Prace Oryginalne Original Papers Why Women Who Have Mastectomy Decide Not to Have Breast Reconstruction?

• Authors: Tomasz Zieliński , Katarzyna Lorenc-Podgórska , Bogusław Antoszewski
• Languages of publication: EN

Abstracts

EN

Breast cancer is the most common malignancy occurring in women. The treatment of breast cancer is a complex, multistep process involving surgical treatment, chemotherapy, radiotherapy, hormone therapy, targeted therapy, and very often rehabilitation. After the treatment of the underlying disease, or still in its course, there remains a problem of deformation of the chest. Although the number of women opting for breast reconstructive surgery increases every year, the number of such procedures in Poland is low.The aim of the study was to investigate the reasons why women after amputation of the breast due to cancer are not likely to undergo breast reconstructive surgery.Material and methods. The study comprised 73 women, residents of the province of Silesia, aged between 37 and 79 years, who had undergone mastectomy for malignancy in the years 1987-2013.Results. From all of the reasons given by women for refraining from breast reconstruction, the most frequently pointed was the fear of being subjected to further surgery (38.3%). 23 women (31.5%) admitted that they were also afraid of postoperative pain. Similarly, a common response (35.6%) was that it is not essential for their mental state, and 30% of respondents fully accepted their appearance after mastectomy. Concern about the effect of failed reconstruction was reported by 24.6% of the women, and the fear that the surgery could negatively affect the process of cancer treatment by 27.4% of respondents. Lack of information about the capabilities and knowledge of breast reconstruction methods was not an important factor in decision-making.Conclusions. Most of the surveyed women who abandon breast reconstruction surgery, make this decision on the basis of more than one reasons. Fear of undergoing a second surgical procedure and pain related to it were the most important reasons for the refusal of breast reconstruction. An important factor in the decision to desist from breast reconstruction is the age of the patients.

Keywords

EN

mastectomy; breast reconstruction; personal choice

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 10
• Pages: 451-455

Dates

received

16 - 6 - 2014

online

3 - 2 - 2015

Contributors

author

Tomasz Zieliński

• Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University in Łódź Kierownik: dr hab. prof. nadzw.

author

Katarzyna Lorenc-Podgórska

• Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University in Łódź Kierownik: dr hab. prof. nadzw.

author

Bogusław Antoszewski

• Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University in Łódź Kierownik: dr hab. prof. nadzw.

References

• 1. Jassem J, Krzakowski M: Rak piersi. Praktyczny przewodnik dla lekarzy. Via Medica, Gdańsk 2009.
• 2. Kornafel J: Rak piersi. Wydawnictwo CMKP, Warszawa 2011.
• 3. Chwałczyńska A, Woźniewski M, Rożek-Mróz K i wsp.: Jakość życia kobiet po mastektomii. wiad Lek 2004; 57: 212-16.
• 4. Roberts S, Hvingstone P, White V et al.: External breast prosthesis use: experiences and views of women with breast cancer, breast care nurses, and prosthesis fitters. Cancer Nursing 2003; 26: 179-86.
• 5. Polom К, Murawa D, Wasiewicz J i wsp.: Rekonstrukcja gruczołu piersiowego u chorych leczonych z powodu raka piersi. Przegląd piśmiennictwa. Wspólcz Onkol 2009; 13: 304-08.
• 6. Cieśla S, Murawa P: Współczesne sposoby rekonstrukcji piersi po mastektomii. Pol Przegl Chir 2004; 76: 95-109.
• 7. Nowicki A, Nikiel M: Operacje odtwórcze piersi, ocena satysfakcji pacjentek. Współcz Gnkol 2006; 10: 45-50.
• 8. Brandenberg Y, Malm M, Blomquist L: A prospective and randomized study, SVEA, comparing effects of three methods for delayed breast reconstruction on quality of life, patient-defined problems areas of life, and cosmetic results. Plast Reconstr Surg 2000; 1: 66-74.
• 9. Calakoglu S, Khansa I, Curtis MS et al.: Impact of complications on patients satisfaction in breast reconstruction. Plast Reconstr Surg 2011; 127: 1428-36.
• 10. Reaby LL: Reasons why women who have mastectomy decide to have or not to have breast reconstruction. Plast Reconstr Surg 1998; 101: 1810-18.
• 11. Hequet D, Zarca K, Dolbeault S et al.: Reasons of not having breast reconstruction: a historical cohort of 1937 breast cancer patients undergoing mastectomy. Springer Plus 2013; 2: 325-34.[PubMed]
• 12. Handel N, Silverstein MJ, Waisman E et al.: Reasons why mastectomy patients do not have breast reconstruction. Plast Reconstr Surg 1990; 86: 1118-22.

Identifiers

DOI

10.2478/pjs-2014-0081