Fantom Meme Sendromunun Görülme Sıklığı Ve Klinik Özellikleri: Literatür Taraması

Giriş: Mastektomi komplikasyonlarından biri olan fantom meme sendromu; cerrahi girişim ile alınan meme dokusunun ağrılı veya ağrısız olarak hissedilmesidir. Mastektomi öncesi ağrıdan ve mastektomi sonrası skar doku hissinden farklı olarak hissedilen nöropatik bir ağrıdır. Amaç: Fantom meme sendromu görülme sıklığının ve klinik özelliklerinin belirlenmesidir. Yöntem: Medline Complete, Pubmed, Science Direct, EBSCO veri tabanları taranarak 2004-2014yılları arasındaki toplam 11 yayın incelemeye dahil edildi. Bulgular: İncelenen 11 çalışmada toplam 627 hastaya mastektomi uygulandığı, hastaların 49’unda(%7.8) fantom meme sendromu, 413’ünde(%65.8) fantom meme hissi, 42’sinde(%6.7) ise fantom meme ağrısı olduğu belirlenmiştir.Sonuç: Fantom meme sendromunun değerlendirilmesinde belirli standartların oluşturulmasına, tedavisi ve bakımına yönelik profesyonel bilgilendirilmelerin yapılarak farkındalığın artırılmasına ve daha kapsamlı randomize kontrollü çalışmalara gereksinim vardır.

Anahtar Kelimeler:

Fantom meme sendromu, fantom meme, fantom ağrı, fantom hissi, mastektomi

Prevalence and Clinical Features of Phantom Breast Syndrome: Literature Review

Background: Phantom Breast Syndrome (PBS) is one of the complications of mastectomy and it is type of condition in which patients have a sensation of residual breast tissue and can include both non-painful sensations as well as phantom breast pain. The sensation in PBS is different than a pain before mastectomy or a sensation related with scar tissue; the sensation in the removed breast is a neuropathic pain. PBS was divided into a sub-stypes with painful phantom and non-painful phantom sensations.Objective:To review the literature to define the prevalence and clinical features of phantom breast syndrome.Methodology:The studies conducted between 2004-2014 were reviewed through Medline Complete, Pubmed, Science Direct, and EBSCO and 11 studies were included in the present review.Findings:In the samples of these 11 studies; there were 627 patients who had mastectomy and 7.8% of them (49 patients) were diagnosed with phantom breast syndrome, 65.8% (413 patients) had phantom breast sensation and 6.7% (42 patients) had phantom breast pain. Conclusion:It is needed to define certain standards in the assessment of PBS, professional meetings should be done for the treatment and care of patients with PBS. In addition, more randomized controlled studies are needed in this subject.

Keywords:

Phantom breast syndrome, phantom breast, phantom pain, phantom sensation, mastectomy,

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Ahmed, A., Bhatnagar, S., Rana, S. P. S., Ahmad, S. M., Joshi, S., & Mishra, S. (2014). Prevalence of phantom breast pain and sensation among postmastectomy patients suffering from breast cancer: a prospective study.Pain Practice, 14(2), E17-E28.