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Plastic and Reconstructive Surgery Mar 1999
Topics: Female; Humans; Mammaplasty; Mastectomy, Simple; Mastectomy, Subcutaneous
PubMed: 10077118
DOI: No ID Found -
Journal of Perioperative Practice Oct 2016There is a clear inverse relationship between preoperative anxiety and effective anaesthesia and recovery. Studies have shown that perioperative anxiety can be...
There is a clear inverse relationship between preoperative anxiety and effective anaesthesia and recovery. Studies have shown that perioperative anxiety can be detrimental to the efficacy of recovery. In order to mitigate the perioperative anaesthetic risk to the patient, perioperative care must be inclusive of psychological as well as physiological elements. Therefore, when planning and implementing care for the surgical patient alternative interventions, such as hypnosis, should be considered when presented with difficult patient factors, such as crippling anxiety. This article takes on a case study approach to critically analyse and appraise the holistic care of a patient undergoing a simple mastectomy with hypnosis as the primary anaesthesia.
Topics: Anesthesia; Anxiety; Humans; Hypnosis; Mastectomy, Simple; Perioperative Care
PubMed: 29328737
DOI: 10.1177/175045891602601001 -
International Journal of Molecular... Apr 2022Seroma development after breast cancer surgery is the most common postoperative complication seen after mastectomy but neither its origin nor its cellular composition is...
Seroma development after breast cancer surgery is the most common postoperative complication seen after mastectomy but neither its origin nor its cellular composition is known. To investigate the assumption of immunological significance, one of the first aims of this pilot study is to describe the cellular content of collected seroma fluids and its corresponding serum in patients with simple mastectomy after needle aspiration, as well as the serum of healthy controls. The content of red blood cells (RBC) was measured by haemato-counter analyses, and the lymphocyte identification/quantification was conducted by flow cytometry analyses in seroma fluid (SFl) and the sera of patients (PBp) as well as controls (PBc). Significantly lower numbers of RBCs were measured in SFl. Cytotoxic T cells are significantly reduced in SFl, whereas T helper (Th) cells are significantly enriched compared to PBp. Significantly higher numbers of Th2 cells were found in SFl and PBp compared to PBc. The exact same pattern is seen when analyzing the Th17 subgroup. In conclusion, in contrast to healthy controls, significantly higher Th2 and Th17 cell subgroup-mediated immune responses were measured in seroma formations and were further confirmed in the peripheral blood of breast cancer (including DCIS) patients after simple mastectomy. This could lead to the assumption of a possible immunological cause for the origin of a seroma.
Topics: Breast Neoplasms; Female; Humans; Immunity; Mastectomy; Mastectomy, Simple; Pilot Projects; Postoperative Complications; Seroma; Th17 Cells; Th2 Cells
PubMed: 35563236
DOI: 10.3390/ijms23094848 -
The New England Journal of Medicine Dec 2002
Topics: Axilla; Breast Neoplasms; Chemotherapy, Adjuvant; Female; Humans; Lymphatic Metastasis; Mastectomy, Radical; Mastectomy, Simple; Survival Analysis
PubMed: 12501859
DOI: No ID Found -
Journal of Midwifery & Women's Health 2006Bilateral prophylactic mastectomy (BPM) can reduce a woman's risk for breast cancer by 80%. Thus, women who are at high risk for familial breast cancer are increasingly... (Review)
Review
Bilateral prophylactic mastectomy (BPM) can reduce a woman's risk for breast cancer by 80%. Thus, women who are at high risk for familial breast cancer are increasingly opting for BPM as a preventative option. Research indicates that there are psychological benefits to BPM, including a reduction in anxiety about developing breast cancer. The purpose of this integrative review is to summarize the research that has examined the effect of prophylactic mastectomy on women's subsequent body image. Thirteen studies were reviewed. The majority of women were satisfied with their decision. However, the majority of studies indicate that up to one-half of the women suffer a negative effect on body image and changes in sexuality. Knowledge of these findings can improve the practitioner's ability to counsel women regarding this radical decision. Further research, particularly prospective studies, are needed to examine women's body image prior to BPM so that the impact of prophylactic mastectomy can be examined more thoroughly.
Topics: Body Image; Breast Neoplasms; Female; Humans; Mastectomy, Radical; Mastectomy, Simple; Quality of Life; Risk Assessment; Social Perception; United States; Women's Health
PubMed: 17081926
DOI: 10.1016/j.jmwh.2006.07.002 -
Cancer May 1993Optimal management of ductal carcinoma in situ (DCIS) of the breast is a problem that is occurring with greater frequency, mostly because of the increasing use of... (Review)
Review
BACKGROUND
Optimal management of ductal carcinoma in situ (DCIS) of the breast is a problem that is occurring with greater frequency, mostly because of the increasing use of mammographic screening. The traditional role of mastectomy for DCIS has been challenged by breast-conserving procedures. Regardless of the method of treatment used, local control with complete tumor eradication is the major goal in the management of DCIS.
METHODS AND RESULTS
A patient is reported in whom DCIS recurred in residual breast tissue in the chest wall several years after mastectomy.
CONCLUSIONS
Chest wall recurrence of DCIS within residual breast tissue probably is caused by failure of tumor excision, new primary tumor, or both. This observation underscores that (1) mastectomy may not result in complete removal of breast tissue, and (2) this residual breast tissue may be the substrate for "chest wall recurrences" in some patients with breast cancer.
Topics: Adult; Breast Neoplasms; Carcinoma in Situ; Carcinoma, Intraductal, Noninfiltrating; Female; Humans; Mastectomy, Simple; Neoplasm Recurrence, Local; Recurrence
PubMed: 8387874
DOI: 10.1002/1097-0142(19930515)71:10<3025::aid-cncr2820711023>3.0.co;2-z -
Plastic and Reconstructive Surgery Feb 2021
Topics: Breast Neoplasms; Endoscopy; Female; Follow-Up Studies; Humans; Mammaplasty; Mastectomy; Mastectomy, Simple
PubMed: 33565820
DOI: 10.1097/PRS.0000000000007588 -
The New England Journal of Medicine Jul 2001
Topics: BRCA2 Protein; Breast Neoplasms; Female; Genes, BRCA1; Humans; Mastectomy, Simple; Mutation; Neoplasm Proteins; Transcription Factors
PubMed: 11463017
DOI: 10.1056/NEJM200107193450309 -
Medical Times Jul 1955
Topics: Breast; Humans; Mastectomy; Mastectomy, Simple
PubMed: 14393238
DOI: No ID Found -
Cancer Nov 1998Despite numerous studies of partial mastectomy and psychologic morbidity in the first 24 months following surgery, little is known about the long term psychosocial...
BACKGROUND
Despite numerous studies of partial mastectomy and psychologic morbidity in the first 24 months following surgery, little is known about the long term psychosocial repercussions of partial and total mastectomy.
METHODS
The effect of the type of mastectomy on psychologic adjustment was assessed among 124 breast carcinoma survivors, 47 of whom underwent partial mastectomy and 77 of whom underwent total mastectomy, 8 years after initial treatment. Interviews were also conducted 3 and 18 months after surgery. Psychologic distress was assessed using the Psychiatric Symptom Index. Other outcomes included physical symptoms, patients' perceptions of their own health, satisfaction with the type of surgery performed and with the appearance of the scar, and marital and sexual adjustments.
RESULTS
No statistically significant differences between partial and total mastectomy were observed with respect to long term quality of life. Age at diagnosis modified the relation between the type of mastectomy and psychologic distress in both the short term and the long term (P = 0.04). Among women younger than 50 years, partial mastectomy appeared to be protective against distress when compared with total mastectomy. In contrast, among women age 50 years or older, partial mastectomy was associated with higher psychologic distress levels at all interviews.
CONCLUSIONS
Assessed globally, partial and total mastectomy appear to be equivalent treatments in terms of patients' long term quality of life. However, both short term and long term distress levels after partial and total mastectomy may depend on patients' age at diagnosis. The findings of this study suggest that the increased use of partial mastectomy may lessen the negative effects of breast carcinoma on younger survivors' quality of life. Nevertheless, total mastectomy may be an appropriate initial treatment for some women who truly choose it.
Topics: Adaptation, Psychological; Age Factors; Breast Neoplasms; Female; Humans; Mastectomy, Segmental; Mastectomy, Simple; Middle Aged; Psychometrics; Quality of Life; Socioeconomic Factors; Survivors
PubMed: 9827717
DOI: 10.1002/(sici)1097-0142(19981115)83:10<2130::aid-cncr11>3.0.co;2-8