Intended for healthcare professionals

CCBYNC Open access

Rapid response to:

Research

Persistent pain and sensory disturbances after treatment for breast cancer: six year nationwide follow-up study

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f1865 (Published 11 April 2013) Cite this as: BMJ 2013;346:f1865

Rapid Response:

Re: Persistent pain and sensory disturbances after treatment for breast cancer: six year nationwide follow-up study

Mejhadi etal. (1) reported that axillary lymphadenectomy is the major reason of pain after surgery for breast cancer. Axillary lymph nodes deissection should be replaced in the majority of cases by sentinel lymph node dissection. Indeed ultrasonography of axillary nodes and lyphoscintigraphy enable to detect metatstatic axillary lymph nodes. In many cases, there is no carcinological evidence to continue to perform axillary lymph node dissection. In addition it damages sensory nerves of the axilla causing pain.

References
1. Mejdahl MK, Kenneth Geving Andersen KG,
Gärtner R, Kroman N, Kehlet H. BMJ 2013;346:f1865

Competing interests: No competing interests

13 April 2013
Alouini Souhail
Gynaecologist Surgeon
Regional Hospital Center of Orleans
1 Porte Madeleine, 45000 Orleans, France