Ramu D, Ramesh Rakesh S, Manjunath Suraj, Goel Vipin, Hemnath G N, Alexander Annie
St Johns Hospital, Room no 204, Annex 1, Sarjapur Road, Bangalore, Karnataka 560034 India.
Indian J Surg Oncol. 2015 Dec;6(4):374-7. doi: 10.1007/s13193-015-0456-2. Epub 2015 Oct 18.
In India, Breast cancer is now the most common cancer in urban and 2nd most common in rural areas [1]. The incidence is rising, more younger women are getting affected and due to increase in survival rates there is an increase in the total number of women suffering from breast Cancer. So far there are no studies evaluating the pattern of breast prosthesis use in Indian scenario. The aim of this study is to address the patterns of external breast prosthesis used in India and view of Indian women on such prosthesis after mastectomy for breast cancer. This was a descriptive longitudinal study. In this study we interviewed (telephonic) 63 people, after three years of completing treatment under The Department of Surgical Oncology, St. Johns medical college, Bangalore. Among the study group, 27 members (40 %) were using various prosthesis, rest 36 women were not using any type of prosthesis. Among the users of prosthesis, silicon prosthesis was used by 6 women, padded cups by 8 women, cloth or cotton by 12 women and 1 woman used other type of prosthesis. Most women use simple items like cloth and cotton (44 %). Next most commonly used prosthesis are padded cups(). Only 22 % of women were found using silicon prosthesis in this study. Most of the well educated patients used external prosthesis either in the form of silicon prosthesis or padded cups. Most of women below age of 50 used external breast prosthesis. Use of prosthesis was more in urban compared to rural population (48 % vs 25 %). Prosthesis users worried more about the body image than women not using prosthesis. 25 % of women using prosthesis had body image issues where as only 5 % of non prosthesis users had such problems. Prosthesis users need improvement in terms of comfort, size, shape and affordability. Most common reasons for not using prosthesis are age, lack of motivation and awareness. Less than half of the women included in this study used external prosthesis after mastectomy for breast cancer. Most of the women are used home made prosthesis like cloth and cotton (44.4 %). Education, age and urban status are the strong factors which influences use of prosthesis. Prosthesis users are those who are more concerned about their body image. There is a palpable need to develop better prosthesis at affordable price.
在印度，乳腺癌如今是城市地区最常见的癌症，在农村地区则是第二常见的癌症[1]。发病率在上升，越来越多的年轻女性受到影响，并且由于生存率的提高，患乳腺癌的女性总数也在增加。到目前为止，尚无研究评估印度情况下乳房假体的使用模式。本研究的目的是探讨印度使用外部乳房假体的模式以及印度女性在乳腺癌乳房切除术后对这种假体的看法。这是一项描述性纵向研究。在本研究中，我们在班加罗尔圣约翰医学院外科肿瘤学系完成治疗三年后，对63人进行了（电话）访谈。在研究组中，27名成员（40%）使用了各种假体，其余36名女性未使用任何类型的假体。在假体使用者中，6名女性使用硅胶假体，8名女性使用加厚胸罩，12名女性使用布或棉质物品，1名女性使用其他类型的假体。大多数女性使用布和棉质等简单物品（44%）。其次最常用的假体是加厚胸罩（）。在本研究中，仅22%的女性使用硅胶假体。大多数受过良好教育的患者使用硅胶假体或加厚胸罩形式的外部假体。大多数50岁以下的女性使用外部乳房假体。城市地区使用假体的比例高于农村人口（48%对25%）。假体使用者比不使用假体的女性更担心身体形象。使用假体的女性中有25%存在身体形象问题，而未使用假体的女性中只有5%有此类问题。假体使用者在舒适度、尺寸、形状和可承受性方面需要改进。不使用假体的最常见原因是年龄、缺乏动力和意识。本研究中纳入的女性不到一半在乳腺癌乳房切除术后使用外部假体。大多数女性使用布和棉质等自制假体（44.4%）。教育程度、年龄和城市身份是影响假体使用的重要因素。假体使用者是那些更关心自己身体形象的人。迫切需要开发价格合理的更好的假体。
