Women’s lived experience of breast biopsy: a phenomenological study

O’Mahony, Máirín

doi:10.1046/j.1365-2702.2001.00493.x

Cited by 36 publications

(62 citation statements)

References 33 publications

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“…The strategy these latter patients adopted to cope with the wait was to distance themselves from the operation and also to seek support from close relatives. Similar findings were derived from a study of women waiting for breast biopsy (O'Mahony 2001).…”

Section: Discussionsupporting

confidence: 83%

Patients’ existential situation prior to colorectal surgery

Moene¹,

Bergbom²,

Skott³

2006

Journal of Advanced Nursing

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The existential situation of patients in a preoperative context was shown to be a state of uncertainty with regard to lived space, body, time and relation. The significance of meeting and talking to the nurse did not appear in the statements. The nurse was invisible. If nurses were to employ the existential themes proposed by van Manen in preoperative encounter with patients, their need for care might be more clearly identified and affirmed.

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Section: Discussionsupporting

confidence: 83%

Patients’ existential situation prior to colorectal surgery

Moene¹,

Bergbom²,

Skott³

2006

Journal of Advanced Nursing

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“…Several studies have shown that the period surrounding the diagnosis of breast cancer is one of the most stressful times for women and their partners [23][24][25][26][27]. In our series, 51% of the final histological diagnoses were benign and 49% were malignant.…”

Section: Discussionmentioning

confidence: 63%

Ultrasound-guided core needle biopsy of the breast: does frozen section give an accurate diagnosis?

Frede

Daniaux

Ban

et al. 2007

Breast Cancer Res Treat

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Reducing the period of uncertainty between the discovery of a breast tumor and histological diagnosis alleviates the psychological impact of breast cancer to an important degree. We aimed to verify whether histological results obtained with frozen sections of core needle biopsies (CNBs) offer an accurate and reliable tool for minimising this period. In 2619 cases we compared histological diagnosis on frozen sections with those on paraffin sections of CNB and finally with the results of open biopsies. Of the cases 49% were proved malignant and 51% benign. In 99.3% of the malignant lesions preceding CNB was correctly classified as B5 (n = 1185, 92.9%) or at least B4 (n = 82, 6.4%) in frozen and in paraffin sections. There were seven false-negative cases in frozen (false-negative rate = 0.5%) and five false-negative cases (falsenegative rate = 0.4%) in paraffin sections of CNB. On frozen sections complete sensitivity was 99.5% and the positive predictive value of B5 was 99.9%. There was one false-positive case in frozen sections and one in paraffin sections. False-positive rate = 0.08%, negative predictive value for B2 = 99.4% for frozen and 99.6% for paraffin sections; full specificity was 85.9 for frozen and 85.8 for paraffin sections of CNBs. Immediate investigation of CNB in frozen sections is an accurate diagnostic method and an important step in reducing psychological strain on patients with breast tumors and may be offered by specialised Breast Assessment Units.

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“…20,21 Therefore, uncertainty can be regarded as the result of a stress event experienced by women waiting for diagnosis. 4,6,20 Uncertainty can also be seen as a source of stress after diagnosis for women facing issues such as probable breast cancer in the future, survival rate, and recurrence. 4 In general, uncertainty is lower for women with less physical disturbance, higher selfperceived seriousness of the illness, older age, and more education and for single women.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…13,15 Although levels of overall uncertainty, ambiguity, and complexity uncertainty before a breast biopsy and upon notice of a breast biopsy were not significantly different, the uncertainty level before a breast biopsy was slightly higher. The reason for this slight difference may be that aside from the threat of a breast cancer diagnosis, 6 women were not familiar with the biopsy process. 23 This point is supported by the authors' previous study 34 indicating that women with suspected breast cancer have higher information needs before than after breast biopsy.…”

Section: Predictive Factors For Uncertaintymentioning

confidence: 99%

Uncertainty and Anxiety During the Diagnostic Period for Women With Suspected Breast Cancer

et al. 2008

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AnxietyDiagnostic period Suspected breast cancer Uncertainty A possible diagnosis of breast cancer imposes a huge psychological impact on most women, but few studies have addressed uncertainty and anxiety changes at different diagnostic stages in women with suspected breast cancer. Thus, this longitudinal study examined uncertainty and anxiety and predictive factors for uncertainty in women with suspected breast cancer. Data were collected on uncertainty (Uncertainty in Illness Scale) and anxiety (State Anxiety Inventory) from 127 women at 3 times: upon notice of a breast biopsy, before biopsy, and after diagnosis. The results showed that uncertainty and anxiety levels were significantly higher before than after diagnosis. At the 3 data collection times, uncertainty and anxiety were significantly lower for participants diagnosed with benign tumors than for those with malignant diagnoses.Uncertainty and anxiety were positively, moderately correlated. Uncertainty was predicted by age, marital status, education level, religious status, family history of benign breast tumor, regular breast self-examination, self-perceived probability of receiving a breast cancer diagnosis, and biopsy result. Therefore, nursing professionals should be aware of the uncertainty and anxiety changes and impact of personal attributes on women with suspected breast cancer during the diagnostic period and provide care programs to alleviate their psychological distress. B reast cancer is the most common cancer and fourth leading cause of death among Taiwanese women. 1 Although newly diagnosed breast cancer patients account for only 8.4% of the total female cancer population in Taiwan, the incidence of breast cancer in recent years has become the highest among all cancers. 2 For Taiwanese women, the average onset age for breast cancer is 45 to 49 years, 5 to 10 years earlier than for Westerners. 2 During the

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Women’s lived experience of breast biopsy: a phenomenological study

Cited by 36 publications

References 33 publications

Patients’ existential situation prior to colorectal surgery

Patients’ existential situation prior to colorectal surgery

Ultrasound-guided core needle biopsy of the breast: does frozen section give an accurate diagnosis?

Uncertainty and Anxiety During the Diagnostic Period for Women With Suspected Breast Cancer

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