Prevalence, Clinical Significance and Risk Factors for Developing Scar Pain and Sensibility Disorders in Breast Cancer Patients after Breast-Conserving Therapy and Mastectomy

Abstract

<b><i>Introduction:</i></b> The aim of this study was to gather information on the prevalence and risk factors for scar pain and sensibility disorders after breast cancer surgery, as only limited information of these complaints are available. <b><i>Material and Methods:</i></b> A clinical cohort study using a non-validated questionnaire was conducted among women who presented to routine follow-up at the Breast Cancer Center Rostock, Germany. The subjects were informed that the subjective perception and sensation were in the foreground and that the questionnaire had to be filled out independently according to the current feeling. <b><i>Results:</i></b> Overall 175 patients could be evaluated. The prevalence of scar pain was 30.8% after breast conserving therapy (BCT) and 34.5% after mastectomy. Following BCT 87.5%, respectively 81.8% of women after mastectomy were very satisfied or satisfied with the scarring. Sensory disorders were increased in the mastectomy group (<i>p</i> = 0.001). Scar pain after previous surgery was a risk factor to develop sensory disorders after BCT (<i>p</i> = 0.008) and mastectomy (<i>p</i> = 0.029). For patients receiving mastectomy, sensory disorders after previous breast surgeries increased the risk for sensory disorders (<i>p</i> = 0.029). Smoking was a risk factor for sensory disorders after mastectomy (<i>p</i> = 0.048). Multivariate analysis could not confirm any of the risk factors. <b><i>Conclusion:</i></b> This study demonstrated a high satisfaction with scarring after breast surgery and a low level of scar pain. A lack of postoperative information, as well as a low level of actually performed scar care after surgery were observed. Increased focus should be on improved information on postoperative scare care.