Ultrasound-Guided Serratus Plane Block for Treatment of Postmastectomy Pain Syndromes in Breast Cancer Patients: A Case Series

Pain Pract. 2017 Jan;17(1):141-146. doi: 10.1111/papr.12482. Epub 2016 Sep 2.


Postmastectomy pain syndrome is common after surgical treatment for breast cancer and may be challenging to manage. Currently, there are a wide variety of approaches to treat this type of pain, including medications, physical therapy, and interventional procedures. However, because of the complexity of innervation of the breast, the serratus plane block may better target the web of nerves innervating the anterior chest wall including the breast. We present a case series of 8 patients who were successfully treated with serratus plane block for pain after treatment for breast cancer. We feel that this particular application for the serratus plane block deserves further investigation, as it is relatively easy to perform and has good clinical utility for this type of pain.

Keywords: breast cancer; cancer pain; postmastectomy pain; serratus plane block.

MeSH terms

  • Breast Neoplasms / surgery
  • Female
  • Humans
  • Mastectomy / adverse effects*
  • Nerve Block / methods*
  • Pain Measurement
  • Pain, Postoperative / surgery*
  • Syndrome
  • Ultrasonography, Interventional / methods*