Phantom breast pain as a source of functional loss.
Although physicians are aware of phantom limb pain, which can occur in up to 85% of patients who undergo amputation, and its potential effect on functional status, the presence of phantom pain after amputation of other body parts such as the breast and its effect on function may be less appreciated. We report the case of a 63-yr-old woman with multiple sclerosis who underwent a modified radical mastectomy for left intraductal breast carcinoma. After her mastectomy, she required a brief course of inpatient rehabilitation and was discharged from rehabilitation independent, with feeding, dressing, hygiene, and transfers. Two months after her mastectomy, she had difficulty with these tasks because of phantom breast pain. Accurate diagnosis of her pain and successful treatment resulted in a return to premorbid functional status.
Hsu
Chiachen
C
Rehabilitation Institute of Chicago, Northwestern University Feinberg School of Medicine, 345 East Superior Street, Chicago, IL 60611, USA.
Sliwa
James A
JA
D000085:Acetates / Q000627:therapeutic use; D000203:Activities of Daily Living; D000588:Amines; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000453:epidemiology / Q000601:surgery; D002278:Carcinoma in Situ / Q000453:epidemiology / Q000601:surgery; D015897:Comorbidity; D003509:Cyclohexanecarboxylic Acids; D005260:Female; D000077206:Gabapentin; D006801:Humans; D015411:Mastectomy, Modified Radical / Q000523:psychology* / Q000534:rehabilitation; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000453:epidemiology; D010147:Pain Measurement; D010468:Perceptual Disorders / Q000150:complications* / Q000188:drug therapy; D005680:gamma-Aminobutyric Acid
D000085:Acetates; D000588:Amines; D014151:Anti-Anxiety Agents; D003509:Cyclohexanecarboxylic Acids; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin