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Aesthetics and Quality of Life After Breast Reconstruction

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Oncoplastic and Reconstructive Breast Surgery

Abstract

There are many gaps concerning satisfaction and quality of life of patients undergoing breast cancer treatment. Some authors report high levels of satisfaction with their outcomes, although the findings are limited by the use of different methods and small series. Patient satisfaction is the result of the care and attention given as well as some subjective opinions. The development of oncoplastic surgery is one of the greatest achievements for the treatment of breast cancer, where better aesthetic outcomes, less psychological damage, and better quality of life are expected. By use of reductive mammaplasty techniques, large areas can be resected for the treatment of large tumors, preserving the breast and keeping the symmetry with the contralateral breast, therefore resulting in satisfactory oncological and aesthetic results. The aim of this chapter is to critically analyze the criteria for aesthetic and quality-of-life evaluation after breast reconstruction.

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References

  1. Guyomard V, Leinster S, Wilkinson M (2007) Systematic review of studies of patients’ satisfaction with breast reconstruction after mastectomy. Breast 16(6):547–567

    Article  PubMed  Google Scholar 

  2. Veronesi U, Cascinelli N, Mariani L et al (2003) Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med 347:1227–1232

    Article  Google Scholar 

  3. Fisher B, Anderson S, Bryant J et al (2003) Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med 347:1233–1241

    Article  Google Scholar 

  4. Rietjens M, Urban CA, Rey PC, Mazzarol G, Maisonneuve P, Garusi C, Intra M, Yamaguchi S, Kaur N, De Lorenzi F, Matthes AG, Zurrida S, Petit JY (2007) Long-term oncological results of breast conservative treatment with oncoplastic surgery. Breast 16(4):387–395

    Article  PubMed  CAS  Google Scholar 

  5. Harris JR, Levene MB, Svensson G, Hellman S (1979) Analysis of cosmetic results following primary radiation therapy for stages I and II carcinoma of the breast. Int J Radiat Oncol Biol Phys 5:257–261

    Article  PubMed  CAS  Google Scholar 

  6. Cardoso MJ, Cardoso J, Amaral N, Azevedo I, Barreau L, Bernardo M, Christie D, Costa S, Fitzal F, Fougo JL, Johansen J, Macmillan D, Mano MP, Regolo L, Rosa J, Teixeira L, Vrieling C (2007) Turning subjective into objective: the BCCT.core software for evaluation of cosmetic results in breast cancer conservative treatment. Breast 16(5):456–461

    Article  PubMed  Google Scholar 

  7. Fitzal F, Krois W, Trischler H, Wutzel L, Riedl O, Kühbelböck U, Wintersteiner B, Cardoso MJ, Dubsky P, Gnant M, Jakesz R, Wild T (2007) The use of a breast symmetry index for objective evaluation of breast cosmesis. Breast 16(4):429–435

    Article  PubMed  CAS  Google Scholar 

  8. Cardoso JS, Cardoso MJ (2007) Towards an intelligent medical system for the aesthetic evaluation of breast cancer conservative treatment. Artif Intell Med 40(2):115–126

    Article  PubMed  Google Scholar 

  9. Cardoso MJ, Cardoso JS, Wild T, Krois W, Fitzal F (2009) Comparing two objective methods for the aesthetic evaluation of breast cancer conservative treatment. Breast Cancer Res Treat 116(1):149–152

    Article  PubMed  Google Scholar 

  10. Heil J, Carolus A, Dahlkamp J, Golatta M, Domschke C, Schuetz F, Blumenstein M, Rauch G, Sohn C (2012) Objective assessment of aesthetic outcome after breast conserving therapy: subjective third party panel rating and objective BCCT.core software evaluation. Breast 21(1):61–65

    Article  PubMed  Google Scholar 

  11. Heil J, Holl S, Golatta M, Rauch G, Rom J, Marme F et al (2010) Aesthetic and functional results after breast conserving surgery as correlates of quality of life measured by a German version of the Breast Cancer Treatment Outcome Scale (BCTOS). Breast 19:470–474

    Article  PubMed  Google Scholar 

  12. Stanton AL, Krishnan L, Collins CA (2001) Form or function? Part 1. Subjective cosmetic and functional correlates of quality of life in women treated with breast-conserving surgical procedures and radiotherapy. Cancer 91:2273–2281

    Article  PubMed  CAS  Google Scholar 

  13. Garbay JR, Rietjens M, Petit JY (1992) Esthetic results of breast reconstruction after amputation for cancer. 323 cases. J Gynecol Obstet Biol Reprod (Paris) 21(4):405–412

    CAS  Google Scholar 

  14. Calabrese C et al (2001) Immediate reconstruction with mammaplasty in conservative breast cancer treatment: long-term cosmetic results. Osp Ital Chir Rome 7(1–2):38–46

    Google Scholar 

  15. Cano SJ, Klassen AF, Scott AM, Cordeiro PG, Pusic AL (2012) The BREAST-Q: further validation in independent clinical samples. Plast recontr surg 129(2):293–302

    Article  CAS  Google Scholar 

  16. Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ (2009) Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg 124(2):345–353

    Article  PubMed  CAS  Google Scholar 

  17. Pusic A, Chen C, Cano S et al (2007) Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. Plast Reconstr Surg 120:823–837

    Article  PubMed  CAS  Google Scholar 

  18. Conde DM et al (2005) Quality of life in Brazilian breast cancer survivors age 45–65 years: associated factors. Breast J 11(6):125–132

    Article  Google Scholar 

  19. Casso D, Buist D, Taplin S (2008) Quality of life of 5–10 years breast cancer survivors diagnosed between age 40 and 49. Eur Jour of Oncol Nurs 12:53–57

    Article  Google Scholar 

  20. Sheppard LA, Ely S (2008) Breast cancer and sexuality. Breast J 14(2):176–181

    Google Scholar 

  21. Hormes JM, Lytle LA, Gross CR, Ahmed RL, Troxel AB, Schmitz KH (2008) The body image and relationships scale: development and validation of a measure of body image in female breast cancer survivors. J Clin Oncol 26(8):1269–1274

    Article  PubMed  Google Scholar 

  22. Beckjord E, Campas BE (2007) Sexual quality of life in women 19 with newly diagnosed breast cancer. J Psychosoc Oncol 25(2):19–36

    Article  PubMed  Google Scholar 

  23. Broeckel JA, Thors CL, Jacobsen PB, Small M, Cox CE (2002) Sexual functioning in long-term breast cancer survivors treated with adjuvant chemotherapy. Breast Cancer Res Treat 75(3):241–248

    Article  PubMed  Google Scholar 

  24. Spagnola S, Zabora J, Brintzenhofeszoc K, Hooker C, Cohen G, Baker F (2003) The satisfaction with life domains scale for breast cancer (SLDS-BC). Breast J 9(6):463–471

    Article  PubMed  Google Scholar 

  25. Ganz PA, Kwan L, Stanton AL, Krupnick JL, Rowland JH, Meyerowitz BE et al (2004) Quality of life at the end of primary treatment of breast cancer: first results from the moving beyond cancer randomized trial. J Natl Cancer Inst 96(5):376–387

    Article  PubMed  Google Scholar 

  26. Ciconelli RM, Ferraz MB, Santos W et al (1999) Brazilian-Portuguese version of the SF-36. A reliable and valid quality of life outcome measure. Rev Bras Reumatol 39:143–150

    Google Scholar 

  27. WHOQOL Group (1998) The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med 46:1569–1585

    Google Scholar 

  28. Sprangers MA, Groenvold M, Arraras JI, Franklin J, te Velde A, Muller M et al (1996) The European Organization for Research and Treatment of Cancer breast cancer-specific quality-of-life questionnaire module: first results from a three-country field study. J Clin Oncol 14(10):2756–2768

    PubMed  CAS  Google Scholar 

  29. He ZY, Tong Q, Wu SG, Li FY, Lin HX, Guan XX (2011) A comparison of quality of life of early breast cancer patients treated with accelerated partial breast irradiation versus whole breast irradiation in China. Breast Cancer Res Treat 133(2):545–552

    Article  PubMed  Google Scholar 

  30. Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssen E et al (1996) A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas 24(3):161–175

    Article  PubMed  CAS  Google Scholar 

  31. Hauser GA, Huber IC, Keller PJ, Lauritzen C, Schneider HP (1994) Evaluation of climacteric symptoms (Menopause Rating Scale). Zentralbl Gynakol 116(1):16–23

    PubMed  CAS  Google Scholar 

  32. Hunter M (1992) The Women’s Health Questionnaire: a measure of mid-aged women’s perceptions of their emotional and physical health. Psychol Health 7(1):45–54

    Article  Google Scholar 

  33. Power M, Harper A, Bullinger M (1999) The World Health Organization WHOQOL-100: tests of the universality of quality of life in 15 different cultural groups worldwide. Health Psychol 18:495–505

    Article  PubMed  CAS  Google Scholar 

  34. Ware JE Jr, Sherboune CD (1992) 36-item short-form health survey (SF-36). I: Conceptual framework and item selection. Med Care 30:473–483

    Article  PubMed  Google Scholar 

  35. Den Oudsten BL, Van Heck GL, Van der Steeg AF, Roukema JA, De Vries J (2009) The WHOQOL-100 has good psychometric properties in breast cancer patients. J Clin Epidemiol 62(2):195–205

    Article  Google Scholar 

  36. Curran D, van Dongen JP, Aaronson NK, Kiebert G, Fentiman IS, Mignolet F, Bartelink H (1998) Quality of life of early-stage breast cancer patients treated with radical mastectomy or breast-conserving procedures: results of EORTC Trial 10801. Eur J Cancer 34(3):307–314

    Article  PubMed  CAS  Google Scholar 

  37. Dini GM et al (2004) Translation into Portuguese, cultural adaptation and validation of the Rosenberg Self-Esteem Scale. Rev Soc Bras Cir Plast 19:47–52

    Google Scholar 

  38. Veiga DF, Veiga-Filho J, Ribeiro LM, Archangelo I Jr, Balbino PF, Caetano LV, Novo NF, Ferreira LM (2010) Quality-of-life and self-esteem outcomes after oncoplastic breast-conserving surgery. Plast Reconstr Surg 125(3):811–817

    Article  PubMed  CAS  Google Scholar 

  39. Van Der Steeg AF, De Vries J, Roukema JA (2008) The value of quality of life and health status measurements in the evaluation of the well-being of breast cancer survivors. Eur J Surg Oncol 34(11):1225–1230

    Article  PubMed  Google Scholar 

  40. Freitas-Silva R, Conde DM, de Freitas-Júnior R, Martinez EZ (2010) Comparison of quality of life, satisfaction with surgery and shoulder-arm morbidity in breast cancer survivors submitted to breast-conserving therapy or mastectomy followed by immediate breast reconstruction. Clinics (Sao Paulo) 65(8):781–787

    Article  Google Scholar 

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Correspondence to Cicero Urban .

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dos Santos, G., Urban, C. (2013). Aesthetics and Quality of Life After Breast Reconstruction . In: Urban, C., Rietjens, M. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2652-0_47

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  • DOI: https://doi.org/10.1007/978-88-470-2652-0_47

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