Qualidade de vida, satisfação com a cirurgia e morbidade no ombro e braço de mulheres com câncer de mama submetidas à quadrantectomia ou à mastectomia com reconstrução imediata
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Data
2009-11-25
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Universidade Federal de Goiás
Resumo
OBJECTIVES: To compare the prevalence of shoulder-arm morbidity, quality of
life (QOL) and satisfaction with surgical treatment in women submitted to
quadrantectomy with those submitted to modified radical mastectomy (MRM)
with immediate breast reconstruction (IBR). METHODS: A cross-sectional study
was performed on women with breast cancer who had been submitted to
quadrantectomy or to MRM+IBR with a transverse rectus abdominis
myocutaneous (TRAM) flap, who had completed treatment at least six months
previously. A total of 44 women submitted to quadrantectomy and 26 submitted
to MRM+IBR were included in the study. RESULTS: Prevalence of lymphedema
was 12% in the MRM+IBR group and 18% in the quadrantectomy group (OR:
0.51; 95%CI: 0.02-10.1; p=0.66). There was a greater prevalence of restricted
inner shoulder rotation in the women submitted to quadrantectomy (OR: 7.23;
95%CI: 1.28-17.1; p=0.03). There was no difference in QOL scores or
satisfaction with surgery. When the participants were questioned whether they
would have opted for a different surgical technique, 25% of women in the
MRM+IBR group and 12% in the quadrantectomy group reported that they
would have made a different choice (adjusted analysis, OR: 7.4; 95%CI: 0.7-
73.3; p=0.09). CONCLUSIONS: The present findings suggest that the type of
surgery does not affect the occurrence of lymphedema. Quadrantectomy
increased the likelihood of restricted shoulder movement. In addition, the two
surgical techniques evaluated were found to exert a similar effect on QOL and
on the woman s satisfaction with surgery.
Descrição
Palavras-chave
Câncer de mama , qualidade de vida , linfedema , morbidade do
braço e ombro , resultado estético , breast cancer , quality of life , lymphedema , arm and shoulder
morbidity , cosmetic results , 1 - Câncer de mama 2 - Qualidade de vida 3 - Linfedema 4 Morbidade do braço e ombro 5 - Resultado estético
Citação
SILVA, Renata Freitas. Quality of life, satisfaction with surgery and morbidity in
shoulder and arm women with breast cancer undergoing
to quadrantectomy or mastectomy with reconstruction
immediate. 2009. 109 f. Dissertação (Mestrado em Ciências da Saúde - Medicina) - Universidade Federal de Goiás, Goiânia, 2009.