Abstract:
Carcinoma of the breast is the most common site-specific cancer and is the leading cause of death from cancer in women with an estimated 1.15 million cases diagnosed in 2002. Breast cancer incidence and prevalence rates in Western Turkey in 1992 were 24.4/1000,000 and 0.3% respectively. Breast cancer incidence has increased in Turkey, and more than 15,000 new breast cancer cases were diagnosed in 2007. Breast cancer incidence and mortality show differences in different regions of Turkey depending on breast health awareness, diagnostic and therapeutic facilities, and other social, cultural and economic factors. The most common surgical treatment of breast cancer in Turkey is modified radical mastectomy, which involves removal of the breast, pectoral muscles, and maxillary lymph nodes. With its increasing prevalence and advanced stage at diagnosis, breast cancer treatment results in significant financial, social, psychological and psychosocial burden on the patients, families and the society. Burden of treatment of especially advanced breast cancer are tremendous, these are, morbidity, mortality, treatment expenses (hospitalization, outpatient care, and physician services, loss of productivity, surgical-systemic-radiation therapies, and psychological disorders of patients and their families). Intangible or psychosocial costs are pain and suffering from disease and its treatment that affect health and well being not reflected in the categories of direct or productivity costs. It is not possible to understand the breast cancer and mastectomy experience independent from the specific culture. The Turkish history, culture, related values and traditions shape the experience of Turkish breast cancer patients. The burden of mastectomy duplicates when a thorough analysis is conducted with its various components that also greatly affect psychologically such as the reality of cancer, experiencing a surgery, and organ loss. This chapter aims to review the current Turkish literature on the various aspects of burden of breast cancer and mastectomy in comparison to the Western literature. The review clearly documents that an interdisciplinary approach that combines oncologic and psychiatric treatments is required for decreasing the burden of mastectomy.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsNotes
- 1.
The content of this box describes the key facts of breast cancer, including epidemiology, clinical features, outcomes and treatment
Abbreviations
- ASR:
-
age standardized rates
- BCS:
-
breast conservation surgery
- BHA:
-
breast health awareness
- BMI:
-
body mass index
- CBE:
-
clinical breast examination
- DALY:
-
disability adjusted life years
- MRM:
-
modified radical mastectomy
- SLNB:
-
sentinel lymph node biopsy
- TRAM:
-
trans-rectus abdominis muscle
References
Agarwal G, Pradeep PV, Aggarwal V, Yip CH, Cheung PS. (2007). World J Surg. 31(5): 1031–1040.
Baider L, Andritsch E, Goldzweig G. (2004). Psychosomatics. 45: 58–68.
Burcham J. (1997). “Breast Reconstruction: A Review of the Research and Patient Professional Resources.” National Breast Cancer Center, Sydney.
Clugston P, Warren R. (2001). In: Glegg C (ed.) Intelligent Patient Guide to Breast Cancer: All you need to know to take an active part in your treatment, 3 ed. Gordon Soules Book Publishers Ltd., Vancouver, pp. 232–243.
Cohen L, Thomas F, Hack J, et al. (2000). Ann Surg Oncol. 7(6): 427–434.
Cooper C, et al. (1989). Psychol Med. 19: 421–422.
Curado MP, Edwards B, Shin HR, et al. (ed.) (2007). “Cancer Incidence in Five Continents”, vol. IX. International Agency for Research on Cancer, Lyon, France. IARC scientific publications no. 160. http://www-dep.iarc.fr/. Accessed 27 Dec 2007.
Dean C. (1987). J. Psychosom Res. 31: 385–392.
Fidaner C, Eser SY, Parkin DM. (2001). Eur J Cancer. 37: 83–92.
Friedman PE, Baer DV, Nelson M, Lane FE, Smith D, Dworkin RJ. (1988). Psychosom Med. 50: 529–540.
Ganz PA, et al. (1992). Cancer. 69: 1729–1738.
Geer S, et al. (1990). Lancet. 1: 49–50.
Goldberg J, Scott R, Davidson P, et al. (1992). Eur J Surg Oncol.18: 327–331.
Hankey BF, Miller B, Curtis R, et al. (1994). J Natl Cancer Inst Monogr. 16: 7–14.
Hann D, Baker F, Denniston M, Gesme D, Reding D, Flynn T, Kennedy J, Kieltyka RL. (2002). J Psychosom Res. 52: 279–283.
Hocaoğlu Ç, Kandemir G, Civil F. (2007). Meme Sağliği Dergsi. 3(3): 163–166.
Juon HS, Choi Y, Kim MT. (2000). Cancer Detect Prev. 24: 589–601.
Karanlik H, Özmen V, et al. (2006). J Breast Health (Meme Sağliği Dergisi). 2: 89–95. (www.memesagligi.org)
Liede A, Narod SA. (2002). Hum Mutat. 20: 413–424.
Nahcivan NO, Seckingil S. (2007). Oncol Nurs Forum. 34(2): 425–432.
National Disease Burden and Cost-Effectiveness Project. (2004). “T.C. Sağlık Bakanlığı Refik Saydam Hıfzıssıhha Merkezi Başkanlığı Hıfzıssıhha Mektebi Müdürlüğü, Başkent Üniversitesi, Ulusal Hastalık Yükü Ve Maliyet-Etkililik Projesi.”
Northouse L, Teplin T, Mood D, Oberst M. (1998). Psychooncology. 7(1): 37–48.
Noyan A, Sertöz OO, Elbi H, Kayar R, Yýlmaz R. (2006). Int J Psychiatry Med. 36(3): 299–313.
Nystrom L, Rutqvist LE, Wall S, et al. (1993). Lancet. 341(8851): 973–978.
Özkan S. (1993). “İstanbul Tıp Fakültesi kliniklerinde psikiyatrik tıp hizmetlerinin gelişimi ve liyezon psikiyatrisi modelinin uygulanması”, İ.Ü. İ.T.F. Psikiyatri ABD Profesörlük taktim tezi, İstanbul.
Özkan S, Turgay M. (1992). Nöro Psikiyatri Arşivi. 29(4): 207–215.
Ozmen V. (2007). J Breast Health. 3: 48–50.
Ozmen V. (2008a). J Breast Health (Meme Sağlığı Dergisi). 4: 6–12. (www.memesagligi.org)
Ozmen V. (2008b). “Breast cancer screening and registration programms in Turkey”. In: Tuncer M (ed.) Cancer Control in Turkey. Health Ministry Publication Number 740, Onur Press, Ankara, pp. 335–343.
Ozmen V, Cabioglu N, Gulluoglu B, Özcinar B. (2007). Survey on a pilot mammographic screening in Bahcesehir, Istanbul, Turkey. Paper Presented at The Breast Health Global Initiative Consensus Conference,1–4 Oct 2007, Budapest, Hungary. http://www.fhcrc.org/science/phs/bhgi/
Parkin DM, Bray F, Ferlay J, et al. (2005). CA Cancer J Clin. 55(2): 74–108.
Reither AM, Stoudemire A. (1987). In: Hackett TP, Cassen NH (ed.) Handbook of General Hospital Psychiatry. Year Book Medical publishers Inc., Chicago, pp. 423–451.
Robson M. (2004). Clin Breast Cancer. 5: 260–268; discussion 269–271.
Rowland JH, Holland JC. (1990). In: Holland JC, Rowland JH (ed.) Handbook of Psychooncology. Psychological Care of The Patient With Cancer. Oxford University Press, New York, pp. 188–207.
Sant M, Allemani C, Berrino F, et al. (2004). Cancer. 100(4): 715–722.
Sertöz O, Elbi HM, Noyan A, Alper M, Kapkac M. (2004). Türk Psikiyatri Dergisi. 15(4): pp. 264–275.
Shaw de Paredes E, Marsteller LP, Eden BV. (1990). Radiology. 177: 117–119.
Smith RA, Duffy SW, Gabe R, et al. (2004). Radiol Clin North Am. 42(5): 793–806.
Tuncer M. (2008). “Significance of cancer in Turkey, the burden of disease, and cancer control policies”. In: Tuncer M (ed.) Cancer Control in Turkey. Health Ministry Publication No. 740, Onur Press, Ankara, pp. 5–9.
Weir HK, Thun MJ, Hankey BF, et al. (2003). J Natl Cancer Inst. 95(17): 1276–1299.
Wellisch D, et al. (1989). Psychosomatics. 30(4): 365–373.
Yazihan N, Hakan H. (2006). Breast cancer in Turkey: Economic Efficiency and Cost Effectiveness, Cancer Control in Turkey, Cancer Control in Turkey. Health Ministry Publication, Number 740, Onur Press, Ankara.
Yİlmazer N, Aydİner A, Özkan S, Aslay I, Bilge N. (1994). Support care cancer. 2(4): 238–241.
Yucel A, Değirmenci B, Acar H, Ellidokuz H, Albayrak R, Haktanir A. (2004). Knowledge about Breast Cancer and Mammography in Breast Cancer Screening among Women Awaiting Mammography. Turk. J. Med Sci., 35: 35–42.
Yücel A, Değirmenci B, Acar M, Ellidozkuz H, Albayrak R. (2005). Turk J Med Sci. 35: 35–42.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media LLC
About this entry
Cite this entry
Özkan, S., Özkan, M., Özmen, V., Armay, Z. (2010). The Disease Burden of Mastectomy: Turkish Perspective and Impact on the Patient and Family. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_49
Download citation
DOI: https://doi.org/10.1007/978-0-387-78665-0_49
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-78664-3
Online ISBN: 978-0-387-78665-0
eBook Packages: MedicineReference Module Medicine