Breast cancer radical mastectomy preserving intercostobrachial nerve: improve the quality of life for postoperative patients

HAN Zhong-Bao, ZHOU Hu, HAN Kou-Lan

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (5) : 591-593.

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (5) : 591-593.

Breast cancer radical mastectomy preserving intercostobrachial nerve: improve the quality of life for postoperative patients

  • HAN Zhong-bao1,ZHOU Yu2,HAN Kou-lan2
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Abstract

Objective To explore the effects of breast cancer radical mastectomy preserving intercostobrachial nerve (ICBN), on the quality of life for postoperative patients.    Methods    150 patients, suffered from breast carcinoma (stage I or II), were performed Anchincloss surgery preserving ICBN or not. All cases were followed up and analyzed. Results For postoperative patients preserving ICBN, it's less to occur paresthesia and pain of the post-medial upper arm, compared to that of patients removing ICBN (P<0.01). However, no difference appeared between two kinds of surgery procedures for local recurrence rate and distant metastasis rate. Conclusions For patients underwent breast cancer radical mastectomy preserving ICBN, it's better to relieve postoperative pain and improve quality of life.

Key words

Breast cancer / Modified radical mastectomy / Intercostobrachial nerve(ICBN)

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HAN Zhong-Bao, ZHOU Hu, HAN Kou-Lan. Breast cancer radical mastectomy preserving intercostobrachial nerve: improve the quality of life for postoperative patients[J]. Chinese Journal of Clinical Anatomy. 2011, 29(5): 591-593

References


[1]  Schwartzman RJ, Alexander GM, Grothusen J. Pathophysiology of complex regional pain syndrome
[J]. Expert Review of Neurotherapeutics ,2006, 6(5):669-681.

[2]  Van Darn MS,Hennipman A,De Kruif JT,et a1.Complications following axillary dissection for breast carcinoma
[J].Ned Tijdschr Geneeskd,1993,137(46):2395-2398.

[3]  胡建光,刘里侯,欧阳植庭,等.乳腺癌根治术与胸前神经的应用解剖
[J].中国现代医学杂志,1999,9(6):42-43.

[4] Kasai T.Yamamoto N.Medial brachiaI cutaneous nerves and the intereostobraehial nerves
[J].Kaibogaku Zasshi,1966,41(1):29-42.


[5]  Paredes JP,Puente JL,Potd J.Variations in sensitivity after wtionin the intemostobraehial nerve
[J].Am J Sury,1990,160:525-528.

[6]  Cunnick H,Upponi S,Wishart GC.Anatomical variants of the intercostobra chial nerve encountered during axillary dissection
[J].Breast,2001,10(2):160-162.

[7]  Torresan RZ,Cabdlo C,Conde DM,et al.Impact of the preservation of the intercostobrachial nerve in axillary lymphadectomy due to breast cancer
[J].Breast J,2003,9(5):389-392.

[8]  Ivanovic N,Granic M,Bandelovic T,et al.Functional effects of preserving the intercostobrachial nerve and the lateral thoracic vein during axillary dissection in breast cancer conservative surgery
[J].Vojnosanit Pregl,2007,64(3):195-198.

[9]  印国兵,吴诚义.肋间臂神经的解剖及其临床意义
[J].中国临床解剖学杂志,2004,22(2):168-170.

[10] Temple WJ,Ketehem AS.Preservation of the intercostobrachial nerve during axillary dissection for breast caneer
[J].Am J Surg,1985,150(5):585-588.

[11] 吴诚义,姚榛祥,吴凯南,等.乳腺癌腋清扫中保留肋间臂神经的方法和意义
[J].外科理论与实践,2001,6(4):210-212.

[12] 郑镇木,黄少明,郑雄烈,等.保留肋间臂神经在乳腺癌腋淋巴结清扫术中的临床应用
[J].中国实用外科杂志,2004,24(3):167-168.

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