Department of Plastic and Reconstructive Surgery, Clinical Emergency Hospital "Prof. Dr. Agrippa Ionescu", Bucharest, 011356, Romania.
Department of Plastic and Reconstructive Surgery, Faculty of Medicine "Carol Davila" University of Medicine and Pharmacy, Bucharest, 020021, Romania.
Medicina (Kaunas). 2020 Feb 9;56(2):66. doi: 10.3390/medicina56020066.
: Skin cancer is one of the most frequently diagnosed malignancies. The main goal of the therapeutic management is total excision with the prevention of recurrence and metastasis. The quality of life of the patients with skin cancer is affected by the morbidity risk, surgery, and cosmetic or functional aspects. The aim of this study was to evaluate the quality of life of patients with skin cancer prior to and post surgical intervention We performed a prospective study on 247 patients with skin tumors. Quality of life was evaluated through an initial questionnaire that was given to all consenting patients. This was used to determine patients' mobility, selfcare, normal activities, pain, and despair, using a five-point Likert scale. The general autoperceived health state was also recorded using a 100-point scale. The study included the responses of all patients at hospital admission, after one month of surgery, and after one year of surgery. In patients with squamous cell carcinoma (SCC), the general health state indicator statistically significantly decreased one month after surgery and increased at one-year follow-up. In malignant melanoma (MM) patients, mobility, selfcare, normal activities, and discomfort presented a decrease in values one year after surgery, compared to the values registered at hospital admission. In patients with basal cell carcinoma (BCC), all indicators of quality of life presented an impaired value one year after surgery, after a decreasing trend. The general health state indicator statistically significantly increased one month after surgery and after one year. Surgery is one of the main steps in treating skin cancer. It has a great impact on patients' quality of life because of pain andthe effect on mobility and normal activities. Skin cancers influence the quality of life of patients both psychologicallyand physically.
皮肤癌是最常见的恶性肿瘤之一。治疗管理的主要目标是完全切除，以预防复发和转移。皮肤癌患者的生活质量受到发病率风险、手术以及美容或功能方面的影响。本研究旨在评估皮肤癌患者手术前后的生活质量。我们对 247 例皮肤肿瘤患者进行了前瞻性研究。生活质量通过初始问卷进行评估，该问卷分发给所有同意的患者。该问卷用于通过 5 分李克特量表确定患者的活动能力、自理能力、正常活动、疼痛和绝望程度。还使用 100 分制记录了一般的自我感知健康状况。该研究包括所有患者在入院时、手术后一个月和手术后一年的反应。在鳞状细胞癌（SCC）患者中，手术后一个月一般健康状况指标显著下降，一年后随访时增加。在恶性黑色素瘤（MM）患者中，手术后一年的活动能力、自理能力、正常活动和不适程度与入院时登记的数值相比有所下降。在基底细胞癌（BCC）患者中，手术后一年所有生活质量指标的价值都降低了，呈下降趋势。手术后一个月和一年后，一般健康状况指标均显著增加。手术是治疗皮肤癌的主要步骤之一。由于疼痛和对活动能力和正常活动的影响，它对患者的生活质量有很大影响。皮肤癌在身心两方面都影响着患者的生活质量。
