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肿瘤整形手术与传统保乳手术后乳腺癌患者的肿瘤学结局、满意度及心理社会幸福感的测定

Determination of Oncologic Outcomes, Satisfaction, and Psychosocial Well-being in Patients with Breast Cancer after Oncoplastic and Conventional Breast Conserving Surgery.

作者信息

Tahmasebi Sedighe, Mohammadipour Mastoureh, Ghoddusi Johari Masoumeh, Shariat Mehdi, Akrami Majid, Zangouri Vahid, Karami Mohammadyasin, Talei Abdolrasoul

机构信息

Breast diseases research center, Shiraz University of Medical sciences - Shiraz, Iran.

出版信息

World J Plast Surg. 2022;11(3):72-77. doi: 10.52547/wjps.11.3.72.

Abstract

BACKGROUND

Breast cancer is the most common cancer in women and surgery is necessary for its treatment. We aimed to determine the oncologic outcomes, satisfaction with breasts, and psychosocial well-being in the patients with breast cancer, after oncoplastic and conventional breast conserving surgery (BCS).

METHOD

The patients with breast cancer from Shahid Motahari Clinic affiliated to Shiraz University of Medical Sciences, Shiraz, Iran from December 2020 to December 2021 were allocated to two groups, one who had undergone BCS alone and the patients who had undergone oncoplastic BCS. For all the patients, demographic data, data about surgery, oncologic outcomes, wound complications, and BREAST-Q© questionnaire score were collected and compared between two groups.

RESULT

The mean age of the patients in the oncoplastic BCS and BCS group was 48.13±9.73 (median=48), and 50.01±8.47 (median=50) years, respectively. The mean score of psychosocial well-being was higher in the oncoplastic BCS group in comparison with BCS alone. (-value< 0.0001). Also, the mean score of satisfaction with breast was higher among the oncoplastic BCS group in comparison with the BCS group (-value< 0.0001).

CONCLUSION

Replacing traditional BCS with oncoplastic BCS does not adversely affect the oncologic results of surgery but improves the consequent psychosocial well-being and satisfaction in the patients.

摘要

背景

乳腺癌是女性最常见的癌症,手术是其治疗的必要手段。我们旨在确定肿瘤整形与传统保乳手术(BCS)后乳腺癌患者的肿瘤学结局、对乳房的满意度以及心理社会幸福感。

方法

2020年12月至2021年12月期间,来自伊朗设拉子医科大学附属沙希德·莫塔哈里诊所的乳腺癌患者被分为两组,一组仅接受了BCS,另一组接受了肿瘤整形保乳手术。收集了所有患者的人口统计学数据、手术数据、肿瘤学结局、伤口并发症以及BREAST-Q©问卷评分,并在两组之间进行比较。

结果

肿瘤整形保乳手术组和BCS组患者的平均年龄分别为48.13±9.73岁(中位数=48岁)和50.01±8.47岁(中位数=50岁)。与单纯BCS组相比,肿瘤整形保乳手术组的心理社会幸福感平均得分更高(P值<0.0001)。此外,与BCS组相比,肿瘤整形保乳手术组对乳房的满意度平均得分更高(P值<0.0001)。

结论

用肿瘤整形保乳手术取代传统BCS不会对手术的肿瘤学结果产生不利影响,但可改善患者术后的心理社会幸福感和满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1103/9840764/3a60df6e3fcb/wjps-11-72-g001.jpg

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