Body image disturbance and surgical decision making in egyptian post menopausal breast cancer patients

Shoma, Ashraf; Mohamed, Madiha Hassan Nabih; Nouman, Nashaat; Amin, Mahmoud A.; Ibrahim, Ibtihal; Tobar, Salwa; Gaffar, Hanan E; Abo-Elez, Warda F.; Ali, Salwa; William, Soheir G.

doi:10.1186/1477-7819-7-66

Cited by 32 publications

(38 citation statements)

References 52 publications

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“…Breast cancer is the most common cancer in women in developed Western countries and is becoming even more significant in many developing countries (1).…”

Section: Introductionmentioning

confidence: 99%

Prognostic Factors of Treatment Failure for Early Breast Cancer after Breast Conserving Surgery

Aldaqaf¹,

Brătucu²

2018

chr

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RezumatIntroducere: Cancerul de sân este cel mai frecvent tip de cancer la femeile din ţările occidentale dezvoltate şi devine şi mai semnificativ în multe ţări în curs de dezvoltare. Chirurgia de conservare a sânilor a devenit standardul de aur pentru pacienţii cu cancer de sân (stadiul I, II) cu cancer de sân timpuriu, cu o selecţie adecvată a pacienţilor. Factori de risc importanţi pentru eşecul tratamentului, includ starea marginilor de rezecţie, vârsta, multicentricitatea tumorii şi utilizarea radioterapiei şi a terapiei hormonale adjuvante. Scopul: Stabilirea variabilelor de prognostic pentru recidiva tumorilor mamare ipsilaterale în cancer de sân incipient după chirurgia conservatoare de sân şi rata de supravieţuire. Materiale şi metodă: Am analizat 100 de paciente cu cancer de sân incipient care au suferit chirurgie de conservare a sânilor. Datele au fost analizate pentru eşecul tratamentului; analiza a fost efectuată prin test Chi-pătrat (χ 2 ), regresie multivariată Cox şi Kaplan Maier pentru analiza supravieţuirii. Rezultate: 100 de pacienţi au suferit chirurgie de conservare a sânilor pentru cancer de sân incipient. Au fost 75% dintre pacienţii cu vârsta peste 40 de ani. Tumorile T2 au fost observate la 87% dintre pacienţi şi la 53% dintre pacienţi au fost implicaţi noduli. Modelul de recurenţă a fost de 14%; Pe analiza multivariată, gradul şi marja tumorilor au fost corelate cu supravieţuirea locală fără boală. Supravieţuirea fără boală locală la 3 ani şi supravieţuirea globală a fost de 86% şi, respectiv, 97%. Results: 100 female patients underwent BCS for EBC. There were 75% of patients above 40 years old. T2 tumours were observed in 87% of patients and 53% patients had nodal involvement. There was a pattern of recurrence of 14%; Using the multivariate analysis tumour grade and margin were correlated to local disease free survival. The 3 years local disease free survival and overall survival was of 86 % and 97% respectively. Conclusion: Breast conservative surgery is a highly accepted surgery for early breast cancer with good result. Tumour grade and margin were correlated to local disease free survival.

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“…Breast cancer is the most common cancer in women in developed Western countries and is becoming even more significant in many developing countries (1).…”

Section: Introductionmentioning

confidence: 99%

Prognostic Factors of Treatment Failure for Early Breast Cancer after Breast Conserving Surgery

Aldaqaf¹,

Brătucu²

2018

chr

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“…BITS has been used in Egyptian post-menopause breast cancer women (Shoma et al, 2009). Malaysia has yet to develop a local psychometric instrument specifically to assess body image distress among female breast cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Reliability and Validity of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) in Breast Cancer Women undergoing Chemotherapy

Zainal

Shuib²,

Bustam³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: Body image dissatisfaction among breast cancer survivors has been associated with psychological stress resultant from breast cancer and resultant surgery. This study aimed to examine the psychometric properties of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) and to investigate the associations of retained factors with the Hospital Anxiety and Depression Scale (HADS) and the Rosenberg Self-Esteem Scale (RSES). Materials and Methods: The MVBITS was 'forward-backward' translated from English to Malay and then administered to 70 female breast cancer patients who came to the Oncology Clinic of University Malaya Medical Centre, Kuala Lumpur, Malaysia to undergo chemotherapy. Principal component analysis (PCA) with varimax rotation was performed to explore the factor structure of the MVBITS. Associations of retained factors were estimated with reference to Spearman correlation coefficients. Results: The internal consistency reliability of MVBITS was good (Cronbach's alpha 0.945) and showed temporal stability over a 3-week period. Principal component analysis suggested two factors termed as 'Intrusion' and 'Avoidance' domains. These factors explained 70.3% of the variance. Factor 1 comprised the effects of breast cancer treatment on the emotion and thought, while Factor 2 informed attempts to limit exposure of the body to self or others. The Factor 1 of MVBITS was positively correlated with total, depression and anxiety sub-scores of HADS. Factor 2 was positively correlated with total and anxiety sub-scores of HADS. MVBITS was also positively correlated with the RSES scores. Conclusions: The results showed that the Malay Version of Breast-Impact of Treatment Scale possesses satisfactory psychometric properties suggesting that this instrument is appropriate for assessment of body change stress among female breast cancer patients in Malaysia.

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“…As mulheres submetidas à cirurgia de mastectomia relataram também a insatisfação com a cicatriz, fazendo com que elas evitassem o contato com as pessoas 10 . O tratamento provoca nas pacientes sofrimentos quando essas veem seus corpos modificados, ocasionando angústia com o resultado da sua imagem corporal e apresentando maior nível de comprometimento em relação aos aspectos afetivos, emocionais, cognitivos e comportamentais 4 . Em relação à imagem corporal positiva, estudos sobre a cirurgia de reconstrução da mama relatam que pacientes com a mama .…”

Section: Discussionunclassified

“…As pacientes submetidas a essa cirurgia, em particular aquelas que possuem um companheiro, apresentam um sentimento de angústia ao mostrar o corpo para o seu parceiro. Essa percepção provoca níveis elevados de estresse nessas mulheres 4 . As mamas são símbolos de feminilidade associados ao poder de sedução da mulher.…”

Section: Introductionunclassified

Indicadores de insatisfação relacionados à imagem corporal em pacientes submetidas à mastectomia

Prates¹,

Freitas‐Junior²,

Prates³

et al. 2014

Rev. Bras. Mastol.

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RESUMOApesar dos avanços no tratamento do câncer de mama, a mastectomia continua sendo bastante utilizada, podendo prejudicar a condição emocional e social da mulher, em decorrência da alteração de sua imagem corporal. Este estudo teve como objetivo levantar dados científicos sobre indicadores de insatisfação relacionados à imagem corporal de mulheres com mastectomia. Foi realizada uma revisão de literatura de artigos internacionais nas bases do PubMed no período de 2003 a 2012. Foram avaliados 232 artigos e selecionados 10 estudos. Foram utilizados os descritores "breast cancer" associado à "body image" e a "mastectomy". Foram incluídos estudos com mulheres mastectomizadas que abordassem o termo "imagem corporal", incluindo-se pesquisas quantitativas e qualitativas. Os resultados dos dez estudos selecionados mostraram que, na avaliação pós-operatória de câncer de mama, as mulheres mastectomizadas apresentaram níveis mais elevados de estresse em relação à imagem corporal e relataram a insatisfação com a aparência de suas mamas. Os indicadores de insatisfação relacionados à imagem corporal em pacientes submetidas à mastectomia são: vergonha de não terem uma mama, insatisfação com a sua aparência física, estresse, baixa autoconfiança, além de se sentirem menos atraentes sexualmente. ABSTRACT

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Body image disturbance and surgical decision making in egyptian post menopausal breast cancer patients

Abstract: Body image is an important factor for postmenopausal women with breast cancer in developing countries where that concept is widely ignored. We should not deprive those cases from their right of less mutilating option of treatment as BCT.

Cited by 32 publications

References 52 publications

Prognostic Factors of Treatment Failure for Early Breast Cancer after Breast Conserving Surgery

Prognostic Factors of Treatment Failure for Early Breast Cancer after Breast Conserving Surgery

Reliability and Validity of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) in Breast Cancer Women undergoing Chemotherapy

Indicadores de insatisfação relacionados à imagem corporal em pacientes submetidas à mastectomia

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