Breast Cancer

, Volume 14, Issue 1, pp 66–73

Quality of life of breast cancer patients and types of surgery for breast cancer — Current status and unresolved issues —

  • Shozo Ohsumi
  • Kojiro Shimozumai
  • Katsumasa Kuroi
  • Michikazu Ono
  • Hirohisa Imai
Review Article

DOI: 10.2325/jbcs.14.66

Cite this article as:
Ohsumi, S., Shimozumai, K., Kuroi, K. et al. Breast Cancer (2007) 14: 66. doi:10.2325/jbcs.14.66


Since standard radical mastectomy was established by Halsted for breast cancer, surgical procedures for breast cancer have been changed according to the results of randomized controlled trials. Breast-conserving treatment is now regarded as a standard local treatment for early breast cancer. More recently, sentinel node biopsy is becoming popular as an alternative procedure to axillary node dissection for nodal staging. These new procedures have been believed to be better in terms of patients’ quality of life in comparison with previous surgical procedures without impairing prognosis.

Many studies regarding the quality of life (QOL) of patients after such procedures have been reported. Here we review those data, especially of studies comparing quality of life of patients after mastectomy and breast-conserving treatment, and of those after axillary node dissection and sentinel node biopsy. Viewpoints and issues on surgical treatment-related QOL are discussed.

Key words

Quality of life (QOL) Breast cancer Surgery 



quality of life


randomized controlled trial


less extensive surgery


breast-conserving treatment


sentinel node biopsy


axillary lymph node dissection


Range of motion


Beck Depression Inventory


Breif Symptom Inventory


Mental Adjustment to Cancer Scale


Short Form 36


State-Trait Anxiety Inventory


Functional Assessment of Cancer Therapy scale

Copyright information

© The Japanese Breast Cancer Society 2007

Authors and Affiliations

  • Shozo Ohsumi
    • 1
  • Kojiro Shimozumai
    • 2
  • Katsumasa Kuroi
    • 3
  • Michikazu Ono
    • 4
  • Hirohisa Imai
    • 5
  1. 1.Department of Breast OncologyNational Hospital Organization Shikoku Cancer CenterMatsuyamaJapan
  2. 2.Department of Healthcare and Social ServicesUniversity of Marketing and Distribution SciencesJapan
  3. 3.Division of Surgery and Breast OncologyNyuwakai Oikawa HospitalJapan
  4. 4.Department of Health Science and Social WelfareSchool of Human Sciences, Waseda UniversityJapan
  5. 5.Department of EpidemiologyNational Institute of Public HealthJapan

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