Mental status and quality of life after various options of surgical treatment of breast cancer in early postoperative period

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OBJECTIVE

To assess the impact of various breast reconstruction technique on the quality of life after mastectomy for breast cancer.

MATERIAL AND METHODS

There were 353 women with breast cancer stage I-IIIA and 40 healthy patients operated on for aesthetic causes. Group I (n=141) included women after total mastectomy, group II (n=133) — total mastectomy with simultaneous breast reconstruction, group III (n=79) — total mastectomy with delayed breast reconstruction, group IV (n=40) — breast surgery for aesthetic causes. To study patient satisfaction with postoperative outcomes, we surveyed patients before and 6 months after surgery. Quality of life was assessed using the SF-36 and Breast-Q questionnaires.

RESULTS

Early and delayed breast reconstruction was followed by lower anxiety and depression and higher quality of life compared to total mastectomy alone. Surgical procedure, serum cortisol, early postoperative complications, severity of depression, education and social status affected the quality of life.

Keywords:

breast cancer

early and delayed reconstructive surgeries

anxiety

depression

quality of life

cortisol

Authors:

Ismagilov A.Kh.

Republican Clinical Oncology Dispensary

Karasev V.E.

Omsk State Medical University;
Clinical Oncology Dispensary

Received:

01.11.2021

Accepted:

22.11.2021

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