Original Research Article
Year: 2017 | Month: January | Volume: 7 | Issue: 1 | Pages: 20-33
Assessment of Satisfaction Level and Quality of Life in Patients Undergoing Oncoplastic Breast Surgery
Sudhi Agrawal1, Surender Kumar1, Faraz Ahmed1, Shailendra Kumar1, Vijay Kumar2, Arun Kumar Singh2, Sandeep Kumar1, Rohit Kumar Singh1
1Department of Surgery, 2Department of Plastic Surgery,
King George’s Medical University, Lucknow, India.
Corresponding Author: Surender Kumar
ABSTRACT
Introduction: Benign and malignant diseases of the breast are surgically dealt often with the solitary aim of complete disease removal with little concern to the cosmesis of the breast and subsequent psychological morbidity following tumor surgery. A concept of Oncoplastic Breast Surgery (OBS) has thus emerged as a new generation subspecialty, which utilizes the intelligent and simultaneous use of, oncological and plastic surgical principles ensuring complete disease removal with acceptable cosmesis.
Aim: To assesses the satisfaction level and quality of life (QOL) of the patients after OBS for either benign or malignant breast disease.
Sample: Total 46 patients (19- Operable benign breast lumps (OBBL); 12- Carcinoma breast with OBS; 15- Carcinoma breast without OBS) at CSM Medical University, Lucknow, from August 2006-July 2007. A tool utilizing EORTC-QOL C-30 and 5-points Likert scale was used to assess the four basic aspects of quality of life (Physical, Social, Emotional and Functional).
Observation: This prospective case series analysis of only one-year follow-up of 46 patients has precluded any hard statistical analysis. Perception of body deformity, shape and symmetry of the breasts, sexual life, self-confidence, feminity and functional QOL were rated significantly lower by the patients without OBS than the patients who underwent OBS. Further studies are however required to gain higher level of evidence and expertise in oncoplastic breast surgery. Nevertheless, it can be said that concept of oncoplastic breast surgery is very appealing one and it has a high scope for wider applicability in India.
Key words: Oncoplastic Breast Surgery, Breast Cancer, Quality of life issues.