Psychological Outcomes in Survivors of Extremity Sarcomas Following Amputation or Limb-Sparing Surgery
Remarkable progress has occurred regarding surgical techniques and the use of radiation therapy or chemotherapy for the treatment of extremity sarcomas [1, 2, 3]. Most patients with extremity sarcomas now have a treatment option of limb-salvage procedures in addition to amputation. Indeed, tumor resection combined with chemotherapy or irradiation have become the treatment of choice for most extremity soft tissue sarcomas . However, patients undergoing limb-salvage surgery require longer periods of anesthesia, several operations, longer hospitalizations, and, consequently, a greater incidence of complications . Yet limb-salvage surgery is increasingly being advocated by surgeons , and patients are choosing limb-salvage procedures, perhaps due to a presumption that limb salvage offers preferred outcomes regarding functioning and psychological reactions . Implicit in the endorsement of limb-salvage surgery are presumed psychological advantages of limb-salvage surgery, coupled with an assumption that there are adverse psychological consequences to limb amputation.
KeywordsLimb Salvage Limb Amputation Bone Sarcoma Extremity Soft Tissue Sarcoma Extremity Sarcoma
Unable to display preview. Download preview PDF.
- 12.Kagan LB: Use of denial in adolescents with bone cancer. Health Soc Work 1:71–87, 1976.Google Scholar
- 13.Karnofsky DA, Burchenal JH: Clinical evaluation of chemotherapeutic agents in cancer. In Evaluation of chemotherapeutic agents. MacLeod CM (ed). New York: Columbia University, pp 33–38, 1949.Google Scholar
- 16.Plumb MM, Holland J: Comparative studies of psychological functioning in patients with advanced cancer. I. Self-reported depressive symptoms. Psychosom Med 39:264–276, 1977.Google Scholar
- 18.Helson H, Bevan W: Contemporary approaches to psychology. Princeton, NJ: Van Nos-trand, 1967.Google Scholar
- 19.Worden JW, Sobel HJ: Ego strength and psychosocial adaptation to cancer. Psychosom Med 40:585—92, 1978.Google Scholar
- 20.Bradburn NM: The structure of psychological well-being. Chicago: Aldine, 1969.Google Scholar
- 22.Campbell A, Converse PE, Roders WL: The quality of American life. New York: Sage, 1976.Google Scholar
- 24.Meyerowitz BE, Watkins IK, Sparks FC: Quality of life for breast cancer patients receiving adjuvant chemotherapy. Am J Nurs 2:232–235, 1983.Google Scholar