The impact of breast-conserving treatment and mastectomy on the quality of life of early-stage breast cancer patients: a review
| Autor: | G. M. Kiebert, J.C.J.M. de Haes, C.J.H. van de Velde |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 1991 |
| Předmět: |
Cancer Research
medicine.medical_specialty Activities of daily living medicine.medical_treatment Breast Neoplasms Disease Breast cancer Quality of life Activities of Daily Living medicine Humans Stage (cooking) skin and connective tissue diseases Mastectomy Neoplasm Staging Clinical Trials as Topic Sexual functioning business.industry General surgery medicine.disease Surgery Oncology Sample size determination Quality of Life Female business Social Adjustment |
| Zdroj: | Journal of clinical oncology. 9(6):1059-1070 |
| ISSN: | 0732-183X |
| DOI: | 10.1200/jco.1991.9.6.1059 |
| Popis: | In recent years, doubt has been shed on the necessity of mastectomy for women with early-stage breast cancer. Apart from purely medical studies comparing (radical) mastectomy to less intruding surgical treatment, a number of studies (N = 18) have been published investigating the impact of breast-conserving treatment versus mastectomy on quality of life. We review these studies with respect to medical issues (treatment modality, stage of disease), methodologic issues (design, measurement moment, sample size), and results (psychologic discomfort, changes in life patterns, fears and concerns). It is concluded that there is no solid proof of a better psychologic adjustment after breast-conserving treatment and that there are no substantial differences between the different treatment modalities in changes of life patterns and fears and concerns. However, the results with respect to body image and sexual functioning favor the use of breast-conserving treatment. |
| Databáze: | OpenAIRE |
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