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Quality of life among Egyptian women with breast cancer after sparing mastectomy and immediate autologous breast reconstruction: a comparative study

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Abstract

Breast reconstruction is considered as an integrated part of the modern breast surgery. The aim of this study is to evaluate whether immediate autologous breast reconstruction influences QOL and patient satisfaction outcomes among Egyptian women with breast cancer in comparison to the traditional mastectomy. This is a prospective study in which 200 Egyptian women with non metastatic breast cancer were included; group I (100 patients) underwent sparing mastectomy with immediate autologous breast reconstruction and group II (100 patients) underwent traditional mastectomy. The patient satisfaction with breast reconstruction was evaluated by special questionnaire and the reasons given by traditional mastectomy patients for not having breast reconstruction were recorded. Both breast impact of treatment scale (BITS) and body satisfaction scale (BSS) were evaluated in both groups. Patient satisfaction with breast reconstruction had a high mean score of 14.44 out of total degrees of 20 and most of them voted yes for having the same reconstruction again if they were offered it and would recommend reconstruction to other patients. No difference was found between the two groups as regard the BITS score. However, the BSS score showed a higher score among the reconstruction group. Egyptian ladies with breast cancer show better QOL and body image satisfaction outcomes following immediate breast reconstruction.

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References

  1. Anderson RT, Aaronson NK, Wilkin D (1993) Critical review of the international assessments of health-related quality of life. Qual Life Res 2:369–395

    Article  PubMed  CAS  Google Scholar 

  2. Cella DF (1995) Methods and problems in measuring quality of life. Support Care Cancer 3(1):11–22

    Article  PubMed  CAS  Google Scholar 

  3. Cella DF and Bonomi AE (1995). Measuring quality of life: 1995 update. Oncology 11(9):47–60 (Suppl)

    Google Scholar 

  4. Nano MT, Gill PG, Kollias J, Bochner MA, Malycha P, Winefield HR (2005) Psychological impact and cosmetic outcome of surgical breast cancer strategies. ANZ J Surg 75:940–947

    Article  PubMed  Google Scholar 

  5. Parker PA, Youssef A, Walker S, Basen-Engquist K, Cohen L, Gritz EllenR, ER WeiQX, Robb GL (2007) Short-term and long-term psychosocial adjustment and quality of life in women undergoing different surgical procedures for breast cancer. Ann Surg Oncol 14(11):3078–3089

    Article  PubMed  Google Scholar 

  6. Ganz PA, Schag CAC, Lee JJ, Polinsky ML, Tan S (1992) Breast conservation versus mastectomy: is there a difference in psychological adjustment or quality of life in the year after surgery? Cancer 69:1729–1738

    Article  PubMed  CAS  Google Scholar 

  7. Devins DM, Binik YM (1996) Facilitating coping with chronic physical illness. In: Zeidner M, Endler NS (eds) Handbook of coping: theory, research. Wiley, New York, pp 640–696

  8. Frierson GM, Thiel DL, Andersen BL (2006) Body change stress for women with breast cancer: the breast-impact of treatment scale. Ann Behav Med 32(1):77–81

    Article  PubMed  Google Scholar 

  9. Andersen BL, LeGrand J (1991) Body image for women: conceptualization, assessment, and a test of its importance to sexual dysfunction and medical illness. J Sex Res 28:457–477

    Article  PubMed  Google Scholar 

  10. Stavrou D, Weissman O, Polyniki A, Papageorgiou N, Haik J, Farber N, Winkler E (2009) Quality of life after breast cancer surgery with or without reconstruction. J Plast Surg 9:161–168

    Google Scholar 

  11. Price B (1990) A model for body-image care. J Adv Nurs 15:585–593

    Article  PubMed  CAS  Google Scholar 

  12. Scott D, Eisendrath S (1986) Dynamics of the recovery process following initial diagnosis of breast cancer. J Psychosoc Oncol 3:53–68

    Article  Google Scholar 

  13. Hopwood P (1993) The assessment of body image in cancer patients. Eur J Cancer 29A:276–281

    Article  PubMed  CAS  Google Scholar 

  14. Ganz PA, Greendale GA, Petersen L, Kahn B, Bower JE (2003) Breast cancer in younger women: reproductive and late health effects of treatment. J Clin Oncol 21:4184–4193

    Article  PubMed  Google Scholar 

  15. Beckmann J, Johansen L, Richardt C, Blichert-Toft M (1983) Psychological reactions in younger women operated on for breast cancer. Amputation versus resection of the breast with special reference to body-image, sexual identity and sexual function. Dan Med Bull 30(suppl 2):10–3

    Google Scholar 

  16. Mock V (1993) Body image in women treated for breast cancer. Nurs Res 42:153–157

    Article  PubMed  CAS  Google Scholar 

  17. Pusic A, Thompson TA, Kerrigan CL (1999) Surgical options for the early-stage breast cancer: factors associated with patient choice and postoperative quality of life. Plast Reconstr Surg 104:1325–1333

    Article  PubMed  CAS  Google Scholar 

  18. Stevens LA, Mcgrath MH, Druss RG, Kister SJ, Gump FE, Forde KA (1984) The psychological impact of immediate breast reconstruction for women with early breast cancer. Plast Reconstr Surg 73:619–628

    Article  PubMed  CAS  Google Scholar 

  19. Hart S, Meyerowitz BE, Apolone G, Mosconi P, Liberati A (1997) Quality of life among mastectomy patients using external breast prostheses. Tumori 83:581–586

    PubMed  CAS  Google Scholar 

  20. Rowland JH, Desmond KA, Meyerowitz BE, Belin TR, Wyatt GE, Ganz PA (2000) Role of breast reconstructive surgery in physical and emotional outcomes among breast cancer survivors. J Natl Cancer Inst 92:1422–1429

    Article  PubMed  CAS  Google Scholar 

  21. Wellisch DK, Dimatteo R, Silverstein M (1989) Psychosocial outcomes of breast cancer therapies: lumpectomy versus mastectomy. Psychosomatics 30:365–373

    Article  PubMed  CAS  Google Scholar 

  22. Nissen MJ, Swenson KK, Ritz LJ, Farrell JB, Sladek ML, Lally RM (2001) Quality of life after breast carcinoma surgery: a comparison of three surgical procedures. Cancer 91:1238–1246

    Article  PubMed  CAS  Google Scholar 

  23. Fallowfield LJ, Hall A (1991) Psychosocial and sexual impact of diagnosis and treatment of breast cancer. Br Med Bull 47:388–399

    PubMed  CAS  Google Scholar 

  24. De Haes JC, Van Oostrom MA, Welvaart K (1986) The effect of radical and conserving surgery on the quality of life of early breast cancer patients. Eur J Surg Oncol 12:337–342

    PubMed  Google Scholar 

  25. Curran D, Van Dongen JP, Aaronson NK et al (1998) Quality of life of early-stage breast cancer patients treated with radical mastectomy or breast-conserving procedures: results of EORTC trial 10801. The European Organization for Research and Treatment of Cancer (EORTC), Breast Cancer Co-operative Group (BCCG). Eur J Cancer 34:307–314

    Article  PubMed  CAS  Google Scholar 

  26. Ganz PA, Rowland JH, Meyerowitz BE, Desmond KA (1998) Impact of different adjuvant therapy strategies on quality of life in breast cancer survivors. Recent Results Cancer Res 152:396–411

    Article  PubMed  CAS  Google Scholar 

  27. Van Dam FS, Schagen SB, Muller MJ et al (1998) Impairment of cognitive function in women receiving adjuvant treatment for high-risk breast cancer: high-dose versus standard-dose chemotherapy. J Natl Cancer Inst 90:210–218

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors would like to thank all resident surgeons who assisted in the present study: Ahmad Abd Allah, Osama El-Damshety, Mahmoud Abd El-Aziz, Amer Mosaad, Ramy Magdy, Amro El-Alfy, Amro Hussam, Amro Abo-Zaid, and Islam Hany.

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Authors and Affiliations

  1. Surgical Oncology Department, Oncology Center, Mansoura University, Mansoura, Egypt

    Adel Denewer, Omar Farouk, Sherif Kotb, Ahmed Setit & Mosab Shetiwy

  2. Clinical Oncology & Nuclear Medicine Department, Mansoura University, Mansoura, Egypt

    Seham Abd El-khalek

Authors
  1. Adel Denewer
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  2. Omar Farouk
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  3. Sherif Kotb
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  4. Ahmed Setit
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  5. Seham Abd El-khalek
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  6. Mosab Shetiwy
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Correspondence to Omar Farouk.

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Denewer, A., Farouk, O., Kotb, S. et al. Quality of life among Egyptian women with breast cancer after sparing mastectomy and immediate autologous breast reconstruction: a comparative study. Breast Cancer Res Treat 133, 537–544 (2012). https://doi.org/10.1007/s10549-011-1792-8

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  • DOI: https://doi.org/10.1007/s10549-011-1792-8

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