Psychologic and cosmetic self-assessments of breast conserving therapy compared with mastectomy and immediate breast reconstruction

Authors

  • Dr. Masakuni Noguchi MD,

    Corresponding author
    1. Operation Center, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
    2. Department of Surgery, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
    • Operation Center, Kanazawa University Hospital, Takara-machi 13–1, Kanazawa, 920, Japan
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  • Hirohisa Kitagawa MD,

    1. Nursing Division, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
    2. Department of Surgery, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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  • Kazuo Kinoshita MD,

    1. Department of Surgery, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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  • M. Earashi MD,

    1. Department of Surgery, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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  • Itsuo Miyazaki MD,

    1. Department of Surgery, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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  • Sadako Tatsukuchi,

    1. Operation Center, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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  • Yasuo Saito MD,

    1. Radiology, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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  • Yuji Mizukami MD,

    1. Pathology Section, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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  • Akira Nonomura MD,

    1. Pathology Section, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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  • Shinobu Nakamura MD,

    1. Medicine, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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  • Takatoshi Michigishi MD

    1. Nuclear Medicine, Kanazawa University Hospital, Kanazawa University, School of Medicine, Kanazawa, Japan
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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.

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