Surgical options for early-stage breast cancer: Factors associated with patient choice and postoperative quality of life

摘要: Patients with early-stage breast cancer have three surgical options: lumpectomy radiotherapy, mastectomy alone, and reconstruction. Out objective was to compare women in these groups respect demographics, preoperative counseling, postoperative body image, quality of life. Women having undergone surgery for stage 1 or 2 between 1990 1995 were selected by random sampling hospital tumor registries mailed a self-administered questionnaire, which included the Medical Outcomes Survey Short Form 36. stratified into mutually exclusive groups: axillary node dissection modified radical mastectomy, In total, 267 525 surveys returned (50.9 percent). Compared patients, reconstruction patients younger (p < 0.001), better educated = more likely Caucasian 0.02). Among 54.9 percent recalled that had been discussed preoperatively 39.7 discussion Postoperative comfort appearance significantly lower patients. The relationship type life varied age. Under 55, lowest on all but two 36 subscales. Over subscales 0.05 except social functioning role-emotional). Treatment choice may be related age, race, education, counseling. Whereas effect woman's is complex individual, performed significant variable, whose impact patient