Mastectomy versus conservative surgical treatment: the impact on the quality of life of women with breast cancer

Revista Brasileira de Saúde Materno Infantil

Daniela Francescato Veiga¹  Fabíola Soares Moreira Campos¹  Leda Marques Ribeiro¹  Ivanildo Archangelo Junior¹  Joel Veiga Filho¹  Yara Juliano¹  Miguel Sabino Neto²  Lydia Masako Ferreira² 

[1] ,Universidade do Vale do SapucaíPouso Alegre MG ,Brasil

关键词: Breast neoplasms;    Mastectomy;    Segmental Mastectomy;    Quality of life;    Neoplasias da mama;    Mastectomia;    Mastectomia segmentar;    Qualidade de vida;   

DOI  :  10.1590/S1519-38292010000100005

来源: SciELO

【 摘 要 】

OBJECTIVES: to compare the impact of mastectomy and conservative surgery on the quality of life of patients with breast cancer. METHODS: an assessment was made of the quality of life of patients undergoing mastectomy or segmentary mastectomy, at the Pouso Alegre Clinical Hospital, in the Brazilian State of Minas Gerais, using SF-36. The patients were grouped by age (<50 years and >50 years) and years of schooling (<8 years and >8 years). The Mann-Whitney test was used to compare the groups with regard to the age and schooling domains of SF-36. RESULTS: a significant difference between the two groups was found in the domains of "physical functioning" (p=0.04) and "pain" (p=0.01): with the patients undergoing a mastectomy registering the worst scores. Young patients who had undergone a mastectomy displayed the worst quality of life in terms of "physical functioning" (p=0.03), "pain" (p=0.01) and "social functioning" (p=0.01); those undergoing conservative surgery aged over 50 years scored worst on "role emotional" (p=0.05). Patients undergoing a mastectomy with lower levels of schooling scored lower in "physical functioning" (p=0.01), "role physical" (p=0.05) and "pain" (p=0.05). Among those who had attended school for more than eight years, those having undergone a mastectomy scored less in the "pain" domain (p=0.04). CONCLUSIONS: patients who had undergone a mastectomy had worse results in the physical component of the evaluation of quality of life and this negative impact was more strongly felt among younger patients and those with lower levels of schooling.

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