The Impact of Mastectomy on Self-Concept and Social Life: Decisional Conflicts for Breast Reconstruction

Background: Having a mastectomy affects a woman psychosocially, especially to adapt to the changes of her body. It is important to understand women's motivation for breast reconstruction surgery (BRS) to reconcile themselves J Cancer Sci Clin Ther 2021; 5 (4): 496-511 DOI: 10.26502/jcsct.5079133 Journal of Cancer Science and Clinical Therapeutics 497 with their own beliefs and desires. This study explored the factors that affect women's decision to have BRS after the mastectomy, the level of awareness of the available BRS options and their suggestions to improve the acceptance of BRS. Materials and methods: A questionnaire was distributed to patients diagnosed with BC in Saudi Arabia. Results: A total of 352 women were recruited for this cross-sectional study. Age and high educational attainment were significantly associated with a positive decision for BRS. Physical appearance and self-confidence were essential factors in the decision-making for BRS. The main barriers were the surgical risks and strong religious beliefs. Interestingly, both breasts removed affect women’s social life positively compared to those who had one breast removed. The majority (70%) of the sample did not know of the educational campaigns held by the Ministry of Health. The main suggestion to increase interest in BRS is the presence of clinicians throughout the treatment journey. Conclusion: Women diagnosed with BC should be involved in a personalized care plan, especially the group at a higher risk of developing negative body image feelings associated with a mastectomy.