Budgetary Institution «Educational scientific medical center» of the president administrative department of the Russian Federation, 121359, Moscow, Russian Federation

121359, Moscow, Russian Federation

E. M Nosenko

Federal State Budgetary Institution «Central clinical hospital with polyclinic» of the president administrative department of the Russian Federation

121359, Moscow, Russian Federation

L. M Jarygin

Federal State Budgetary Institution «Central clinical hospital with polyclinic» of the president administrative department of the Russian Federation

121359, Moscow, Russian Federation

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