EVALUATION OF QUALITY OF LIFE FOLLOWING TOTAL MASTECTOMY WIT IMMEDIATE DIEP FLAP BREAST RECONSTRUCTION

Vũ Thị Duyên1,, Phạm Hồng Khoa2
1 Hanoi Medical University
2 Vietnam National Cancer Hospital

Main Article Content

Abstract

Objectives: The aims of our study were to evaluate quality of life following total mastectomy with and without immediate DIEP flap breast reconstruction. Patients and methods: A retrospective and prospective descriptive study in 28 patients who underwent breast reconstruction with a deep inferior epigastric artery perforator (DIEP) flap and 29 patients underwent mastectomy alone. Patient-reported BREAST-Q and EQ-5D-5L outcomes were analyzed 1 and ≥12 months after surgery. Results: Compared to mastectomy only, breast reconstruction was significantly associated with greater “Satisfaction with breasts” (p < 0,001), “Psychosocial well-being” (p < 0,001) and “Sexual well-being” (p=0,001) at ≥12 months. Overall quality of life assessed by EQ-5D-5L was significantly lower in patients with immediate breast reconstruction. Conclusions: The results of this study show that DIEP flap breast reconstruction improves “Satisfaction with Breasts”, “Psychosocial well-being” and “Sexual well-being” compared to mastectomy. Key words: Breast cancer; quality of life; DIEP flap breast reconstruction.

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References

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