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Quality of Life Post Breast Cancer Surgery: Comparison of Breast Conservation Surgery versus Modified Radical Mastectomy in a Developing Country. | LitMetric

AI Article Synopsis

  • Breast cancer survivors are the largest group of female cancer survivors, and surgery can heavily influence their body image and quality of life (QOL).
  • This study examined the QOL impacts of two types of surgery—breast conservation surgery (BCS) and modified radical mastectomy (MRM)—on Indian breast cancer patients post-surgery.
  • Results showed that BCS patients reported better physical functioning and body image at both 6 months and 1 year, while MRM patients had advantages in emotional functioning and future perspectives at the 1-year mark.

Article Abstract

 Breast cancer survivors are the largest group of female cancer survivors. Oncologic breast surgery can have a profound impact on a woman's body image and sense of self that can significantly affect their quality of life (QOL). The paucity of data about the effect of type of surgery on QOL of Indian breast cancer survivors has led to this study.  This prospective study included consecutive female early breast cancer patients who underwent primary surgery, that is, breast conservation surgery (BCS) or modified radical mastectomy (MRM) from January 1, 2015 to December 31, 2015. The primary objective was the comparison of QOL using European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and EORTC QLQ-BR 23 between the two groups at 6 months and 1 year postsurgery with the baseline.  One hundred and thirty-eight patients were included of which 62 underwent BCS and 76 underwent MRM. BCS patients fared better with respect to physical functioning, dyspnea, fatigue, appetite loss, and body image at 6 months (  < 0.05) as compared with MRM. At 1 year postsurgery, BCS patients fared better with respect to physical functioning, role functioning, global health status, body image, sexual enjoyment, and dyspnea, while MRM patients fared better in emotional functioning and future prospectives (  < 0.05).  Patients undergoing BCS have a better QOL with respect to various functional and symptom scales at 6 months and 1 year. However, patients undergoing MRM perform better in terms of future perspective and emotional functioning at 1 year.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803550PMC
http://dx.doi.org/10.1055/s-0042-1743420DOI Listing

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