Brachial Plexopathy in Patients with Breast Cancer

  • Dorcas S. Fulton
Part of the Developments in Oncology book series (DION, volume 51)

Abstract

Breast cancer patients may develop signs and symptoms of brachial plexus dysfunction. Infiltration of the plexus by metastatic tumor and radiation-induced fibrosis are the most common causes. Acute brachial neuritis [1], trauma to the plexus during surgery or anaesthesia [2], or radiation-induced plexus tumors [3] are less likely. Brachial plexus lesions need to be distinguished from other causes of neurological dysfunction of the arm such as peripheral nerve entrapment or nerve root compression.

Keywords

Neuropathy Neurol Neuritis Cady Plexopathy 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Tsairis, P., Dyck, P. and Mulder, D. (1972) Natural history of brachial plexus neuropathy. Arch. Neurol. 27:109–117.PubMedGoogle Scholar
  2. 2.
    Jackson, L. and Kebts, A.S. (1965) Mechanisms of brachial plexus palsy following anaesthesia. Anesthesiology 26:190–194.PubMedCrossRefGoogle Scholar
  3. 3.
    Foley, K.M., Woodruff, J.M., Ellis, F.T. and Posner, J.B. (1980) Radiation-induced malignant and atypical peripheral nerve sheath tumors. Ann. Neurol. 7:311–318.PubMedCrossRefGoogle Scholar
  4. 4.
    Bagley, F.H., Walsh, J.W., Cady, B., Salzman, F.A., Oberfield, R.A. and Pazianos, A.G. (1978) Carcinomatous versus radiation-induced brachial plexus neuropathy in breast cancer. Cancer 41:2154–2157.PubMedCrossRefGoogle Scholar
  5. 5.
    Kori, S.H., Foley, K.M. and Posner, J.B. (1981) Brachial plexus lesions in patients with cancer: 100 cases. Neurology 31:45–50.PubMedGoogle Scholar
  6. 6.
    Lederman, R.J. and Wilbourn, A.J. (1984) Brachial plexopathy: recurrent cancer or radiation? Neurology 34:1331–1335.PubMedGoogle Scholar
  7. 7.
    Thomas, J.E. and Colby, M.Y. (1972) Radiation-induced or metastatic brachial plexopathy? A diagnostic dilemma. JAMA 222:1392–1395.PubMedCrossRefGoogle Scholar
  8. 8.
    Burns, R.J. (1978) Delayed radiation-induced damage to the brachial plexus. Clin. Exp. Neurol. 15:221–227.PubMedGoogle Scholar
  9. 9.
    Kinsella, T.J., Weichselbaum, P.R. and Sheline, G.E. (1980) Radiation injury of cranial and peripheral nerves. In Radiation Damage to the Nervous System H.A. Gilbert and A.R. Kagan (eds.). New York: Raven Press, pp. 145–153.Google Scholar
  10. 10.
    Match, R.M. (1975) Radiation-induced brachial plexus paralysis. Arch. Surg. 110:384–386.PubMedGoogle Scholar
  11. 11.
    Stoll, B.A. and Andrews, J.T. (1966) Radiation-induced peripheral neuropathy. Brit. Med. J. 1:834–837.PubMedCrossRefGoogle Scholar
  12. 12.
    Westling, P., Svensson, H. and Hele, P. (1972) Cervical plexus lesions following postoperative radiation therapy of mammary carcinoma. Acta. Radio. Ther. Phys. Biol. 11:209— 216.Google Scholar
  13. 13.
    Svensson, H., Westling, P. and Larsson, L.G. (1975) Radiation-induced lesions of the brachial plexus correlated to the dose-time-fraction schedule. Acta. Radio. Ther. Phys. Biol. 14:228–238.Google Scholar
  14. 14.
    Cascino, T.L., Kori, S., Krol, G. and Foley, K.M. (1983) CT of the brachial plexus in patients with cancer. Neurology 33:1553–1557.PubMedGoogle Scholar
  15. 15.
    Salner, A.L., Botnick, L.E., Herzog, A.G., Goldstein, M.A., Harris, J.R., Levene, M.B. and Hellman, S. (1981) Reversible brachial plexopathy following primary radiation therapy for breast cancer. Cancer Treat. Rep. 65:797–802.PubMedGoogle Scholar

Copyright information

© Martinus Nijhoff Publishing, Boston 1987

Authors and Affiliations

  • Dorcas S. Fulton

There are no affiliations available

Personalised recommendations