Poma S, Varenna R, Bordin G, Rubino T, Fuertes Guiró F, Ambrosini M T, Moschini V
División de Cirugía General, Institutos Clínicos de Perfeccionamiento de Milán, Italia.
Rev Clin Esp. 1996 May;196(5):299-301.
The phantom breast syndrome (PBS) is a complication of mastectomy which consists of a sensation of breast persistence after mastectomy. MATERIALS, PATIENTS AND METHODS: The incidence, clinical course and location of PBS in 97 operated women were studied for a 15-year period. All women were interviewed in postoperative follow-up controls after mastectomy.
The incidence of PBS was 29 patients out of the 97 total. The syndrome was present for more than 48 months in eleven of these patients. In most cases the location of "phantom sensations" was the nipple (15 cases) and the entire breast in five patients. In only three patients was phantom breast pain (PBP) reported whereas some discomfort was reported by the other patients.
The incidence of PBS in our series was similar to that reported by other authors, but PBP was less common. Neither postoperative sequelae nor the antitumoral specific therapy seemed to have influence on the emergence of PBS.
幻乳综合征(PBS)是乳房切除术的一种并发症,表现为乳房切除术后仍有乳房持续存在的感觉。
材料、患者与方法:对97例接受手术的女性进行了为期15年的研究,以探讨PBS的发病率、临床病程及部位。所有女性在乳房切除术后的随访控制中均接受了访谈。
97例患者中,PBS的发病率为29例。其中11例患者该综合征持续时间超过48个月。在大多数情况下,“幻乳感觉”的部位是乳头(15例),5例患者感觉整个乳房存在。仅3例患者报告有幻乳痛(PBP),其他患者报告有一些不适。
我们系列研究中PBS的发病率与其他作者报告的相似,但PBP较少见。术后后遗症和抗肿瘤特异性治疗似乎均未对PBS的出现产生影响。