de Haes J C, Welvaart K
J Surg Oncol. 1985 Feb;28(2):123-5. doi: 10.1002/jso.2930280211.
All patients (N = 41) who participated in a randomized clinical trial in the Leiden University Hospital comparing mastectomy to tumorectomy have been studied with respect to their quality of life 11 months (+/- 5) after surgery. The body image of patients is more severely impaired after mastectomy than after tumorectomy (P less than .01). The studied groups did not differ, as has been suggested, with respect to fear of recurrence and death. These fears, however, turned out to be inversely related to the age of the patients (r = -.34, P = .02).
所有参与莱顿大学医学中心一项比较乳房切除术和肿瘤切除术的随机临床试验的患者（N = 41）在术后11个月（±5）接受了生活质量研究。乳房切除术后患者的身体形象受损程度比肿瘤切除术后更严重（P <.01）。研究组在对复发和死亡的恐惧方面并无如所暗示的差异。然而，这些恐惧与患者年龄呈负相关（r = -.34，P =.02）。
