Radical Mastectomy Increases Psychological Distress in Young Breast Cancer Patients: Results of A Cross-sectional Study

Berhili, Soufiane; Ouabdelmoumen, Asmae; Sbai, Ali; Kebdani, Tayeb; Benjaafar, Noureddine; Mezouar, Loubna

doi:10.1016/j.clbc.2018.08.013

Cited by 27 publications

(14 citation statements)

References 35 publications

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“…This was consistent with M. Lagendijk [12] report in which outcome were compared for different surgeries and stated that MRM was associated with lower ''satisfaction with breast'' scores than BCS. Soufiane Berhili [13] reported similar results.…”

Section: Discussionmentioning

confidence: 56%

The Psychological Impact of Breast-Conserving Surgery Versus Mastectomy in Egyptian Female Patients

Abdelatif

Abounaggah

Elmesery

et al. 2021

JSS

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The previous research on breast cancer's psychological impact was based on its effects on shape, with breast removal, and the subsequent effect on sexual attractiveness. Several changes that affect life behavior after breast cancer surgery including insomnia, difficulty returning to usual activities and work, nightmares and loss of appetite. These manifestations may be due to depression but they are only considered abnormal if they persist after the period of physical recovery from surgery. We conducted a study to assess the effects of the surgical decision and psychological impact of this decision on Egyptian females with breast cancer. Most patients were subjected to a questionnaire including all environmental and clinical factors affecting the surgical decision either mastectomy or breast-conserving surgery. As a conclusion we can say that breast conservative surgery is better accepted psychologically by patients than modified radical mastectomy as it did not affect sexual life, cosmetic appearance, mood, self-satisfaction, and quality of life.

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Section: Discussionmentioning

confidence: 56%

The Psychological Impact of Breast-Conserving Surgery Versus Mastectomy in Egyptian Female Patients

Abdelatif

Abounaggah

Elmesery

et al. 2021

JSS

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“…Eleven studies evaluated the psychological effects of breast cancer surgery on AYA patients. Multiple studies showed that a mastectomy was associated with worse quality of life factors, such as body image, sexual health, and anxiety, compared to patients who underwent BCS [ 59 , 60 , 61 ]. Many patients chose mastectomy out of fear of potentially leaving cancer cells behind and the desire to avoid future screening imaging [ 62 ].…”

Section: Resultsmentioning

confidence: 99%

Current Considerations in Surgical Treatment for Adolescents and Young Women with Breast Cancer

2022

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Adolescents and young women (AYA) with breast cancer represent a unique patient population, compared to the general population with breast cancer. We performed a literature review to evaluate the factors that influenced the surgical outcomes in this patient population. Fifty-two studies were identified, which evaluated breast surgery type, axillary surgery, contralateral prophylactic mastectomy (CPM), surgical timing, psychological factors, disparities, and imaging use. AYA patients had equivalent oncologic outcomes with breast conserving surgery (BCS) or mastectomy. CPM did not improve survival. There are limited data on axillary management in the AYA population, and while more data would be beneficial, this is currently extrapolated from the general breast cancer population. A shorter time to initiate treatment correlated to better outcomes, and disparities need to be overcome for optimal outcomes. AYA patients appreciated involvement in clinical decisions, and shared decision making should be considered whenever possible. Providers must keep these factors in mind when counseling AYA patients, regarding the surgical management of breast cancer.

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“…Along with the rising incidence of DCIS in young women, MT is increasingly performed for this distinct population in the US [ 17 , 41 ]. Although the extent of MT may cause more sequelae in body imaging impact and psychosocial distress [ 48 , 49 ], the young population was found to recover from depressed mood faster and benefit the most from breast reconstruction which significantly corrects the negative impacts of MT [ [50] , [51] , [52] ].…”

Section: Discussionmentioning

confidence: 99%

Local treatment options for young women with ductal carcinoma in situ: A systematic review and meta-analysis comparing breast conserving surgery with or without adjuvant radiotherapy, and mastectomy

et al. 2022

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Radical Mastectomy Increases Psychological Distress in Young Breast Cancer Patients: Results of A Cross-sectional Study

Cited by 27 publications

References 35 publications

The Psychological Impact of Breast-Conserving Surgery Versus Mastectomy in Egyptian Female Patients

The Psychological Impact of Breast-Conserving Surgery Versus Mastectomy in Egyptian Female Patients

Current Considerations in Surgical Treatment for Adolescents and Young Women with Breast Cancer

Local treatment options for young women with ductal carcinoma in situ: A systematic review and meta-analysis comparing breast conserving surgery with or without adjuvant radiotherapy, and mastectomy

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