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Cosmetic Outcomes and Quality of Life in Thai Women Post Breast Conserving Therapy for Breast Cancer

  • Thanarpan, Peerawong (Department of Radiology, Faculty of Medicine, Prince of Songkla University) ;
  • Somrit, Mahattanobon (Department of Surgery, Faculty of Medicine, Prince of Songkla University) ;
  • Rungarun, Jiratrachu (Department of Radiology, Faculty of Medicine, Prince of Songkla University) ;
  • Paytai, Rordlamool (Department of Radiology, Faculty of Medicine, Prince of Songkla University) ;
  • Duangjai, Sangtawan (Department of Radiology, Faculty of Medicine, Prince of Songkla University) ;
  • Chanon, Kongkamol (Department of Community Medicine, Faculty of Medicine, Prince of Songkla University) ;
  • Puttisak, Puttawibul (Department of Surgery, Faculty of Medicine, Prince of Songkla University)
  • Published : 2015.06.26

Abstract

Purpose: To evaluate the correlation between cosmetic outcome (CO), body image, and quality of life in post breast-conserving therapy (BCT) women. Materials and Methods: This cross-sectional study concerned one-year post-completed BCT Thai women. The data included subjective and objective CO with a questionnaire covering demographic and clinical data, anti-hormonal treatment status, Eastern Cooperative Oncology Group (ECOG) performance status, Self-Reported Cosmetic Outcomes (SRCO), Self-Reported Breast Symmetry (SRBS), Body Image Scale (BIS), and the Functional Assessment of Cancer Therapy with Breast Cancer subscale (FACT-B). Participants had breast photographs taken for the evaluation of objective cosmetic outcome (OCO) after breast cancer conservation treatment. The relationship between CO and FACT-B was tested using Spearman's rank correlation Results: A total 127 participants volunteered for the study. The participant characteristics were age 52(${\pm}9$), Buddhist 87%, married 65%, body mass index 25.0(${\pm}4.6$), breast cup size A-C 91%, college educated 60%, employed 66%, ECOG 0-1 95%, tumor size less than or equal to 2 cm 55%, no lymph node metastasis 98%, and taking tamoxifen 57%. Two percent of the participants regretted their decision to undergo BCT. The SRCO was excellent in 2%, good in 68%, fair in 30%, and poor in 0%. For SRBS, rates were 17%, 58%, 24% and 1% for excellent, good, fair and poor cosmetic outcomes, respectively. The BCCT scores were excellent 24%, good 39%, fair 32%, and poor 6%. The median total QOL score of the participants was 130 (93-144). There was no significant correlation between CO and FACT-B scores. Conclusions: The significance of CO for FACT-B in Thai women with breast cancer could not be assessed in detail because of a very low level of correlation. The results may be due to the effects of cultural background.

Keywords

ast cancer;cosmetic outcome;breast-conserving therapy;quality of life

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