The Effect of Concomitant Conservative Breast Surgery with Reconstruction on Quality of Life of and Depression in Breast Cancer Patients

Abstract

Background: Mastectomy leads to moderate to severe degrees of depression and anxiety.

Objectives: This study aimed to evaluate the outcome of breast conservative surgery with breast reconstruction on the quality of life (QOL).

Patients & methods: The current retrospective study included 62 patients with T1, and T2 breast cancer who underwent modified  radical mastectomy (MRM) or breast conservative surgery (BCS) with reconstruction. Evaluation of the quality of life, depression as well as  post-operative complications was reported and compared.

Results: The current study included 62 female patients with mean age of  43.20 ± 4.49 and 44.36 ± 5.16 in groups A and B respectively. There was a significantly lower mean operative time (P value =0.001) in  patients who underwent MRM. There was statistically significant beck depression inventory (BDI) scores in both groups with more  improvement in BCS group. Both groups reported statistically significant improvement of psychological well-being, social well-being, and  spiritual well-being after 6 months with significant improvement in group A.

Conclusion: Conservative breast surgery with reconstruction  offers an oncologically safe alternative for modified radical mastectomy with less impact on the QOL and associated with  less depression.