The present state and perception of young women with breast cancer towards breast reconstructive surgery

Verfasser / Beitragende:
[Keiko Nozawa, Miho Ichimura, Akira Oshima, Eriko Tokunaga, Norikazu Masuda, Atsuko Kitano, Atsushi Fukuuchi, Ono Shinji]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/2(2015-04-01), 324-331
Format:
Artikel (online)
ID: 605491755
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024 7 0 |a 10.1007/s10147-014-0716-0  |2 doi 
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245 0 4 |a The present state and perception of young women with breast cancer towards breast reconstructive surgery  |h [Elektronische Daten]  |c [Keiko Nozawa, Miho Ichimura, Akira Oshima, Eriko Tokunaga, Norikazu Masuda, Atsuko Kitano, Atsushi Fukuuchi, Ono Shinji] 
520 3 |a Purpose: This study was conducted to identify factors influencing patients' decisions to undergo breast reconstruction, and to identify the influences of breast reconstruction on patient behavior and psychological well-being. Methods: Data were collected from January to June 2011, using a questionnaire distributed to women ≤45years old with breast cancer, at five medical institutes across Japan. Results: Completed questionnaires were collected from 316 women (mean age: 39.46±4.4years, range: 27-45years). Overall, 174 patients received breast-conserving surgery, 101 received mastectomy, 31 received subcutaneous mastectomy, 3 patients received none, and 49 were unreported). The data indicated a reconstruction rate of 36.7% in women who underwent mastectomy. The most prevalent reason for not undergoing breast reconstruction was the fear of cancer relapse. Other factors mentioned were to avoid additional distress on the body from surgery, financial reasons, and a belief that breast reconstruction is unnecessary. The main factor that influenced the decision not to undergo delayed breast reconstruction, specifically, was the expense. Women who had completed breast reconstruction showed higher self-evaluations of physical attractiveness and were more active in comparison to those who did not. However, regardless of having undergone breast reconstruction or not, women who reported higher levels of self-consciousness over the treated areas showed more restrictions on activity and higher chances of a decline in psychological well-being. Conclusion: Regardless of deciding to undergo breast reconstruction or not, the results of this study suggested the need for cognitive interventions to avoid patients fixating on self-consciousness over treated areas. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Breast reconstruction (BR)  |2 nationallicence 
690 7 |a Physical appearance  |2 nationallicence 
690 7 |a Patients' decision-making  |2 nationallicence 
690 7 |a Psychological well-being  |2 nationallicence 
700 1 |a Nozawa  |D Keiko  |u Appearance Support Center, National Cancer Center Hospital, 5-1-1, Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan  |4 aut 
700 1 |a Ichimura  |D Miho  |u Mejiro University, 4-31-1 Nakaochiai, Shinjuku-ku, 161-8539, Tokyo, Japan  |4 aut 
700 1 |a Oshima  |D Akira  |u Department of Psycho-oncology, National Kyushu Cancer Center, Notame 3-1-1, Minami-ku, 811-1395, Fukuoka, Japan  |4 aut 
700 1 |a Tokunaga  |D Eriko  |u Department of Comprehensive Clinical Oncology, Kyusyu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan  |4 aut 
700 1 |a Masuda  |D Norikazu  |u Department of Surgery, Breast Oncology, Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-ku, 540-0006, Osaka, Japan  |4 aut 
700 1 |a Kitano  |D Atsuko  |u Department of Breast Surgery, St Luke's International Hospital, 9-1, Akasicho, Chuo-ku, Tokyo, Japan  |4 aut 
700 1 |a Fukuuchi  |D Atsushi  |u Mitsui Memorial Hospital, Izumicho, Kanda, Chiyoda-ku, 101-8642, Tokyo, Japan  |4 aut 
700 1 |a Shinji  |D Ono  |u Clinical Research Center, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/2(2015-04-01), 324-331  |x 1341-9625  |q 20:2<324  |1 2015  |2 20  |o 10147 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nozawa  |D Keiko  |u Appearance Support Center, National Cancer Center Hospital, 5-1-1, Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ichimura  |D Miho  |u Mejiro University, 4-31-1 Nakaochiai, Shinjuku-ku, 161-8539, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Oshima  |D Akira  |u Department of Psycho-oncology, National Kyushu Cancer Center, Notame 3-1-1, Minami-ku, 811-1395, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tokunaga  |D Eriko  |u Department of Comprehensive Clinical Oncology, Kyusyu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Masuda  |D Norikazu  |u Department of Surgery, Breast Oncology, Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-ku, 540-0006, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kitano  |D Atsuko  |u Department of Breast Surgery, St Luke's International Hospital, 9-1, Akasicho, Chuo-ku, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fukuuchi  |D Atsushi  |u Mitsui Memorial Hospital, Izumicho, Kanda, Chiyoda-ku, 101-8642, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shinji  |D Ono  |u Clinical Research Center, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/2(2015-04-01), 324-331  |x 1341-9625  |q 20:2<324  |1 2015  |2 20  |o 10147