egard
iwlicnlfpahice aflet diffetenl types osurgeryr
study comprised 28 patients with early breast cancer divided into 3 groups according to
operative piocedure indicated; modified radical mastectomy (group A), pectoralis minor
pi eservalton mastectomy (group B) and breast conservative surgery (group C). Postoperative
follow-up was conducted every 3 months for PMPS using McGill Pain Questionnaire, pain
seventy was recoidcd using 4-point verbal analogue scale The frequency of occurrence and
the degree ofLE was reported using sequential circumferential measurements. Psychological
and pin steal svelfaie was determined using a 4-subscale questionnaire. Results. 10 patients
(35 7%) had PMPS with a nonsignificant difference between the three applied procedures as
i egai ds both the frequency and seventy of PMPS. 2 patients m group A had painful shoulder
ii ilh significant redui lion of shoulder abduction and external rotation Six patients (21 4%)
de^eloped LE with .significant increase in the mean difference in arm circumference m group
4 & B compared to group C. Patients included in group C had significantly higher scores of
psychological and .physical welfare compared to other groups Conclusion: It could be
concluded that PMPS is not strictly related to the type of surgical procedure and whenever
indicated hieast conset vative surgery has better functional outcome with the least incidence
of complications.
Benha University
Mostafa El-Sayed1 ;& Khaled Sal
1 & I^eurology^,
Evaluation ofjPbst;Mastectomy Pain and Functional;,. ,:._,.',
-Outcome'-after Surgery for Early* Breast Cancer '•- ' |
