caa a22 4500 605491755 CHVBK 20210128100511.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10147-014-0716-0 doi (NATIONALLICENCE)springer-10.1007/s10147-014-0716-0 The present state and perception of young women with breast cancer towards breast reconstructive surgery [Elektronische Daten] [Keiko Nozawa, Miho Ichimura, Akira Oshima, Eriko Tokunaga, Norikazu Masuda, Atsuko Kitano, Atsushi Fukuuchi, Ono Shinji] 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. Japan Society of Clinical Oncology, 2014 Breast reconstruction (BR) nationallicence Physical appearance nationallicence Patients' decision-making nationallicence Psychological well-being nationallicence Nozawa Keiko Appearance Support Center, National Cancer Center Hospital, 5-1-1, Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan aut Ichimura Miho Mejiro University, 4-31-1 Nakaochiai, Shinjuku-ku, 161-8539, Tokyo, Japan aut Oshima Akira Department of Psycho-oncology, National Kyushu Cancer Center, Notame 3-1-1, Minami-ku, 811-1395, Fukuoka, Japan aut Tokunaga Eriko Department of Comprehensive Clinical Oncology, Kyusyu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut Masuda Norikazu Department of Surgery, Breast Oncology, Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-ku, 540-0006, Osaka, Japan aut Kitano Atsuko Department of Breast Surgery, St Luke's International Hospital, 9-1, Akasicho, Chuo-ku, Tokyo, Japan aut Fukuuchi Atsushi Mitsui Memorial Hospital, Izumicho, Kanda, Chiyoda-ku, 101-8642, Tokyo, Japan aut Shinji Ono Clinical Research Center, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan aut International Journal of Clinical Oncology Springer Japan 20/2(2015-04-01), 324-331 1341-9625 20:2<324 2015 20 10147 https://doi.org/10.1007/s10147-014-0716-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10147-014-0716-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nozawa Keiko Appearance Support Center, National Cancer Center Hospital, 5-1-1, Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan aut NATIONALLICENCE 700 1- Ichimura Miho Mejiro University, 4-31-1 Nakaochiai, Shinjuku-ku, 161-8539, Tokyo, Japan aut NATIONALLICENCE 700 1- Oshima Akira Department of Psycho-oncology, National Kyushu Cancer Center, Notame 3-1-1, Minami-ku, 811-1395, Fukuoka, Japan aut NATIONALLICENCE 700 1- Tokunaga Eriko Department of Comprehensive Clinical Oncology, Kyusyu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Masuda Norikazu Department of Surgery, Breast Oncology, Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-ku, 540-0006, Osaka, Japan aut NATIONALLICENCE 700 1- Kitano Atsuko Department of Breast Surgery, St Luke's International Hospital, 9-1, Akasicho, Chuo-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Fukuuchi Atsushi Mitsui Memorial Hospital, Izumicho, Kanda, Chiyoda-ku, 101-8642, Tokyo, Japan aut NATIONALLICENCE 700 1- Shinji Ono Clinical Research Center, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan aut NATIONALLICENCE 773 0- International Journal of Clinical Oncology Springer Japan 20/2(2015-04-01), 324-331 1341-9625 20:2<324 2015 20 10147