Quality of life after breast carcinoma surgery

Nissen, Mary Jo; Swenson, Karen K.; Ritz, Laurie; Farrell, Jamie; Sladek, Mary L.; Lally, Robin M.

doi:10.1002/1097-0142(20010401)91:7<1238::aid-cncr1124>3.0.co;2-x

Cited by 151 publications

(37 citation statements)

References 35 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, Ganz et al [9] found no significant differences between mastectomy only and mastectomy with reconstruction. Schover and colleagues [7] found no differences between mastectomy with reconstruction and BCS, while Nissen et al [18] found that those who received breast reconstruction reported lower scores on physical, emotional, and functional well-being compared to those who received mastectomy only. In a large study of women from two metropolitan areas, Rowland et al [15] found that women who received mastectomy with or without reconstruction did not differ from those receiving BCS on emotional, social or role function, but did report more physical symptoms.…”

Section: Introductionsupporting

confidence: 59%

“…Although body image was the only outcome that constituted a clinically meaningful difference, women with breast reconstruction had lower QOL scores for seven QOL dimensions assessed. Other research has produced mixed results on the benefits of breast reconstruction [7,15,18,[38][39][40]. Consistent with findings of Zweiler et al [39], women who received reconstruction reported QOL scores as high as women receiving BCS for sexual functioning and enjoyment.…”

Section: Discussionmentioning

confidence: 86%

“…However, women who chose reconstruction were no more likely to report decisional regret, and were slightly more satisfied with the surgical decision than women undergoing mastectomy only [41]. Nonetheless, the results suggest that women electing reconstruction should be informed of the short-term QOL impact of reconstruction that includes substantial variation in the length of the recovery process and uneven cosmetic results [18,40]. The findings also suggest that adjuvant chemotherapy had a greater impact on QOL than which surgical procedure was performed.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer

et al. 2005

View full text Add to dashboard Cite

show abstract

Section: Introductionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer

et al. 2005

View full text Add to dashboard Cite

show abstract

“…Although less glamorous than breast reconstruction, prostheses are a safe, effective, and cost-conscious option for restoration of the breast form. Additionally, prostheses have been found to have quality of life outcomes similar to (3)(4)(5) or better than (6) breast reconstruction in other studies.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Role of External Breast Prostheses After Total Mastectomy

Glaus¹,

Carlson²

2009

The Breast Journal

View full text Add to dashboard Cite

After total mastectomy, many women choose to wear external breast prosthesis rather than undergo breast reconstruction. The purpose of this study was to evaluate long-term satisfaction among external breast prosthesis wearers and the impact of satisfaction on prosthesis use. A questionnaire was designed to assess demographic information, prosthesis information provision, prosthesis use, and satisfaction with prosthesis. Fifty-nine women who had undergone total mastectomy without breast reconstruction completed the questionnaire. The majority of women (68%) were at least 5 years out from mastectomy. Approximately half (49%) of the women had received information about breast prostheses prior to mastectomy; 29% received information from the surgeon performing the operation. Frequent and prolonged prosthesis use was prevalent with 64% of participants reporting prosthesis use all the time, 6-7 days/week. Participants showed high rates (83%) of overall satisfaction. However, women who wore their prosthesis out in public only were less satisfied than more frequent wearers (50% versus 89%, chi(2) = 8.83, d.f. = 1, alpha = 0.05). Satisfaction increased over time, as women who were greater than 5 years out from mastectomy were more satisfied than women less that 5 years post-mastectomy (90% versus 67%, chi(2) = 4.43, d.f. = 1, alpha = 0.05). The vast majority of women are satisfied with their external breast prosthesis several years after mastectomy. Most women used their prosthesis all the time and overall satisfaction contributed to higher levels of prosthesis use. Given the long-term importance of external breast prostheses for women who have undergone mastectomy, a greater effort to inform patients about external breast prostheses prior to surgery is needed.

show abstract

“…The change of the body image affects the psychological aspects related to social relations and sexuality in particular [1,2]. The aim of this study is to demonstrate that with the following oncoplastic surgery technique, avoiding the excision of the skin overlying the tumor and the scar on the breast, exploiting an ''extramammary'' access through an incision made immediately below the inframammary fold, it is possible to make a breast-conserving surgery yet oncologically radical for cancer, if not locally advanced.…”

mentioning

confidence: 99%

Inframammary fold approach in breast conserving surgery for cancer

Gerbasi

2011

Updates Surg

View full text Add to dashboard Cite

The onco-plastic surgery technique that we propose, exploiting an "extra-mammary" access, allows to make a breast-conserving surgery yet oncologically radical for early breast cancer, according to the conventional protocols of breast-conserving therapy (BCT), avoiding the excision of the skin, if not involved, overlying the lesion and the resulting scar on the breast. The incision is made immediately below the inframammary fold, thus the resulting surgical scar is hardly visible or often totally invisible on standing, because hidden from the natural breast ptosis. With this technique it is possible to significantly reduce the alteration of breast profile and body image as well as the effects on the fragile psychology of women who underwent breast cancer surgery. A related case with 36 months follow-up is described. Additional research needs to be conducted to evaluate long-term results and effectiveness of the proposed technique in relation to a large number of cases.

show abstract

Quality of life after breast carcinoma surgery

Cited by 151 publications

References 35 publications

Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer

Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer

Long-Term Role of External Breast Prostheses After Total Mastectomy

Inframammary fold approach in breast conserving surgery for cancer

Contact Info

Product

Resources

About