Do non-mammary conditions influence patients’ cosmetic perception after breast conserving surgery?
IntroductionCompared to mastectomy, breast-conserving surgery (BCS) guarantees equivalent local control and survival, with lower morbidity and better quality of life (QOL), even in the long term. However, some BCS patients consider the cosmetic result to be unsatisfactory, which may affect QOL.Mater...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2024.1432206/full |
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| author | Idam de Oliveira-Junior Idam de Oliveira-Junior Fabíola Cristina Brandini da Silva Fabíola Cristina Brandini da Silva Almir José Sarri René Aloísio da Costa Vieira René Aloísio da Costa Vieira |
| author_facet | Idam de Oliveira-Junior Idam de Oliveira-Junior Fabíola Cristina Brandini da Silva Fabíola Cristina Brandini da Silva Almir José Sarri René Aloísio da Costa Vieira René Aloísio da Costa Vieira |
| author_sort | Idam de Oliveira-Junior |
| collection | DOAJ |
| description | IntroductionCompared to mastectomy, breast-conserving surgery (BCS) guarantees equivalent local control and survival, with lower morbidity and better quality of life (QOL), even in the long term. However, some BCS patients consider the cosmetic result to be unsatisfactory, which may affect QOL.Material and methodsThis prospective, cross-sectional study included patients who underwent BCS. The patients answered the European Organization for Research and Treatment of Cancer Quality of Life questionnaire (EORTC QLQ) - C30, EORTC QLQ-BR23 and Breast Cancer Treatment Outcome Scale (BCTOS) questionnaires, underwent cosmetic breast self-assessment and had their breasts photographed. The photographs were analyzed using Breast Cancer Conservative Treatment. Cosmetic results (BCCT.core). For the categorical variables, the frequencies were calculated; for the numerical variables, the mean and standard deviation. The BCCT.core results were compared with the cosmetic results of the patients, which yielded four possible results: concordant satisfaction, discordant satisfaction, concordant dissatisfaction and discordant dissatisfaction (satisfactory BCCT.core evaluation but patient dissatisfaction). The kappa test was used for agreement between categorical variables. Student’s t test and Mann-Whitney were used to assess the relationship between QOL and cosmetic results. The ANOVA were performed with the adjusted Bonferroni correction to compare the four groups.ResultsA total of 300 patients were evaluated, 298 underwent self-assessment of the breasts (76.8% satisfactory results and 23.2% unsatisfactory) and 297 underwent BCCT.core evaluation (29.9% satisfactory results and 79.1% unsatisfactory), which had a kappa of 0.095 (p = 0.01). In the self-assessment, patients with unsatisfactory cosmetic results had worse overall health, physical, functional, emotional, cognitive, and social capacity, fatigue, pain, dyspnea, financial difficulties, body image; future prospects, side effects, breast symptoms, functional aspects, cosmetics and edema. When we used software evaluation, these relationships did not have the same proportions. In patients with “discordant dissatisfaction”, higher pain scores and worse functionality on the treated side were found.ConclusionAn unsatisfactory cosmetic result was associated with worse QOL, which may be associated with other factors, such as breast pain and functionality. |
| format | Article |
| id | doaj-art-e582a1a3e2fa49598b781b524af73acd |
| institution | Kabale University |
| issn | 2234-943X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj-art-e582a1a3e2fa49598b781b524af73acd2025-01-28T10:20:28ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.14322061432206Do non-mammary conditions influence patients’ cosmetic perception after breast conserving surgery?Idam de Oliveira-Junior0Idam de Oliveira-Junior1Fabíola Cristina Brandini da Silva2Fabíola Cristina Brandini da Silva3Almir José Sarri4René Aloísio da Costa Vieira5René Aloísio da Costa Vieira6Postgraduate Program of Oncology, Barretos Cancer Hospital, São Paulo, BrazilNucleous of Mastology, Barretos Cancer Hospital, São Paulo, BrazilPostgraduate Program of Oncology, Barretos Cancer Hospital, São Paulo, BrazilNucleous of Mastology, Barretos Cancer Hospital, São Paulo, BrazilNucleous of Mastology, Barretos Cancer Hospital, São Paulo, BrazilPostgraduate Program of Oncology, Barretos Cancer Hospital, São Paulo, BrazilPostgraduate Program of Tocogynecology, Botucatu Medical School, São Paulo State University, UNESP, São Paulo, BrazilIntroductionCompared to mastectomy, breast-conserving surgery (BCS) guarantees equivalent local control and survival, with lower morbidity and better quality of life (QOL), even in the long term. However, some BCS patients consider the cosmetic result to be unsatisfactory, which may affect QOL.Material and methodsThis prospective, cross-sectional study included patients who underwent BCS. The patients answered the European Organization for Research and Treatment of Cancer Quality of Life questionnaire (EORTC QLQ) - C30, EORTC QLQ-BR23 and Breast Cancer Treatment Outcome Scale (BCTOS) questionnaires, underwent cosmetic breast self-assessment and had their breasts photographed. The photographs were analyzed using Breast Cancer Conservative Treatment. Cosmetic results (BCCT.core). For the categorical variables, the frequencies were calculated; for the numerical variables, the mean and standard deviation. The BCCT.core results were compared with the cosmetic results of the patients, which yielded four possible results: concordant satisfaction, discordant satisfaction, concordant dissatisfaction and discordant dissatisfaction (satisfactory BCCT.core evaluation but patient dissatisfaction). The kappa test was used for agreement between categorical variables. Student’s t test and Mann-Whitney were used to assess the relationship between QOL and cosmetic results. The ANOVA were performed with the adjusted Bonferroni correction to compare the four groups.ResultsA total of 300 patients were evaluated, 298 underwent self-assessment of the breasts (76.8% satisfactory results and 23.2% unsatisfactory) and 297 underwent BCCT.core evaluation (29.9% satisfactory results and 79.1% unsatisfactory), which had a kappa of 0.095 (p = 0.01). In the self-assessment, patients with unsatisfactory cosmetic results had worse overall health, physical, functional, emotional, cognitive, and social capacity, fatigue, pain, dyspnea, financial difficulties, body image; future prospects, side effects, breast symptoms, functional aspects, cosmetics and edema. When we used software evaluation, these relationships did not have the same proportions. In patients with “discordant dissatisfaction”, higher pain scores and worse functionality on the treated side were found.ConclusionAn unsatisfactory cosmetic result was associated with worse QOL, which may be associated with other factors, such as breast pain and functionality.https://www.frontiersin.org/articles/10.3389/fonc.2024.1432206/fullbreast cancerconservative surgerybreast-conserving surgeryoncoplastic surgerycosmesisquality of life |
| spellingShingle | Idam de Oliveira-Junior Idam de Oliveira-Junior Fabíola Cristina Brandini da Silva Fabíola Cristina Brandini da Silva Almir José Sarri René Aloísio da Costa Vieira René Aloísio da Costa Vieira Do non-mammary conditions influence patients’ cosmetic perception after breast conserving surgery? Frontiers in Oncology breast cancer conservative surgery breast-conserving surgery oncoplastic surgery cosmesis quality of life |
| title | Do non-mammary conditions influence patients’ cosmetic perception after breast conserving surgery? |
| title_full | Do non-mammary conditions influence patients’ cosmetic perception after breast conserving surgery? |
| title_fullStr | Do non-mammary conditions influence patients’ cosmetic perception after breast conserving surgery? |
| title_full_unstemmed | Do non-mammary conditions influence patients’ cosmetic perception after breast conserving surgery? |
| title_short | Do non-mammary conditions influence patients’ cosmetic perception after breast conserving surgery? |
| title_sort | do non mammary conditions influence patients cosmetic perception after breast conserving surgery |
| topic | breast cancer conservative surgery breast-conserving surgery oncoplastic surgery cosmesis quality of life |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2024.1432206/full |
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