Objective To explore the diagnosis and management of post-mastectomy sensory impairment and movement restriction. Methods A case was reviewed. Results She was diagnosed as radiation-induced brachial plexus injury with rotator cuff tear from the history, signs and tests. Her movement was improved and numbness was relieved after rehabilitation.Conclusion The sensory impairment after mastectomy is mainly caused by brachial plexus injuries, and needs to be differentiated from scapulohumeral periarthritis and rotator cuff tear when patients have shoulder movement restriction.
LI Li
,
XIE Na
,
WANG He-wei
,
JIA Jie
. Sensory Impairment and Movement Restriction after Mastectomy: A Case Report[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018
, 24(2)
: 138
-140
.
DOI: 10.3969/j.issn.1006-9771.2018.02.004
[1] Zheng R, Zeng H, Zhang S, et al.Estimates of cancer incidence and mortality in China, 2013[J]. Chin J Cancer, 2017, 36(1): 66.
[2] Johansson S, Svensson H, Denekamp J.Timescale of evolution of late radiation injury after postoperative radiotherapy of breast cancer patients[J]. Int J Radiat Oncol Biol Phys, 2000, 48(3): 745-750.
[3] Wu SG, Huang SJ, Zhou J, et al.Dosimetric analysis of the brachial plexusamong patients with breast cancer treated with post-mastectomy radiotherapy to the ipsilateral supraclavicular area: report of 3 cases of radiation-induced brachial plexus neuropathy[J]. Radiat Oncol, 2014, 9: 292.
[4] 马跃文,孙瑞. 乳腺癌术后放射性臂丛神经损伤临床分析[J]. 中华外科实践, 2016, 15(28): 572-574.
[5] Gillette EL, Mahler PA, Powers BE, et al.Late radiation injury to muscle and peripheral nerves[J]. Int J Radiat Oncol Biol Phys, 1995, 31(5): 1309-1318.
[6] Pradat PF, Delanian S.Late radiation injury to peripheral nerves[J]. Handb Clin Neurol, 2013, 115: 743-758.
[7] 刘绪,陆合明. 放射性臂丛神经损伤的研究现状[J]. 中国临床新医学, 2014, 7(6): 564-567.
[8] Gałecki J, Hicer-Grzenkowicz J, Grudzień-Kowalska M, et al.Radiation-induced brachial plexopathy and hypofractionated regimens in adjuvant irradiation of patients with breast cancer-a review[J]. Acta Oncol, 2006, 45(3): 280-284.
[9] 路来金,宫旭,张晓杰,等. 放射性臂丛神经损伤的诊断和治疗[J]. 中华显微外科杂志, 2006, 29(6): 454-455.
[10] Cooper J.Occupational therapy intervention with radiation-induced brachial plexopathy[J]. Eur J Cancer Care (Engl), 1998, 7(2): 88-92.
[11] Yarnold J.Double-blind randomized phase II study of hyperbaric oxygen in patients with radiation-induced brachial plexopathy[J]. Radiother Oncol, 2005, 77(3): 327.
[12] Pritchard J, Anand P, Broome J, et al.Double-blind randomized phase II study of hyperbaric oxygen in patients with radiation-induced brachial plexopathy[J]. Radiother Oncol, 2001, 58(3): 279-286.
[13] 沙柯,陈德松,彭凤,等. 神经松解同时组织瓣移植治疗放射性臂丛神经损伤[J]. 中国矫形外科杂志, 2004, 12(1): 138-139.
[14] 张军,唐伟,赵典,等. 放射性臂丛神经损伤一例[J]. 中国神经免疫学和神经病学杂志, 2016, 23(4): 301.
[15] 杨建花,杨炼红,吴榕,等. 普瑞巴林治疗放射性臂丛神经痛的疗效研究[J]. 中华放射医学与防护杂志, 2015, 35(12): 925-928.
[16] Bajrovic A, Rades D, Fehlauer F, et al.Is there a life long risk of brachial plexopathy after radiotherapy of supraclavicular lymph nodes in breast cancer patients[J]. Radiother Oncol, 2004, 71(3): 297-301.
