title: [Psychosocial aspects of bilateral subcutaneous reduction mastectomy in breast cancer].
abstract: The authors administered a questionnaire to 56 women with breast cancer who had bilateral subcutaneous mastectomies after Stroembeck/Beller since 1985. In this study, psychological aspects were investigated. There was no change in social behavior; isolation was not noticed. The negative effects on the body image were well accepted and discussed with relatives and friends. Psychological or emotional suffering was rare compared to patients with simple mastectomy. No change in sexual behavior was reported. The sexual function of the mamillae was significantly reduced. Although some cosmetic deformities were obvious, most patients would again choose the subcutaneous reduction mastectomy as operation of choice.
authors.affiliation: Geburtshilflich-Gynäkologischen Abteilung des Krankenhauses Bethesda, Wuppertal-Elberfeld.
authors.forename: R
authors.initials: R
authors.lastname: De Wilde
authors.forename: M
authors.initials: M
authors.lastname: Hesseling
authors.forename: M
authors.initials: M
authors.lastname: Hirschberg
authors.forename: B
authors.initials: B
authors.lastname: Mohr
authors.forename: C
authors.initials: C
authors.lastname: Strunk
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods; D008207:Lymphatic Metastasis; D015414:Mastectomy, Subcutaneous / Q000523:psychology*; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D011183:Postoperative Complications / Q000523:psychology
vernacular_title: Psychosoziale Aspekte der beidseitigen subkutanen Reduktionsmastektomie bei Mammakarzinom.