Abstract:
Objective This study was conducted to evaluate whether or not immediate breast reconstruction influences quality of life and patient body image satisfaction outcomes among Chinese women with breast cancer compared with modified radical mastectomy.
Methods Sixty patients with breast cancer and were operated from July 2011 to July 2012 in Cancer Institute & Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College were included. These patients were divided into two groups: Ⅰ (30 patients) underwent modified radical mastectomy and Ⅱ (30 patients) underwent mastectomy with immediate breast reconstruction. Patient satisfaction with breast reconstruction was evaluated by functionally assessing cancer therapy-breast cancer scale (FACT-B) and the scales that we designed.
Results No significant differences were observed between the two groups in terms of baseline characteristics, histopathological characteristics, and incision conditions (P > 0.05). The patients in groupⅡ (immediate breast reconstruction) exhibited improved body image satisfaction outcomes (41.1 ± 10.8 vs. 33.2 ± 8.8, P=0.003); this difference was still observed after adjustment for confounding factors was performed by multiple linear regression. No significant difference was found between the two groups in terms of total FACT-B score and psychological evaluation score (P > 0.05).
Conclusions Chinese women who prefer immediate breast reconstruction exhibited an improved body image satisfaction.
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