Breast Cancer Research and Treatment

, Volume 77, Issue 3, pp 285–293

A Comparison of Risk Perception and Psychological Morbidity in Women with Ductal Carcinoma in situ and Early Invasive Breast Cancer

  • Eileen Rakovitch
  • Edmee Franssen
  • John Kim
  • Ida Ackerman
  • Jean-Philippe Pignol
  • Lawrence Paszat
  • Kathleen I. Pritchard
  • Cindy Ho
  • Donald A. Redelmeier
Article

DOI: 10.1023/A:1021853302033

Cite this article as:
Rakovitch, E., Franssen, E., Kim, J. et al. Breast Cancer Res Treat (2003) 77: 285. doi:10.1023/A:1021853302033

Abstract

Purpose. To assess how women with ductal carcinoma in situ (DCIS) perceive their risks of recurrence, dying from breast cancer, and psychological distress compared to women with early stage invasive breast cancer (EIBC).

Patients and methods. Eligible patients included those with DCIS or EIBC (T1 or T2, N0) referred to one cancer center between November 1998 and June 1999. Participants completed a self-administered survey regarding their views of their risks of developing recurrent cancer, of dying of breast cancer and the presence of psychological symptoms of distress. Responses were scored and compared between the two groups.

Results. In total, 495 patients were screened, 240 found ineligible, 228 patients who agreed to participate. No significant difference between the two groups was observed in perceptions of risk related to the likelihood of developing local recurrence (DCIS: 53%, EIBC 45%, P = 0.14), distant recurrence (DCIS: 36%; EIBC: 39%, P = 0.35) or dying of breast cancer (DCIS: 27%, EIBC 27%, P = 0.5). Both groups expressed similar levels of psychological distress (anxiety, DCIS: 56%, EIBC 54%, P = 0.38; depression, DCIS: 41%, EIBC, 48%, P = 0.17).

Conclusions. Despite the excellent prognosis, women with DCIS express serious concerns and report similar psychological morbidity as women with invasive cancer.

breast cancerductal carcinoma in situperceptionquality of liferisk

Copyright information

© Kluwer Academic Publishers 2003

Authors and Affiliations

  • Eileen Rakovitch
    • 1
  • Edmee Franssen
    • 2
  • John Kim
    • 3
  • Ida Ackerman
    • 1
  • Jean-Philippe Pignol
    • 1
  • Lawrence Paszat
    • 1
  • Kathleen I. Pritchard
    • 4
  • Cindy Ho
    • 2
  • Donald A. Redelmeier
    • 5
  1. 1.Department of Radiation OncologyToronto-Sunnybrook Regional Cancer CentreTorontoCanada
  2. 2.Clinical Epidemiology UnitSunnybrook & Women's Health Science CentreTorontoCanada
  3. 3.Department of Radiation Oncology, Princess Margaret HospitalUniversity of TorontoTorontoCanada
  4. 4.Department of Medical OncologyToronto-Sunnybrook Regional Cancer CentreTorontoCanada
  5. 5.Department of MedicineSunnybrook & Women's Health Science CentreTorontoCanada