2013, Number 09
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Ginecol Obstet Mex 2013; 81 (09)
Impact on Quality of Life with Breast Reconstructive Surgery after Mastectomy for Breast Cancer
Trejo-Ochoa JL, Maffuz-Aziz A, Said-Lemus FM, Domínguez-Reyes CA, Hernández-Hernández B, Villegas-Carlos F, Rodríguez-Cuevas S
Language: Spanish
References: 19
Page: 510-518
PDF size: 268.82 Kb.
ABSTRACT
Background: Breast cancer treatment leads mutilation and
destruction of breast shape, with negative effects on body
image and self-esteem.
Objectives: Assessment on quality of life after breast reconstruction
surgery, impact on sexuality, the cosmetic outcome
experienced by the patient, and compare result with patients
who refused breast reconstruction.
Material and methods: Retrospective, observational, descriptive,
analytic study. We included breast cancer patients treated
between April 15 2010 to April 15, 2011. Application of “The
Survey Questionnaire short form Health 36” (SF-36) with valid
use on Mexican population was conducted to measure quality
of life, which uses 8 concepts: physical functioning, physical
role, body pain, general health, vitality, social function, emotional
role and mental health, the results are transferred to a
scale 0 (worst health) to 100 (best health).
Results: 37 patients whit breast reconstruction had the inclusion
criteria, mean age was 48.4 years. The score of SF-36
questionnaire in reconstructed patients was 76.8, in control
group was 85.19 and mastectomy patients without reconstruction
was 72.6. Among the items studied those with the
greatest difference was the mental health, emotional role and
social function, this means that patients with breast reconstruction
are less affected in their social and sexual interaction.
Conclusions: The reconstructed patients have a positive impact
on quality of life slightly higher, sexuality is significantly
worse in patients without breast reconstruction, it is important
to inform and offer breast reconstruction because many
do not require these procedures for fear or lack of information.
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