The Influence of the Surgical Treatment Method on the Quality of Life of Women With Breast Cancer.

Magdalena Konieczny, Andrzej Fal
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Abstract

Objective: Breast cancer is the most common malignant neoplasm among women in Poland. The primary treatment for breast cancer is surgery. The choice of surgical treatment method can significantly affect the quality of life of women with breast cancer.

Materials and methods: Women treated surgically because of breast cancer were included. The quality of life was assessed by survey using the quality of live questionnaire (QLQ)-C30 and QLQ-BR23 (European Organization for the Research and Treatment of Cancer) questionnaires, taking into account the following factors: The method of surgery performed and comparing breast conserving therapy (BCT) with mastectomy, and breast reconstruction or the lack of it.

Results: The study included 243 subjects. Women had a reduced overall quality of life (53.88 points out of 100), in particular emotional (59.77) and sexual (17.49) functioning, and a poor body image assessment (61.57). Patients after BCT functioned better in physical (p = 0.001) and sexual (p = 0.007) terms, and also experienced lower pain intensity (p = 0.003) and shoulder discomfort (p = 0.024). The quality of life was significantly higher (p = 0.003) in the opinion of women who underwent breast reconstructive surgery.

Conclusion: The quality of life of women depends on the surgical treatment method used when treating breast cancer. For this reason, the choice of method, whenever possible, should promote breast protection or its postoperative reconstruction.

手术治疗方式对乳腺癌患者生活质量的影响。
目的:乳腺癌是波兰妇女中最常见的恶性肿瘤。乳腺癌的主要治疗方法是手术。手术治疗方式的选择可以显著影响乳腺癌患者的生活质量。材料和方法:包括因乳腺癌接受手术治疗的妇女。生活质量评估采用生活质量问卷(QLQ)-C30和QLQ- br23(欧洲癌症研究与治疗组织)问卷进行调查,考虑以下因素:手术方式、保乳治疗(BCT)与乳房切除术的比较、乳房重建或不重建。结果:纳入243例受试者。女性的整体生活质量下降(53.88分,满分100分),尤其是情感(59.77分)和性功能(17.49分),身体形象评估差(61.57分)。BCT后患者在身体(p = 0.001)和性(p = 0.007)方面功能更好,疼痛强度(p = 0.003)和肩部不适(p = 0.024)也较低。接受乳房再造手术的女性的生活质量显著提高(p = 0.003)。结论:乳腺癌患者的生存质量取决于手术治疗方法的选择。因此,方法的选择,只要可能,应促进乳房保护或其术后重建。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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