Lower-Silesian Oncology Centre, Wrocław, Poland.
Division of Psychotherapy and Psychosomatic Medicine, Department of Psychiatry, Wroclaw Medical University, Poland.
Adv Clin Exp Med. 2019 Aug;28(8):1137-1142. doi: 10.17219/acem/103626.
The aim of this overview study is to familiarize readers with the impact of changes to body image (BI) among patients treated for breast cancer. Body image is subjected to many changes during oncological treatment and every method of treatment (surgery, chemotherapy, radiotherapy, and hormone therapy) can have a negative impact on the way the treated patients perceive their bodies. The article differentiates the susceptibility of patients to a worsened self-image due to their pre-disease personality, socioeconomic factors, age, and declared sense of control during the oncological treatment. Herein, the areas of patients' lives which are the most affected by negative BI are discussed: quality of life and functioning in society, with particular emphasis on the return to work and sexuality. The ways of protecting patients' BI throughout treatment which have been proposed in the literature are presented in conclusions.
本综述研究旨在使读者熟悉乳腺癌治疗患者体像（BI）变化的影响。在肿瘤治疗过程中，体像会发生许多变化，每种治疗方法（手术、化疗、放疗和激素治疗）都会对治疗患者对自身身体的感知产生负面影响。本文区分了患者因疾病前的个性、社会经济因素、年龄以及在肿瘤治疗期间自我控制感而对自我形象恶化的易感性。本文讨论了受负面 BI 影响最大的患者生活领域：生活质量和社会功能，特别强调重返工作岗位和性功能。本文还在结论中介绍了文献中提出的在治疗过程中保护患者体像的方法。
