Frequência e fatores associados à síndrome da mama fantasma em mulheres submetidas à mastectomia por câncer de mama

Abstract

Frequência e fatores associados à síndrome da mama fantasma em mulheres submetidas à mastectomia por câncer de mama (015/08). Foi realizada análise descritiva por meio da frequência absoluta e relativa. Para avaliar a associação entre a SMF e os potenciais fatores de risco, foi realizada análise univariada, por meio de odds ratios (OR) com os respectivos intervalos com 95% de confiança (IC95%). RESULTADOS: Foram incluídas 88 pacientes. A frequência da SMF observada aos 45 dias (primeiro seguimento) foi de 44,3 e 18,2% aos 2 anos (último seguimento). A maioria das mulheres apresentou relato de sensação na mama fantasma em todos os seguimentos (37,1; 30,1 e 22%). No seguimento de 6 meses, mulheres com idade inferior a 60 anos apresentaram um risco 3,9 vezes maior de apresentar síndrome da mama fantasma (OR=3,9; IC95% 1,4-10,5) e aquelas com maior escolaridade (8 anos ou mais de estudo) apresentaram maior risco de desenvolver SMF (OR=2,6; I 95% 1,01-6,8). CONCLUSÃO: A população estudada apresentou alta frequência de SMF, com diminuição ao longo do seguimento pós-operatório. Sua ocorrência no seguimento de seis meses foi maior entre as mulheres mais jovens e com maior escolaridade. Abstract PURPOSE:To evaluate the frequency and risk factors for the development of phantom breast syndrome in patients submitted to mastectomy after breast cancer treatment. METHODS: A cohort study of women undergoing treatment at the Hospital of Cancer III, National Cancer Institute José Alencar Gomes da Silva (INCA) from September 2008 to June 2009. PBS was considered based on report of phantom breast sensation and/or phantom breast pain. The study was approved by the Research Ethics Committee of the INCA (015/08). Descriptive analysis using absolute and relative frequency was performed. To evaluate the association between PBS and potential risk factors, univariate analysis was performed by means of odds ratios (OR) with respective 95% confidence intervals (95%CI). RESULTS: A total of 88 patients were included. The frequency of PBS observed was 44.3 at 45 days (first follow-up) and 18.2% at 2 years (last follow-up). Most women reported phantom breast syndrome in all segments (37.1; 30.1 and 22%). During the six month follow-up, women under the age of 60 years had a 3.93 times higher risk of PBS (OR=3.9; 95%CI 1.4-10.5) and those with higher education (8 years or more of study) had a higher risk of developing PBS (OR=2.6; 95%CI 1.01-6.8). CONCLUSION: The study population had a high frequency of PBS, which decreased over postoperative follow-up. Its occurrence after six months was higher among younger and more educated women.

Detection of Breast Cancer: Knowledge, Attitude, and Practice of Family Health Strategy Women

“…In Brazil, breast cancer mortality accompanies the global results, representing the leading cause of death by cancer in the female population, accounting for 13.345 deaths [1,2].…”

Prevalence and psychological repercussion of phantom breast syndrome in women undergoing mastectomy: a systematic review

“…Medina et al 19 found that 68.8% of participants had changes such as anxiety, depression, and sleep disturbance after breast removal, but did not find an association between mood swings and PBS. Fakhari et al 21 , on the other hand, suggest that these alterations have a negative impact on the patients' quality of life, resulting in non-adherent treatments and, finally, leading to a poor prognosis.…”

“…Furthermore, PBS compromises people's daily activities, causing psychological disorders. Among the 11 studies analyzed, seven 6,12,[14][15][16]18,19 demonstrated the influence of PBS on psychic well-being. Anxiety, depression, and sleep disturbance were the most common psychological disorders.…”

“…It is worth mentioning that all studies evaluated in this systematic review considered only psychological disorders developed after amputation. Furthermore, Medina et al 19 highlighted the importance of psychological support, with guidance related to bodily changes, support from the spouse and preoperative guidance, thus minimizing the patients' emotional manifestations.…”

Síndrome de mama fantasma dolorosa en mujeres mastectomizadas por cáncer de mama: una propuesta de intervención terapéutica

“…Fuente: Elaboración del autor basada en las referencias 13,29-37,40-42,44,45,47-53,55-58,62-64,68. [21][22][23][24][25][26][27][28][29][30][31][32][33] Intervención fisioterapéutica en el síndrome de mama fantasma doloroso /Araya M.…”