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The proportion of young female breast cancer patients undergoing a double mastectomy (BM) is increasing, but in this population, the impact of surgery on short- and long-term physical and mental health is insufficient.
recently assessed the effects of BM surgery on patients' quality of life (QOL) and psychosocial outcomes.
study was conducted at a number of medical centers in North America, and between 2006 and 2016, patients with stage 0-3 single-sided breast cancer were involved in a study with a patient aged 40 and underwent primary breast surgery, including breast augmentation surgery (BCS), one-sided mastectomy (UM) and BM.
performed a QOL and psychosocial assessment after the operation.
of the study were patients' physical function, body image, sexual health, anxiety, and depressive symptoms, assessed on an adjusted average score, and higher scores indicated poor function.
826 patients, the average age of diagnosis was 36.1 years, mostly non-Hispanic whites (86.7 percent).
45 per cent of patients received BM, 31 per cent received BCS and 24 per cent received UM.
84 per cent of women who were receiving BM/UM had breast reconstruction.
who received BM improved over time, but compared to patients receiving BCS, body image (first year, 1.32 vs. 0.64; fifth year, 1.19 vs. 0.48, ) and sexual health (first year, 1.66 vs 1.20; fifth year, 1.4 3 v s0.96) was poor in terms of body image (year 1, 1.32 vs 1.15; year 5, 1.19 vs.0.96) and sexual health (first year, 1.66 vs 1.41; year 5, 1.43 vs 1.09).
follow-up, anxiety improved in all groups, but in 1 year (BM vs BCS vs UM, 7.75vs 6.94vs 6.58), 2 years (7.47) During the follow-up of vs. 6.18 vs. 6.07) and 5 years (6.67 vs. 5.91 vs. 5.79), the BM group had a higher level of depression than BCS/UM.
study found that for young breast cancer patients undergoing a double mastectomy, the proportion of postoperative abnormalities in body function, body image, sexual health and anxiety was still higher than in breast-feeding surgery and one-sided mastectomy.
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