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https://hdl.handle.net/2440/17426
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Type: | Journal article |
Title: | Psychological impact and cosmetic outcome of surgical breast cancer strategies |
Author: | Nano, M. Gill, P. Kollias, J. Bochner, M. Malycha, P. Winefield, H. |
Citation: | ANZ Journal of Surgery, 2005; 75(11):940-947 |
Publisher: | Blackwell Science Asia |
Issue Date: | 2005 |
ISSN: | 1445-1433 1445-2197 |
Statement of Responsibility: | Maria Teresa Nano, Peter Grantley Gill, James Kollias, Melissa Anne Bochner, Peter Malycha and Helen R. Winefield |
Abstract: | Background: Current surgical treatment modalities for breast cancer include breast conserving surgery, mastectomy alone and mastectomy with breast reconstruction. There are recognized benefits of breast conservation and breast reconstruction over mastectomy but there are few studies assessing this area in Australia. The aim of the present study was to compare the various surgical strategies for breast cancer treatment in terms of quality of life, cosmesis and patient satisfaction. Methods: A chart analysis was conducted of all patients who underwent Breast Cancer Reconstruction at the Royal Adelaide Hospital Breast Unit between 1990 and 2002. Patients were then traced and asked to take part in an interview. Mastectomy and breast conservation patients who attended outpatient clinic for follow up were also approached. All three groups were interviewed and self-assessment quality of life questionnaires (Functional Assessment of Cancer Therapy−Breast, body image) were administered. The breast conservation and reconstruction groups also underwent assessment of satisfaction and cosmesis. Results: A total of 78 mastectomy, 109 breast conservation and 123 breast reconstruction patients were interviewed. Quality of life assessment was similar between the three groups but the breast conservation and reconstruction patients’ body image scores were superior to the mastectomy group. Patient satisfaction was higher in the reconstruction group than the breast conservation group of patients, while cosmesis was similar. Conclusion: While little difference was seen on quality of life assessment, body image is improved with the use of breast conservation and reconstruction. The high satisfaction and cosmesis scores in the breast reconstruction group are an indication of the superior results that can be achieved with breast reconstruction. |
Keywords: | Humans Breast Neoplasms Photography Treatment Outcome Mammaplasty Mastectomy Mastectomy, Segmental Body Image Quality of Life Adult Aged Aged, 80 and over Middle Aged Patient Satisfaction Female Interviews as Topic |
Description: | The definitive version is available at www.blackwell-synergy.com |
DOI: | 10.1111/j.1445-2197.2005.03517.x |
Published version: | http://dx.doi.org/10.1111/j.1445-2197.2005.03517.x |
Appears in Collections: | Aurora harvest 6 Psychiatry publications |
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