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Psychologic and cosmetic self‐assessments of breast conserving therapy compared with mastectomy and immediate breast reconstruction
Author(s) -
Noguchi Masakuni,
Kitagawa Hirohisa,
Kinoshita Kazuo,
Earashi M.,
Miyazaki Itsuo,
Tatsukuchi Sadako,
Saito Yasuo,
Mizukami Yuji,
omura Akira,
Nakamura Shinobu,
Michigishi Takatoshi
Publication year - 1993
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930540416
Subject(s) - medicine , mastectomy , breast cancer , scars , breast reconstruction , patient satisfaction , surgery , mammaplasty , general surgery , cancer
Abstract Cosmetic and psychologic morbidity was evaluated by patients self‐assessment in 42 patients who underwent breast conserving therapy (BCT) and 48 patients who underwent mastectomy with immediate breast reconstruction (MIBR). Although sexual adjustment and fear of cancer recurrence were not significantly different between the two groups, body image was rated as significantly better in the BCT group. Additionally, in the MIBR group, nine patients expressed concern about abdominal or back scars and 15 related abdominal or back pain. Eighty‐three percent of the BCT group indicated BCT as a future choice of treatment, whereas only 38% of the MIBR group indicated MIBR as a future choice of treatment. Therefore, body image and patients' satisfaction were thought to have been improved by BCT, but psychologic morbidity was the same in both groups. © 1993 Wiley‐Liss, Inc.