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Case Reports
Post-axillary dissection pain in breast cancer due to a lesion of the intercostobrachial nerve.
- C J Vecht, H J Van de Brand, and O J Wajer.
- Department of Neurology, Dr. Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
- Pain. 1989 Aug 1;38(2):171-6.
AbstractSeven patients with breast carcinoma and post-axillary dissection pain are described. They complained about pain in the axilla, inner side of the upper arm and/or shoulder. All had undergone a partial or radical breast amputation including an axillary lymph node dissection. On neurological examination all had evidence of a lesion of the intercostobrachial nerve. The pain was not associated with lymphedema and only one patient had undergone radiotherapy to the axillary and supraclavicular area. Post-axillary dissection pain is probably a more appropriate name than the usual post-mastectomy pain for this syndrome. During the dissection, the intercostobrachial nerve is often lesioned, which may give rise to neuropathic pain of that nerve.
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