Abstract
Aims
To investigate and compare long-term health-related quality of life (HRQoL), body
image, and emotional reactions in women with ductal carcinoma in situ of the breast
(DCIS) treated with different surgical methods.
Patients and Methods
A total of 162 women were included in the study (47 had mastectomy and immediate breast
reconstruction (IBR), 51 sector resection alone and 64 sector resection and postoperative
radiotherapy). All women included in the study were asked to complete three questionnaires
4–15 years after surgery: the SF-36 for HRQoL, the Hospital Anxiety and Depression
(HAD) scale, and the Body Image Scale (BIS). The response rate was 81%.
Results
Women in all three study groups had, overall, a very satisfactory HRQoL in the long
term, similar to women in the general population. Women who underwent mastectomy and
IBR scored significantly higher on physical functioning and bodily pain than the other
two study groups as well as their age-adjusted norm groups. The addition of radiotherapy
to breast-conserving therapy did not seem to have any negative impact on long-term
HRQoL. Our results show significant differences between the three study groups for
six of ten BIS items, with a greater proportion of women in the mastectomy and IBR
group reporting problems.
Conclusions
Women treated for DCIS have a very satisfactory long-term HRQoL. However, body image
appeared to be negatively affected in mastectomy and IBR patients. Our results indicate
that these women need more preoperative information about what changes in body image
to expect after surgery.
Keywords
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Article info
Publication history
Accepted:
June 7,
2010
Identification
Copyright
© 2010 Published by Elsevier Inc.
