title: Quality of life in patients with ductal carcinoma in situ of the breast treated with conservative surgery and postoperative irradiation.
abstract: OBJECTIVE
  To evaluate the quality of life (QL) in patients with ductal carcinoma in situ of the breast treated with conservative surgery and postoperative irradiation.
  
  
  METHODS
  A self-completed questionnaire covering many disease-, symptom-, and treatment-specific issues was administered to 106 conservatively treated patients affected by non-infiltrating breast cancer. The questionnaire was based on a series of 34 items assessing five main fields of post-treatment adjustment: physical well being, sexual adaptation, aesthetic outcome, emotional/psychological well being, relational behaviour. Furthermore, the patients were requested to evaluate the degree of information provided by the medical staff concerning surgical procedures and radiation therapy, and to evaluate the effects of the treatment on their social and overall life.
  
  
  RESULTS
  The questionnaire was completed by 83 patients (78%), who had a median follow-up of 54.5 months. This final sample had a median age of 50 years (range 29-88) at the time of treatment and 54 years (range 32-94) at the time of study. The patients claimed to be in good physical condition. Data relating to sexual life were provided by 93% of the sample. Some limitations in sexuality, some interference with sexual desire, and some modifications during intercourse were reported by 5, 6, and 5 patients, respectively. The subjective evaluations of the cosmetic results of the therapies were generally good. Only 13 patients (16%) reported the perception of a worsened body image. Forty-six percent of the sample (38 patients) declared that they felt tense, 48% (39 patients) nervous, 29% (38 patients) lonely, 59% (41 patients) anxious, and 41% (34 patients) depressed. Only seven patients (8%) declared that the treatment had had a bad effect on their social life, and 15 (18%) thought that their current life had been affected by the treatment. The amount of information received concerning the disease and treatment (surgery and radiotherapy) was considered sufficient by 79%, 75%, and 79% of the sample, respectively.
  
  
  CONCLUSIONS
  This study revealed a good QL in patients treated with breast conservation and postoperative irradiation, with a preserved favourable body image and a lack of negative impact on sexuality. Radiation therapy did not lead to any significant additional problems capable of affecting the QL.
authors.affiliation: Department of Radiation Oncology of Trento, St. Chiara Hospital, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Amichetti
authors.forename: O
authors.initials: O
authors.lastname: Caffo
authors.forename: M
authors.initials: M
authors.lastname: Arcicasa
authors.forename: M
authors.initials: M
authors.lastname: Roncadin
authors.forename: O
authors.initials: O
authors.lastname: Lora
authors.forename: A
authors.initials: A
authors.lastname: Rigon
authors.forename: G
authors.initials: G
authors.lastname: Zini
authors.forename: L
authors.initials: L
authors.lastname: Armaroli
authors.forename: F
authors.initials: F
authors.lastname: Coghetto
authors.forename: P
authors.initials: P
authors.lastname: Zorat
authors.forename: S
authors.initials: S
authors.lastname: Neri
authors.forename: N
authors.initials: N
authors.lastname: Teodorani
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000523:psychology* / Q000601:surgery; D002278:Carcinoma in Situ / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000523:psychology* / Q000601:surgery; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000523:psychology* / Q000601:surgery; D003131:Combined Modality Therapy; D004644:Emotions; D005260:Female; D006801:Humans; D008603:Mental Health; D008875:Middle Aged; D011788:Quality of Life; D011859:Radiography; D012189:Retrospective Studies; D012647:Self-Assessment; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires