Table 1: Common causes of chronic pain in patients with breast cancer Pain due to direct tumour involvement
- Bone metastases
- Neural metastases
- Brachial plexopathy
- Spinal cord compression
- Meningeal carcinomatosis
- Peripheral neuropathy due to tumour infiltration
- Visceral metastases
- Pleura
- Liver
- Bowel
- Peritoneum
Pain due to antineoplastic treatment
- Procedure-related pain in breast and shoulder
- Postmastectomy syndrome
- Lymphedema-related discomfort and pain
- Postirradiation painPeripheral neuropathy
- Pain due to drug extravasation
- Phlebitis
- Mucositis
- Chemical cystitis (with cyclophosphamide)
- Osteoporosis or avascular necrosis
Pre-existing conditions
- Dermatomal herpes zoster
Return to Guideline 10