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Body image problems...
Body image problems in women with and without breast cancer 6-20 years after bilateral risk-reducing surgery : A prospective follow-up study
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- Bai, Lucy (author)
- Karolinska Institutet
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Arver, Brita (author)
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- Johansson, Hemming (author)
- Karolinska Institutet
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- Sandelin, Kerstin (author)
- Karolinska Institutet
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- Wickman, Marie (author)
- Karolinska Institutet,Sophiahemmet Högskola
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- Brandberg, Yvonne (author)
- Karolinska Institutet
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(creator_code:org_t)
- Elsevier BV, 2019
- 2019
- English.
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In: Breast. - : Elsevier BV. - 0960-9776 .- 1532-3080. ; 44, s. 120-127
- Related links:
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http://www.thebreast...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
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- PURPOSE: To prospectively follow-up and investigate women's perceptions of the cosmetic outcome of their implant-based breast reconstruction, body image, sexuality, anxiety/depressive symptoms, and health-related quality of life (HRQoL) 6-20 years after bilateral risk-reducing mastectomy (RRM), or complementary RRM after breast cancer diagnosis, due to increased risk of hereditary breast cancer.PATIENTS AND METHODS: Women with and without previous breast cancer diagnosis that underwent RRM between March 1997 and September 2010 were invited (n = 200). We compared 146 (73%) sets of long-term questionnaire responses (e.g., EORTC QLQ-BRR26, Body Image Scale, Sexuality Activity Questionnaire, Hospital Anxiety and Depression Scale, and SF-36) with responses one year after surgery. Women with and without previous breast cancer were compared at the long-term assessment point.RESULTS: The HRQoL and anxiety/depressive symptoms remained unchanged compared with one year after surgery, and there were no between-group differences. The negative impact on body image persisted in both groups for most of the items. 'Sexual discomfort' increased significantly for women with previous breast cancer (p = 0.016). Women with previous breast cancer also reported more problems with 'Disease treatment/surgery related symptoms' (p = 0.006) and 'Sexuality' (p = 0.031) in the EORTC QLQ-BRR26 questionnaire.CONCLUSION: Problems with body image appeared to persist long time post-RRM. No differences in HRQoL were found at the long-term follow-up between women with and without previous breast cancer. The results of this investigation might be of use in improving future counselling before risk-reducing surgery for women in the decision-making process.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Anxiety
- Body image
- Breast cancer
- Breast reconstruction
- Depressive symptoms
- Prophylactic mastectomy
- Quality of life
- Risk
- Sexuality
Publication and Content Type
- ref (subject category)
- art (subject category)
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