Surgery Today

, Volume 23, Issue 7, pp 598–602

The psychological and cosmetic aspects of breast conserving therapy compared with radical mastectomy

Authors

  • Masakuni Noguchi
    • The Operation CenterKanazawa University Hospital, School of Medicine, Kanazawa University
    • Second Department of SurgeryKanazawa University Hospital, School of Medicine, Kanazawa University
  • Yasuo Saito
    • Department of RadiologyKanazawa University Hospital, School of Medicine, Kanazawa University
  • Hiroshi Nishijima
    • Department of RadiologyKanazawa University Hospital, School of Medicine, Kanazawa University
  • Masayo Koyanagi
    • Nursing DivisionKanazawa University Hospital, School of Medicine, Kanazawa University
  • Akitaka Nonomura
    • Pathology SectionKanazawa University Hospital, School of Medicine, Kanazawa University
  • Yuji Mizukami
    • Pathology SectionKanazawa University Hospital, School of Medicine, Kanazawa University
  • Shinobu Nakamura
    • Third Department of MedicineKanazawa University Hospital, School of Medicine, Kanazawa University
  • Takatoshi Michigishi
    • Department of Nuclear MedicineKanazawa University Hospital, School of Medicine, Kanazawa University
  • Nagayoshi Ohta
    • Second Department of SurgeryKanazawa University Hospital, School of Medicine, Kanazawa University
  • Hirohisa Kitagawa
    • Second Department of SurgeryKanazawa University Hospital, School of Medicine, Kanazawa University
  • Mitsuharu Earashi
    • Second Department of SurgeryKanazawa University Hospital, School of Medicine, Kanazawa University
  • Michael Thomas
    • Second Department of SurgeryKanazawa University Hospital, School of Medicine, Kanazawa University
  • Itsuo Miyazaki
    • Second Department of SurgeryKanazawa University Hospital, School of Medicine, Kanazawa University
Original Articles

DOI: 10.1007/BF00311907

Cite this article as:
Noguchi, M., Saito, Y., Nishijima, H. et al. Surg Today (1993) 23: 598. doi:10.1007/BF00311907

Abstract

An evaluation of the psychological and cosmetic morbidity of 31 patients who had undergone breast conserving treatment (BCT group) and 71 patients who had undergone radical mastectomy (RM group) revealed that 85% and 73%, respectively, were satisfied with their operative results. BCT appeared superior to RM in relation to body image, with 93% of the BCT group indicating BCT as a future choice of treatment, whereas only 35% of the RM group indicated RM as a future choice of treatment. For 59% of the BCT patients, the results were considered excellent or good by a physician, but fear of recurrence was frequently expressed by both groups even though an early stage of breast cancer had been significantly more common in the BCT group than the RM group. Sexual adjustment was the same in both groups. Body image was thus concluded to have been improved by BCT rather than RM, but psychological morbidity was essentially the same in both groups.

Key Words

psychological morbidity cosmetic breast conserving therapy

Copyright information

© Springer-Verlag 1993