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Chest and upper body morbidity following immediate postmastectomy breast reconstruction.
- Source :
-
Annals of surgical oncology [Ann Surg Oncol] 2014 Jan; Vol. 21 (1), pp. 107-12. Date of Electronic Publication: 2013 Nov 08. - Publication Year :
- 2014
-
Abstract
- Objective: The performance of a mastectomy for the treatment or prophylaxis of breast cancer may have long-term implications for both physical and mental well-being in women. The development of breast numbness and phantom breast sensations following mastectomy is well-known; however, relatively little is known about physical morbidity following postmastectomy breast reconstruction. The primary objective of this study was to evaluate the level of physical morbidity experienced following three surgical approaches: mastectomy alone, postmastectomy tissue expander/implant reconstruction, and postmastectomy autogenous tissue reconstruction.<br />Methods: We conducted a cross-sectional survey of a sample of women who had undergone mastectomy with or without reconstruction. Chest and upper body morbidity were evaluated using the BREAST-Q. Physical well-being was compared across three types of breast surgery.<br />Results: In total, 308 of 452 women who received a questionnaire booklet returned completed questionnaires. There was an overall difference in physical morbidity attributable to surgical treatment (P < 0.001). Patients who underwent autogenous tissue reconstruction had the highest (i.e., best) mean physical well-being score. Women who underwent expander/implant reconstruction also had less chronic physical morbidity than women who underwent mastectomy alone (P < 0.05).<br />Conclusions: Our findings suggest that women who undergo immediate autogenous tissue reconstruction experience significantly less chest and upper body morbidity than those who undergo either mastectomy with implant-based reconstruction or mastectomy alone. This information can be used to facilitate clinical decision-making, to validate individual experiences of breast cancer survivors, and to inform future innovations to decrease the long-term physical morbidity associated with breast cancer surgery.
- Subjects :
- Adult
Aged
Aged, 80 and over
Breast Neoplasms pathology
Carcinoma, Intraductal, Noninfiltrating pathology
Carcinoma, Intraductal, Noninfiltrating surgery
Cross-Sectional Studies
Female
Follow-Up Studies
Humans
Middle Aged
Morbidity
Muscle Weakness physiopathology
Prognosis
Quality of Life
Range of Motion, Articular
Surgical Flaps
Surveys and Questionnaires
Tissue Expansion Devices
Breast Neoplasms surgery
Mammaplasty adverse effects
Mastectomy adverse effects
Muscle Weakness etiology
Postoperative Complications
Thoracic Wall pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1534-4681
- Volume :
- 21
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Annals of surgical oncology
- Publication Type :
- Academic Journal
- Accession number :
- 24201740
- Full Text :
- https://doi.org/10.1245/s10434-013-3231-z