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
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Data
2010
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OBJECTIVES: This study was designed to compare the prevalence of shoulder-arm morbidity, patient satisfaction
with surgery and the quality of life of women submitted to breast-conserving therapy or modified radical
mastectomy and immediate breast reconstruction.
METHODS: This study was a cross-sectional study of women who underwent breast-conserving therapy (n = 44) or
modified radical mastectomy and immediate breast reconstruction (n = 26). Quality of life was evaluated with the
SF-36 Health Survey Questionnaire.
RESULTS: No differences were found in the prevalence of lymphedema. The movements that were most commonly
affected by these procedures were abduction, flexion and external rotation. When the two groups were compared,
however, we only found a statistically significant difference for the prevalence of restricted internal rotation, which
occurred in 32% of women in the breast-conserving therapy group and 12% of those in the modified radical
mastectomy and immediate breast reconstruction group (OR: 7.23; p = 0.03 following adjustment for potential
confounding factors). No difference in quality of life or satisfaction with surgery was found between the two groups.
CONCLUSIONS: These data suggest that the type of surgery did not affect the occurrence of lymphedema. Breast-
conserving therapy, however, increased the risk of shoulder movement limitation. No differences were found
between the two surgical techniques with respect to quality of life or satisfaction with surgery.
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Palavras-chave
Breast cancer, Aesthetic outcome, Lymphedema, Shoulder-arm morbidity, Quality of life
Citação
FREITAS-SILVA, Renata; CONDE, DĂ©lio Marques; FREITAS-JĂNIOR, Ruffo de; MARTINEZ, Edson Zangiacomi. 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, SĂŁo Paulo, v. 65, n. 8, p. 781-787, 2010.