Psychosocial Functioning in Women with Early Breast Cancer Treated with Breast Surgery With or Without Immediate Breast Reconstruction

Retrouvey, Helene; Kerrebijn, Isabel; Metcalfe, Kelly; OʼNeill, Anne C.; McCready, David R.; Höfer, Stefan; Zhong, Toni

doi:10.1245/s10434-019-07251-9

Cited by 40 publications

(20 citation statements)

References 38 publications

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“…Studies reported that significant benefits in the quality of life and psychosocial well-being were gained via IBR after mastectomy. Breast reconstruction is increasingly provided as the essential part of postmastectomy rehabilitation ( 13 – 15 ). The oncologic safety of mastectomy followed by IBR is sufficiently confirmed in patients with early-stage breast cancer ( 7 , 16 – 18 ).…”

Section: Discussionmentioning

confidence: 99%

A Single-Center Retrospective Analysis of Local and Distant Relapse of Breast Cancer Following Immediate Breast Reconstruction According to Molecular Subtypes

et al. 2022

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PurposeConcerns have been raised about the oncologic safety of immediate breast reconstruction (IBR) following mastectomy for breast cancer. This study aimed to evaluate locoregional recurrence (LRR) and distant metastasis (DM) of breast cancer according to its molecular subtype in patients who underwent mastectomy alone or IBR after mastectomy.MethodsIn this retrospective cohort study, consecutive breast cancer patients treated by the single senior surgeon (XZ) between February 2010 and December 2014 were eligible. In total, 389 consecutive patients were included; 295 patients underwent mastectomy alone and 94 patients underwent mastectomy with IBR. Data were retrospectively collected and analyzed for LRR and DM stratified by molecular subtypes.ResultsWith a median follow-up of 73 and 87.5 months, 1.69% of patients in the mastectomy alone group developed LRR compared to 0% in the reconstruction group (p = 0.342) and the total incidence of DMs was 11.52% in patients who received mastectomy alone and 7.44% in patients who received postmastectomy IBR (p = 0.262), respectively. The cumulative incidence of LRR was 2.1% vs. 0% for luminal A, 0% vs. 0% for luminal B, 0% vs. 0% for human epidermal growth factor receptor 2 (HER2)-enriched, and 4.5% vs. 0% for triple-negative in the mastectomy alone group compared to the postmastectomy IBR group. The cumulative incidence of DM was 15.5% vs. 5.7% for luminal A, 10% vs. 8.7% for luminal B, 17.3% vs. 0% for HER2-enriched, and 6.8% vs. 7.1% for triple-negative in the mastectomy alone group compared to the postmastectomy IBR group. On multivariable Cox regression analysis, lymph node metastasis was associated with an increased risk of DM in the mastectomy alone group (p = 0.03) and neoadjuvant chemotherapy was associated with an increased risk of DM in the postmastectomy IBR group (p = 0.021).ConclusionThis study suggests that IBR does not have a negative impact on the LRR and DM of breast cancer according to molecular subtypes.

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Section: Discussionmentioning

confidence: 99%

A Single-Center Retrospective Analysis of Local and Distant Relapse of Breast Cancer Following Immediate Breast Reconstruction According to Molecular Subtypes

et al. 2022

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“…Experiences of women following a mastectomy have been studied extensively, capturing both short and long‐term effects. Many of the outcomes are psychosocial in nature and include decreased quality of life, 7 concerns about body image such as being self‐conscious about scaring, 8 sexual well‐being, 9 depression, 10 struggles with identity, and being stigmatized 11,12 . Physical symptoms have also been reported such as women experiencing diminished sensations 13,14 and challenges with upper arm mobility on the affected side(s) 14,15 …”

Section: Mastectomy and The Implicationsmentioning

confidence: 99%

Unveiling beauty: Insight into being tattooed postmastectomy

Jong

2022

Nursing Forum

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Background: It could be argued that mastectomy tattoos are being considered by some women in contemporary society as an alternative to breast reconstruction.Aim: To gain insight into the experience of "being" tattooed where breast(s) once occupied space, six women with mastectomy tattoos were interviewed.Methodology: The teachings of Gadamer's philosophical hermeneutics were engaged to better understand what it means "to be" tattooed postmastectomy.Results and Discussion: Discoveries include feeling sad and damaged postmastectomy, embodying the tattoo as a novel representation of self for women living without breast(s), and reclaiming power, control, and confidence in a way that is symbolically meaningful. Conclusion:Health care providers working with women diagnosed with breast cancer are invited to learn from women with mastectomy tattoos and to consider expanding discourse about care to include options beyond breast reconstruction.

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“…In the United Kingdom, immediate alloplastic IBR is now the type of reconstructive surgery received by well over half the patients who undergo reconstruction post mastectomy (Hong et al, 2018). Importantly, IBR may improve a patient's body image and psychosocial well‐being, with self‐image being a significant concern of these individuals as they navigate their diagnosis and treatment (Fang et al, 2013; Retrouvey et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Chronic pain in breast cancer patients post mastectomy with alloplastic reconstruction: A scoping review

Rogowsky

Illmann

Isaac

2022

European J Cancer Care

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Introduction: Women diagnosed with breast cancer are receiving mastectomy with implant-based reconstruction at an increasing rate. Chronic post-surgical pain can be a major concern for these patients. This review sought to address the knowledge gap on the prevalence, severity and characteristics of chronic pain in this population.Methods: A scoping review was conducted using the Arksey and O'Malley framework. Five databases were searched using keywords. Two independent reviewers performed selection and data extraction of studies that met inclusion criteria.Results: Seventeen studies were included in this review. Ten studies reported prevalence of chronic pain which ranged from 7.3%-90.9% with pooled prevalence of 26.3%. Nine studies reported severity of chronic pain using various scales and methodology; most patients' pain was not severe. Risk factors for chronic pain included axillary dissection, lack of perioperative local anaesthetic, younger age and use of a tissue expander. No studies reported on possible correlation between ethnicity and pain. Eleven different assessment tools were used to measure pain. Conclusion:Chronic pain following post-mastectomy implant-based breast reconstruction is prevalent, associated with specific risk factors and poorly characterised.There is a need to investigate and evaluate chronic pain in this population using validated breast cancer specific pain assessment tools.

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Psychosocial Functioning in Women with Early Breast Cancer Treated with Breast Surgery With or Without Immediate Breast Reconstruction

Cited by 40 publications

References 38 publications

A Single-Center Retrospective Analysis of Local and Distant Relapse of Breast Cancer Following Immediate Breast Reconstruction According to Molecular Subtypes

A Single-Center Retrospective Analysis of Local and Distant Relapse of Breast Cancer Following Immediate Breast Reconstruction According to Molecular Subtypes

Unveiling beauty: Insight into being tattooed postmastectomy

Chronic pain in breast cancer patients post mastectomy with alloplastic reconstruction: A scoping review

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