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Les reconstructions mammaires : enjeux médicaux et psychologiques

Reconstructive breast surgery: medical and psychological issues

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Psycho-Oncologie

Résumé

Les conséquences psychiques d’une mastectomie varient subjectivement d’une femme à l’autre, entraînant des perturbations plus ou moins profondes de la féminité et de la sexualité. La reconstruction mammaire constitue une réponse à la détresse psychique des femmes qui subissent une ablation du sein, et cela par la pratique d’une chirurgie plastique se voulant réparatrice. Néanmoins, la reconstruction ne dispense pas de la question du deuil du sein perdu et de l’appropriation du sein reconstruit. Ainsi s’engage un cheminement psychique singulier face à l’altération visible et intérieure de la féminité.

Abstract

Psychological disorders following mastectomy are numerous and vary with breast cancer prognosis, adjuvant treatments and patients’ characteristics. In some cases, mastectomy can lead to feminine and sexual disorders. Reconstructive breast surgery has proved to be beneficial to improve these psychological disorders. Nonetheless, even if breast reconstruction leads to favourable aesthetic outcome, breast mourning must be taken into account and the reconstructed breast must be appropriated and accepted by the patient. A psychological “reconstruction” is concomitantly necessary to face visible and profound femininity and self-esteem alteration.

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Authors and Affiliations

  1. Psychologue clinicienne. CHRU, service de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, 1, place de l’hôpital, F-67091, Strasbourg Cedex, France

    C. Baas & M. Henry

  2. CHRU, service de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, 1, place de l’hôpital, F-67091, Strasbourg Cedex, France

    C. Mathelin

Authors
  1. C. Baas
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  2. M. Henry
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  3. C. Mathelin
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Correspondence to C. Mathelin.

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Baas, C., Henry, M. & Mathelin, C. Les reconstructions mammaires : enjeux médicaux et psychologiques. Psycho Oncologie 2, 71–76 (2008). https://doi.org/10.1007/s11839-008-0074-0

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  • DOI: https://doi.org/10.1007/s11839-008-0074-0

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