A Comparison of Breast-Conserving Surgery and Subcutaneous Mastectomy with Implant Reconstruction in Terms of Postoperative Quality of Life in Patients with Breast Cancer

Objective: The aim of this study was to compare the effects of breast-conserving surgery (BCS) and subcutaneous mastectomy with implant reconstruction (SMIR) in terms of postoperative psychosocial effects, sexuality, and quality of life. Methods: Demographic data and clinical breast cancer parameters of patients who underwent BCS (n=48) or SMIR (n=27) between January 2012 and December 2016 were reviewed retrospectively. The data were collected via face-to-face interview using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the breast cancer-specific submodule, EORTC QLQ-BR23. Results: In this study group, 23 (48%) patients who underwent BCS and 25 (92.6%) patients who underwent SMIR were premenopausal (p

Meme Kanserli Hastalarda Meme Koruyucu Cerrahi’nin Subkutan Mastektomiİmplant ile Rekonstriksyon Uygulananlarla Ameliyat Sonrası Yaşam Kalitesi Açısından Karşılaştırılması

Amaç: Meme koruyucu cerrahi (MKC) ile subkutan mastektomi-implant ile rekonstrüksiyon (SMİR) uygulanan hastaların ameliyat sonrası psikososyal, cinsel ve genel yaşam kaliteleri üzerindeki etkilerinin karşılaştırılması amaçlandı. Gereç ve Yöntem: Ocak 2012 ile Aralık 2016 tarihleri arasında meme kanseri tanısı ile MKC (n=48) ve SMİR (n=27) uygulanan hastaların demografik verileri ve meme kanseri klinik parametreleri geriye dönük olarak incelendi. Yaşam kalitesi verileri, yüz yüze görüşme ile EORTC QLQ-C30 (European Organisation for the Research and Treatment of Cancer Quality of Life) ve meme kanserine özel alt modülü EORTC QLQ-BR23 anketleri uygulanarak elde edildi. Bulgular: Grup MKC’deki hastaların 23’ü (%48), Grup SMİR’dekilerin 25’i (%92.6) premenopozaldi (p

Kaynakça

1. Burstein HJ, Harris JR, Morrow M. Malignant tumors of the breast. In: De Vita VT Jr, LAwrence TS, Rosenberg SA, editors. DeVita, Hellman and Rosenberg’s Cancer; Principles & Practice of Oncology. Lippincott Williams & Wilkins; 2011. p. 1401–46.

2. Yılmaz MR. Meme Kanserinin Epidemiyolojisi ve Etiyolojisi. Meme Kanseri. In: Esin Emin Üstün editor. İzmir: Ege Üniversitesi Tıp Fakültesi Dekanlığı, Yayın Bürosu; 2002. p. 25–40.

3. Brenin DR, Morrow M, Moughan J, Owen JB, Wilson JF, Winchester DP. Management of axillary lymph nodes in breast cancer: a national patterns of care study of 17,151 patients. Ann Surg 1999;230:686– 91.

4. Veiga DF, Veiga-Filho J, Ribeiro LM, Archangelo I Jr, Balbino PF, Caetano LV, et al. Quality-of-life and self esteem outcomes after oncoplastic breast-conserving surgery. Plast Reconstr Surg 2010;125:811–7.

5. Singletary SE. Surgical margins in patients with early-stage breast cancer treated with breast conservation therapy. Am J Surg 2002;184:383–93.

6. Yang JD, Lee JW, Cho YK, Kim WW, Hwang SO, Jung JH, et al. Surgical techniques for personalized oncoplastic surgery in breast cancer patients with small- to moderate-sized breasts (part 2): volume replacement. J Breast Cancer 2012;15:7–14.

7. Clarke M, Collins R, Darby S, Davies C, Elphinstone P, Evans V, et al. Effects of radiotherapy and of differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival: an overview of the randomised trials. Lancet 2005;366:2087–106.

8. Sneeuw KC, Aaronson NK, Yarnold JR, Broderick M, Regan J, Ross G, et al. Cosmetic and functional outcomes of breast conserving treatment for early stage breast cancer. 2. Relationship with psychosocial functioning. Radiother Oncol 1992;25:160–6.

9. Özkan S, Meme Kanserli Hastaya Psikolojik Yaklaşım. VIII. Ulusal Meme Hastalıkları Kongresi Özet Kitabı, 2005, s. 21–4.

10. Zanapalıoğlu, Y, Atahan K, Gür S,Çökmez A, Tarcan E, et al. , Effect Of Breast Conserving Surgery In Quality Of Life In Breast Cancer Patients. The Journal Of Breast Health 2009;5:152–6.

11. Guzelant A, Goksel T, Ozkok S, Tasbakan S, Aysan T, Bottomley A. The European Organization for Research and Treatment of Cancer QLQ-C30: an examination into the cultural validity and reliability of the Turkish version of the EORTC QLQ-C30. Eur J Cancer Care (Engl) 2004;13:135–44.

12. Rabinovitch R, Kavanagh B. Double Helix of breast cancer therapy: intertwining the Halsted and Fisher hypotheses. J Clin Oncol 2009;27:2422–3.

13. Fisher B, Bauer M, Margolese R, Poisson R, Pilch Y, Redmond C, et al. Five-year results of a randomized clinical trial comparing total mastectomy and segmental mastectomy with or without radiation in the treatment of breast cancer. N Engl J Med 1985;312:665–73.

14. Nissen MJ, Swenson KK, Ritz LJ, Farrell JB, Sladek ML, Lally RM. Quality of life after breast carcinoma surgery: a comparison of three surgical procedures. Cancer 2001;91:1238–46.

15. Sun Y, Kim SW, Heo CY, Kim D, Hwang Y, Yom CK, et al. Comparison of quality of life based on surgical technique in patients with breast cancer. Jpn J Clin Oncol 2014;44:22–7.

16. Kaviani A, Mir M, Daryani A, Bonyadi M, Ebrahimi M, Neishaboury M, et al. Quality Of Life After Breast Concervation Versus Onoplastic Surgery. Archives Of Breast Concervation Versus Oncoplastic Surgery 2015;2:46–51.

Kaynak Göster

Southern Clinics of Istanbul Eurasia
  • ISSN: 2587-0998
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2017

968326

Sayıdaki Diğer Makaleler

Retrospective Evaluation of Frequency, Morbidities and Mortality of Low Birth Weight Infants

Kadir Ömer ÇETİN, Didem ARMAN, Serdar CÖMERT

The Reconstructive Options for Lower Extremity Defects: 10-Year Retrospective Study

Çağla ÇİÇEK, Mustafa Erol DEMİRSEREN

Metabolic Syndrome in Patients with Schizophrenia and Bipolar Disorder in a Community Mental Health Center

Kader Semra KARATAŞ, Bülent BAHÇECİ, Hediye AKTÜRK, Feride ALAKUŞ

Causes of Elevated Levels of Serum CA 19.9 in Patients without Prior Diagnosis of Malignant Disease

Selçuk ŞEBER, Savaş GÜZEL, Ahsen YILMAZ, Sonat Pınar KARA, Tarkan YETİŞYİĞİT

Antibiotherapy and Mortality Rate in Ventilator-Associated Pneumonia and Tracheobronchitis due to Acinetobacter Baumannii

Eylem TUNÇAY, Gökay GÜNGÖR, Sinem GÜNGÖR, Cüneyt SALTÜRK, Emine AKSOY, Nezihe ÇİFTASLAN GÖKŞENOĞLU, İlim IRMAK, Nalan ADIGÜZEL, Zuhal KARAKURT

Investigation of the Coincidence of Idiopathic Carpal Tunnel Syndrome and Ulnar Nerve Entrapment Neuropathy: Role of the Cutaneous Silent Period

Çiğdem BUĞAN KAPLAN, Rahşan İNAN, Ülkü Türk BÖRÜ

Analyzing Ocular and Systemic Findings of Patients with Down Syndrome

Ayşin Tuba KAPLAN, Ayşe Yeşim ORAL, Nilüfer ZORLUTUNA KAYMAK, Mehmet Can ÖZEN, Şaban ŞİMŞEK

Gastrointestinal Stromal Tumor of the Ileum Causing Mechanical Bowel Obstruction: A Case Report

Osman ERDOĞAN, Zafer TEKE, Nihal AYKUN, Orçun YALAV

Contribution of Color Doppler Sonography to the Diagnosis of Prostatic Pathologies

Özgür SARICA, Sabahat NACAR DOĞAN

An unusual Cause of Late-Onset Dysphagia: Aberrant Right Subclavian Artery

Serdar ASLAN, Muzaffer ELMALI