• Title, Summary, Keyword: mastectomy

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Perceptions of Prophylactic Mastectomy in Korea

  • Yoon, Han Young;Shim, Jeong Su;Lee, Jong Won
    • Archives of Plastic Surgery
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    • v.43 no.1
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    • pp.53-58
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    • 2016
  • Background Increasingly, prophylactic mastectomy has been evaluated as a treatment of breast cancer. Hereditary breast cancer now accounts for approximately 5%-10% of all cases of breast cancer, meaning that the widespread implementation of prophylactic mastectomy may significantly reduce the occurrence of breast cancer. However, prophylactic mastectomy is rarely performed in Korea. Therefore, in this study, we assessed Koreans' attitudes toward and awareness of preventive mastectomy. Methods This was a prospective study of a cohort of patients attending outpatient clinics and their relatives. Data were collected using self-administered questionnaires assessing sex, age, educational level, knowledge of breast cancer, understanding of prophylactic mastectomy, attitudes toward prophylactic mastectomy, and reasons for choosing prophylactic mastectomy. Results Sixty-five patients were included. Most patients (36.9%) were between 40 and 49 years of age and 58.4% were college graduates. Only six respondents (9%) understood prophylactic mastectomy, and 17 respondents (27%) stated that they would agree to undergo prophylactic mastectomy if necessary. Reasons given for refusing prophylactic mastectomy included aesthetic concerns (38%), the perception that it would not cure the disease (26%), possible surgical complications (24%), and financial cost (6%). Conclusions In this study, most of the respondents showed a poor knowledge of prophylactic mastectomy. Ultimately, it will be necessary to establish medical guidelines for patients with a high risk of breast cancer, with the objective of providing accurate information and proper treatment at hospitals.

A Study on the Wearing Conditions of Mastectomy Bras and Breast Prosthesis (유방암 환자용 브래지어에 대한 착용실태조사)

  • 이경미;최혜선
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.4
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    • pp.697-706
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    • 2001
  • There are approximately 1,000 patients who undergo mastectomies each year in Korea. However, there is no company who manufactures mastectomy brassieres and breast prosthesis in Korea. The purpose of this study is to evaluate the wearing conditions of the imported mastectomy brassieres with breast prosthesis and to develop the better-fitted and comfortable mastectomy brassieres in reasonable price. 254 patients participated in this survey. In the results of our survey, 117 out of the 254 patients were wearing mastectomy brassieres and breast prostheses, which have been imported mostly from USA. The degree of satisfaction at wearing mastectomy brassieres was low. The patients generally feel hot when wearing mastectomy brassieres, specially in summer and also pointed out the heavy weight of breast prosthesis and the discomfort in wearing mastectomy brassiere for a long period of time.

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A study on the adjustment of daily life ana body image of the mastectomy patients (유방 절제술 환자의 퇴원후 신체상과 생활적응에 관한 연구)

  • 김채숙;정면숙
    • Journal of Korean Academy of Nursing
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    • v.14 no.2
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    • pp.75-83
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    • 1984
  • The purpose of this study was to identfy the relationship between the body image adjustment of daily life. 58 subjects who had undergone radical mastectomy or modified radical mastectomy from 1979 to April 1984 at Seoul National University Hospital were selected as a sample and used for a final analysis. Finding of this study were as follows; 1) The relationship between the body image and the adjustment of daily life were significant differences. The body image is more positive, the adjustment of daily life is bet-ter. However, the cause-effect relationship was not found in this study. (p<0.05) 2) There were no significant differences in the body image between the right side mastectomy and left side mastectomy, between the radical mastectomy and modified radical mastectomy between those who had occupation and those who did not have occupation, and between the level of education. 3) There was no significant correlation between the body image and age, between the body image and elapsed time after surgery.

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Necrotic Complications in Nipple-Sparing Mastectomy Followed by Immediate Breast Reconstruction: Systematic Review with Pooled Analysis

  • Lee, Kyeong-Tae;Mun, Goo-Hyun
    • Archives of Reconstructive Microsurgery
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    • v.23 no.2
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    • pp.51-64
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    • 2014
  • This study provides a systematic review of the literature on nipple-sparing mastectomy and necrotic complications in order to estimate the prevalence of necrotic complications and to investigate their significant predictors. A literature search was conducted using the MEDLINE and Ovid databases. A pooled analysis was performed for calculation of the prevalence of nipple-areolar complex (NAC) necrosis, mastectomy flap necrosis, and overall necrotic complications and to evaluate the relationships between necrotic complications and potential risk factors. A total of 44 papers were analyzed. The prevalence of overall necrotic complications was 13.7%, including 7.5% for NAC necrosis and 7.8% for mastectomy flap necrosis. Types of incisions showed significant association with the rates of NAC necrosis and mastectomy flap necrosis. Incisions involving the NAC showed a significantly higher rate of NAC necrosis than those not involving it. The prevalence of NAC necrosis was higher in the autologous tissue reconstruction group than in the prosthesis group. Active smoking and diathermy dissection were significant predictors of both NAC necrosis and mastectomy flap necrosis. The findings of this review suggest that there are several predictors of necrotic complications in nipple-sparing mastectomy. Appropriate patient selection, careful operative planning, and surgical technique refinements may reduce the risk of necrotic complications.

Immediate Breast Reconstruction with TRAM Flap after Nipple-Areolar Sparing Mastectomy (유두-유륜 보존 유방절제술 후 횡복직근 피판술을 이용한 즉시 유방재건술)

  • Suh, Hyun Suk;Lee, Taik Jong;Eom, Jin Sub;Ahn, Sei Hyun;Son, Byung Ho
    • Archives of Plastic Surgery
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    • v.33 no.5
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    • pp.570-576
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    • 2006
  • Purpose: Skin-sparing mastectomy(SSM) with immediate breast reconstruction is becoming a proved option for early-stage breast cancer patients. Recently, skin-sparing mastectomy with preserving the nipple-areolar complex is becoming popular procedure. Methods: During a 13-month period, from April 2004 to January 2005, 101 cases of immediate breast reconstructions with pedicled TRAM flap were performed after 40 cases of nipple-areolar sparing mastectomies, 57 cases of skin-sparing mastectomies and 4 cases of modified radical mastectomies. Results: During the 11 months follow up period, necrosis of mastectomy skin flap occurred in 17.5%(n=10) after skin-sparing mastectomy and necrosis of mastectomy skin flap and nipple-areolar necrosis occurred in 30%(n=12) after nipple-areolar sparing mastectomy. These complications were healed after simple dressing without any surgical procedure. Conclusion: Nipple-areolar sparing mastectomy and immediate breast reconstruction with TRAM flap is good option for early breast cancer patients and some modifications are needed to reduce skin necrosis.

Oncological and Aesthetic Outcomes of Nipple-Areolar Complex(NAC) Sparing Mastectomy and Immediate Breast Reconstruction (유둔-유륜 복합체 보존 유방절제술 및 즉시 유방 재건술 후 종양학적 미용학적 결과)

  • Park, Chan Woo;Ahn, Hee Chang;Kim, Youn Hwan;Jung, Min Sung
    • Archives of Reconstructive Microsurgery
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    • v.21 no.2
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    • pp.118-130
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    • 2012
  • Background: Women receiving mastectomy usually prefer a single-stage surgical procedure without the need for additional surgery. Hence, nipple sparing mastectomy was introduced, and the follow-up data on the aesthetic outcome and recurrence of breast cancer were investigated in this study. Materials and Methods: The study subjects comprised 22 patients who received nipple-sparing mastectomy and immediate breast reconstruction using the free transverse abdominal rectus abdominis myocutaneous flap between June of 2007 and June of 2012. The patients' aesthetic outcomes were measured with 2 methods for the objective result: Breast size measurements and breast volume calculation both at preoperative phase and postoperative 1 years phase. Also, the patients' satisfaction was evaluated at postoperative 1 year with the self-assessment questionnaire. Follow up check for assessing cancer recurrence was performed for an average period of postoperative 1063 days. Results: First, in objective aesthetic outcome, there were no significant differences between the preoperative and postoperative results on both the breast size and the volume. Second, the patient satisfaction analysis scores were graded as very good in 15 patients (68.2%), and as good in 6 patient (27.3%). Most of the patients were very satisfied with our surgery method. Last, there was no local or distant recurrence in these 22 patients during the follow-up period. Conclusion: In this study, the nipple-sparing mastectomy achieved satisfactory results for the breast scar and shape with a single-stage surgical procedure, and the cancer recurrence rate was not significantly different from that of the conventional mastectomy. Besides, the nipple-sparing mastectomy is more cost-effective than the conventional mastectomy since it reduces the need for additional procedures. However, we think that it is necessary to determine the long-term outcomes about the recurrence rate.

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Process of Coping with Mastectomy: a Qualitative Study in Iran

  • Fouladi, Nasrin;Pourfarzi, Farhad;Ali-Mohammadi, Hossein;Masumi, Atefeh;Agamohammadi, Masumeh;Mazaheri, Effat
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.2079-2084
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    • 2013
  • Background: Breast cancer is the most prevalent cancer among Iranian women and mastectomy comprises 81% of surgeries for treatment of breast cancer. Mastectomy may create feelings such as deformation or impairment in patients, cause body-image disorder, and reduce sexuality and sexual activity which in turn may entail mental disorders. The study aimed to elaborate coping processes. Materials and Methods: A grounded theory method was used in conducting this study. Twenty Iranian participants undergoing mastectomy were recruited with purposive sampling. An open, semi-structured questionnaire were developed. Obtaining consent, conversations were recorded and immediately transcribed after each session. Data analysis was carried out with the constant comparative method using the Strauss Corbin approach. Results: Analyzing the collected data, the study came up with seven main categories which affected the coping process in patients with breast cancer, namely: reactions to mastectomy; loss and death contest; reconstruction of evaluation system; consent for undergoing mastectomy; reactions and troubles after loss; confrontation of loss and health; and reorganization and compatibility with changes. Conclusions: The results of the study indicated: when patients become informed of their breast cancer and the necessity of undergoing mastectomy as the treatment, they probably pass through seven categories to adapt after mastectomy. Having insight about them is likely to contribute medical personnel in leading patients to the highest degree of feeling healthy.

A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis

  • Choi, Jong Hyun;Oh, Deuk Young
    • Archives of Aesthetic Plastic Surgery
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    • v.24 no.3
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    • pp.153-156
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    • 2018
  • Background Mastectomy flap necrosis is a common complication after mastectomy and immediate reconstruction with a deep inferior epigastric perforator (DIEP) flap. After abdominal free flap breast reconstruction, the most common secondary procedure is dog-ear correction of both flanks. We introduce a treatment for skin necrosis with a full-thickness skin graft (FTSG) using the abdominal dog-ear deformity. Methods In patients with skin necrosis of a mastectomy flap, we debrided all necrotic tissue when the demarcation was complete. We then performed an FTSG using the skin from the dog-ear correction of both flank areas. We fixed the graft with a tie-over dressing, and it was then removed on postoperative day 5. Results Skin necrosis of the mastectomy flap and dog-ear deformity were treated without any complications. The color and texture of the breasts were satisfactory. Conclusions If a patient experiences post-mastectomy skin flap necrosis and has a dogear deformity on both sides of the flank after a DIEP flap, a dog-ear skin flap can be a good alternative donor site for reconstruction.

Disease Related Stress Experienced by women with Mastectomy : Q Methodology (유방 절제술 후의 질병관련 스트레스 : Q-방법)

  • Kim, Nam-Choi;Kim, Hee-Seung;Yoo, Yang-Sook;Yong, Jin-Sun;Song, Mi-Sun
    • Korean Journal of Women Health Nursing
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    • v.9 no.4
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    • pp.379-389
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    • 2003
  • Purpose: To identify the type of disease-related stress experienced by women who received mastectomy for breast cancer using Q methodology. Method: Q sample included 30 statements obtained from literature and interviews with women with mastectomy. P sample consisted of 22 patients with mastectomy. The data were collected from November to December 2002 and analyzed using QUANL program. Result : Four types of disease-related stress experienced by women with mastectomy were found. Type 1 was manifested for a short duration following surgery and characterized by lowered self-esteem, feelings of emptiness and depression because of impaired body image. Type 2 was characterized by declined physical strength, resulting in frequent fatigue in the daily life and less intimate relationship with spouse. Type 3 was manifested by perfectionists with strong sense of self-pride who received or considered breast reconstruction surgery. Type 4 was reported by those who had long period of post-surgery. This type reported a strong sense of discomfort for wearing an artificial breast but didn't show any intention of trying breast reconstruction surgery. Conclusion: Women with mastectomy were found to experience different type of disease-related distress. Therefore, nurses should assess the type of stress the patient experiences following a mastectomy to provide appropriate nursing care.

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0Does Unilateral Mastectomy Cause Scoliosis? (일측성 유방절제술이 척추측만증을 일으키는가?)

  • Lee, Sung Wook;Lee, Taik Jong;Lee, Sung Wo
    • Archives of Plastic Surgery
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    • v.35 no.3
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    • pp.279-282
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    • 2008
  • Purpose: It is known that the chronic absence of unilateral breast can cause spine curvature. The artificial breast manufactures take up the position of that possibility. This study was designed to evaluate the influence of the mastectomy on the spine and appearance of scoliosis among women who wanted delayed breast reconstruction. ted delayed breast reconstruction. Methods: The study population consisted of 47 women who underwent delayed breast reconstruction at our Department of Plastic Surgery from April 2001 to May 2007. The whole spine anteroposterior and lateral X-ray was taken to evaluate the Cobb's angle. As a general rule a Cobb angle of 10 is regarded as a minimum angulation to define scoliosis. We evaluated Cobb's angle and drew a correlation between the duration of the mastectomy state and the weight of the mastectomy specimen. Results: There were no family history of scoliosis, and no numbness or weakness in the upper or lower extremities. They had normal reflex and experienced no tenderness of the perispinal area. The Spearman Correlation Coefficient between Cobb's angle and the period that took time from the mastectomy to the X-rays and analysis between Cobb's angle and specimen weight was 0.032 and-0.115. there were no correlation between Cobb's angle and time, or between Cobb's angle and specimen weight. Conclusion: lthough the patients attribute their back pain and distorted posture to having received an one-sided mastectomy, it is unlikely that one-sided mastectomy causes spinal deformity and scoliosis.