John Wayne Cancer Institute, 2200 Santa Monica Blvd, Santa Monica, CA, 90404, USA.
Department of Surgery, David Geffen School of Medicine at UCLA, 10833 LeConte Avenue, CHS 17-386, Los Angeles, CA, 90095, USA.
Breast Cancer Res Treat. 2018 Aug;170(3):569-572. doi: 10.1007/s10549-018-4790-2. Epub 2018 Apr 24.
As the number of survivors continues to increase with improvements in breast cancer treatment, greater emphasis has been placed on the aesthetic outcome following breast surgery. Effort is made to minimize scarring on the breast, yet patients who require a port for treatment inevitably have a scar on the upper chest from the port itself. We hypothesized that patients with breast cancer are conscious of their port scars, and if given a choice would prefer placement of the port in the arm rather than the chest.
Female breast cancer patients treated at our Breast Center who had a port placed from 2009 to 2015 were asked to complete a 20-question, anonymous survey via SurveyMonkey® reporting demographics and treatment information, and a validated Patient Scar Assessment Questionnaire (PSAQ).
Of 139 identified, 105 had email information available for contact, and 67 (64%) patients responded. Of the 67, 37 (55%) had undergone arm placement and 30 (45%), chest. Sixty (92%) patients report noticing their scars; 44 (69%) believed that their scar was noticeable to others; and 22 of the 44 (50%) made an effort to hide their scar. Thirty-seven patients were offered options for port site placement, and 24 (65%) chose placement in the arm (p = 0.057).
Most patients are conscious of their port scars and if offered the choice choose placement in the arm rather than the chest. Upper extremity port placement should be further explored as an alternative approach for patients with breast cancer to improve port scar consciousness.
随着乳腺癌治疗的改进，幸存者的数量不断增加，因此更加注重乳房手术后的美观效果。人们努力使乳房上的疤痕最小化，但需要治疗的患者不可避免地会在上胸部留下因端口本身而产生的疤痕。我们假设乳腺癌患者会意识到自己的端口疤痕，如果有选择，他们会更愿意将端口放在手臂上而不是胸部。
通过 SurveyMonkey®向我们的乳腺中心在 2009 年至 2015 年间接受过端口放置治疗的女性乳腺癌患者发送了一份 20 个问题的匿名调查，报告人口统计学和治疗信息，以及经过验证的患者疤痕评估问卷（PSAQ）。
在确定的 139 名患者中，有 105 名患者有电子邮件信息可供联系，其中 67 名（64%）患者做出了回应。在 67 名患者中，37 名（55%）进行了手臂放置，30 名（45%）进行了胸部放置。60 名（92%）患者报告注意到了自己的疤痕；44 名（69%）认为他们的疤痕对他人来说是显而易见的；而在这 44 名患者中，有 22 名（50%）努力隐藏自己的疤痕。为 37 名患者提供了端口位置选择的选项，其中 24 名（65%）选择了手臂放置（p=0.057）。
大多数患者都意识到自己的端口疤痕，如果有选择，他们会选择将端口放在手臂上而不是胸部。应该进一步探索在上肢放置端口作为改善端口疤痕意识的乳腺癌患者的替代方法。
