The emergence of the ‘waiting game’: a critical examination of the psychosocial issues in diagnosing breast cancer

Poole, Karen

doi:10.1046/j.1365-2648.1997.1997025273.x

Cited by 60 publications

(51 citation statements)

References 35 publications

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“…Several studies have shown that the period surrounding the diagnosis of breast cancer is one of the most stressful times for women and their partners [23][24][25][26][27]. In our series, 51% of the final histological diagnoses were benign and 49% were malignant.…”

Section: Discussionmentioning

confidence: 62%

Ultrasound-guided core needle biopsy of the breast: does frozen section give an accurate diagnosis?

Frede

Daniaux

Ban

et al. 2007

Breast Cancer Res Treat

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Reducing the period of uncertainty between the discovery of a breast tumor and histological diagnosis alleviates the psychological impact of breast cancer to an important degree. We aimed to verify whether histological results obtained with frozen sections of core needle biopsies (CNBs) offer an accurate and reliable tool for minimising this period. In 2619 cases we compared histological diagnosis on frozen sections with those on paraffin sections of CNB and finally with the results of open biopsies. Of the cases 49% were proved malignant and 51% benign. In 99.3% of the malignant lesions preceding CNB was correctly classified as B5 (n = 1185, 92.9%) or at least B4 (n = 82, 6.4%) in frozen and in paraffin sections. There were seven false-negative cases in frozen (false-negative rate = 0.5%) and five false-negative cases (falsenegative rate = 0.4%) in paraffin sections of CNB. On frozen sections complete sensitivity was 99.5% and the positive predictive value of B5 was 99.9%. There was one false-positive case in frozen sections and one in paraffin sections. False-positive rate = 0.08%, negative predictive value for B2 = 99.4% for frozen and 99.6% for paraffin sections; full specificity was 85.9 for frozen and 85.8 for paraffin sections of CNBs. Immediate investigation of CNB in frozen sections is an accurate diagnostic method and an important step in reducing psychological strain on patients with breast tumors and may be offered by specialised Breast Assessment Units.

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Section: Discussionmentioning

confidence: 62%

Ultrasound-guided core needle biopsy of the breast: does frozen section give an accurate diagnosis?

Frede

Daniaux

Ban

et al. 2007

Breast Cancer Res Treat

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“…Patients presenting for transrectal ultrasound (TRUS)-guided needle biopsy typically have substantial levels of presurgical emotional distress, which has been shown to predict pain [3][4][5]. Although modern drug regimens are effective in eliminating pain and improving tolerability of minor surgical procedures, surgery continues to be associated with clinically significant side effects, including postsurgical pain, nausea, and fatigue [6,7].…”

Section: Introductionmentioning

confidence: 99%

The effects of hypnotherapy during transrectal ultrasound-guided prostate needle biopsy for pain and anxiety

Hızlı¹,

Özcan

Eraslan³

et al. 2015

Int Urol Nephrol

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“…One possible predictor of expectancies for post-surgical pain and fatigue is pre-surgical distress, often experienced by women awaiting curative as well as diagnostic breast surgery (e.g., Benedict, Williams, & Baron, 1994;Deane & Degner, 1998;Poole, 1997). According to Leventhal's dual process model (Leventhal, Leventhal, & Cameron, 2001), emotional factors can affect cognitive factors.…”

Section: Introductionmentioning

confidence: 99%

Predictors of expectancies for post-surgical pain and fatigue in breast cancer surgical patients

Schnur

Hallquist

Bovbjerg

et al. 2007

Personality and Individual Differences

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Expectancies for post-surgical pain and fatigue have previously been found to predict pain and fatigue among breast cancer surgery patients. However, the study of predictors of these expectancies has been neglected. The present study was designed to investigate predictors of expectancies for postsurgical pain and fatigue among breast cancer surgery patients.Four hundred and eighteen women (M = 48.3 years, SD = 13.66 years) scheduled to undergo excisional breast biopsy or lumpectomy completed questionnaires assessing demographics/medical history, pre-surgical distress, stable personality characteristics, pre-surgical pain and fatigue, and expectancies for post-surgical pain and fatigue.Path analysis revealed: expectancies for post-surgical pain were significantly predicted by trait anxiety, acute pre-surgical distress, and age; and expectancies for post-surgical fatigue were significantly predicted by acute pre-surgical distress, acute pre-surgical fatigue, previous experience with the same surgical procedure, and education (all ps < .05). Examination of an alternative model revealed that the effects of the aforementioned predictors on expectancies were not mediated by acute pre-surgical distress, clarifying the directionality of the distress-expectancy relationship.Expectancies for post-surgical pain and fatigue are influenced by distress, treatment history, stable personality characteristics, extant symptoms, and demographic factors. These variables should be considered in designing clinical interventions to manipulate expectancies for patient benefit.

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The emergence of the ‘waiting game’: a critical examination of the psychosocial issues in diagnosing breast cancer

Cited by 60 publications

References 35 publications

Ultrasound-guided core needle biopsy of the breast: does frozen section give an accurate diagnosis?

Ultrasound-guided core needle biopsy of the breast: does frozen section give an accurate diagnosis?

The effects of hypnotherapy during transrectal ultrasound-guided prostate needle biopsy for pain and anxiety

Predictors of expectancies for post-surgical pain and fatigue in breast cancer surgical patients

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