1. A woman's influence to choose mastectomy as treatment for breast cancer
- Author
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Jennifer M. Fancher, Chonn Ng, Reney Thomas, J. Alexander Palesty, Tami Healy, Tiffany T. Fancher, and Stanley J. Dudrick
- Subjects
Self breast examination ,medicine.medical_specialty ,medicine.medical_treatment ,Decision Making ,Breast Neoplasms ,Disease ,Mastectomy, Segmental ,Breast cancer ,Adaptation, Psychological ,medicine ,Body Image ,Mammography ,Humans ,Stage (cooking) ,Mastectomy ,medicine.diagnostic_test ,business.industry ,General surgery ,Cancer ,Middle Aged ,medicine.disease ,Community hospital ,Surgery ,Patient Satisfaction ,Women's Health ,Female ,Patient Participation ,business - Abstract
Introduction Over a 10-y period at our community hospital, more than 50% of women 40 y of age and younger underwent a mastectomy as first line breast cancer treatment. These results catapulted a study to identify personal and physical implications of a mastectomy and to determine if, in women of all ages, breast conservation therapy with close follow-up is a better alternative to mastectomy. Methods Six hundred eight women underwent a mastectomy for breast cancer from 1989 to 2005 at our teaching institution; 77% ( n = 120) of 156 successfully contacted women agreed to participate in the study, and 70% ( n = 84) of them completed a questionnaire. Results Most women discovered their breast cancer through mammography or self breast examination, 31% and 28%, respectively. Five patients were diagnosed at Stage 0, 35 at Stage 1, 26 at Stage 2, 8 at Stage 3, 1 at Stage 4, and 9 patients had an unknown stage of disease. Sixty-three patients primarily discussed their treatment plan with a surgeon; 80 were satisfied with the time spent discussing their treatment. Twenty-four patients underwent various reconstruction procedures; most (75%) were satisfied with their treatment and reconstruction choices. Conclusions Mastectomy as a treatment choice for breast cancer did not have the negative personal and physical outcome that we had predicted. Personal choice and a surgeon's advice were the primary influencing factors on the women's treatment choice of mastectomy. Adequate preoperative discussion time and a multimodality cancer team can be most helpful in providing comprehensive treatment options for all women with breast cancer.
- Published
- 2008