title: Body image disturbance and surgical decision making in egyptian post menopausal breast cancer patients.
abstract: BACKGROUND
  In most developing countries, as in Egypt; postmenopausal breast cancer cases are offered a radical form of surgery relying on their unawareness of the subsequent body image disturbance. This study aimed at evaluating the effect of breast cancer surgical choice; Breast Conservative Therapy (BCT) versus Modified Radical Mastectomy (MRM); on body image perception among Egyptian postmenopausal cases.
  
  
  METHODS
  One hundred postmenopausal women with breast cancer were divided into 2 groups, one group underwent BCT and the other underwent MRM. Pre- and post-operative assessments of body image distress were done using four scales; Breast Impact of Treatment Scale (BITS), Impact of Event Scale (IES), Situational Discomfort Scale (SDS), and Body Satisfaction Scale (BSS).
  
  
  RESULTS
  Preoperative assessment showed no statistical significant difference regarding cognitive, affective, behavioral and evaluative components of body image between both studied groups. While in postoperative assessment, women in MRM group showed higher levels of body image distress among cognitive, affective and behavioral aspects.
  
  
  CONCLUSIONS
  Body image is an important factor for postmenopausal women with breast cancer in developing countries where that concept is widely ignored. We should not deprive those cases from their right of less mutilating option of treatment as BCT.
authors.affiliation: Surgery Department, Mansoura University Hospital, Egypt. ashoma@hotmail.com
authors.forename: Ashraf M
authors.initials: AM
authors.lastname: Shoma
authors.forename: Madiha H
authors.initials: MH
authors.lastname: Mohamed
authors.forename: Nashaat
authors.initials: N
authors.lastname: Nouman
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Amin
authors.forename: Ibtihal M
authors.initials: IM
authors.lastname: Ibrahim
authors.forename: Salwa S
authors.initials: SS
authors.lastname: Tobar
authors.forename: Hanan E
authors.initials: HE
authors.lastname: Gaffar
authors.forename: Warda F
authors.initials: WF
authors.lastname: Aboelez
authors.forename: Salwa E
authors.initials: SE
authors.lastname: Ali
authors.forename: Soheir G
authors.initials: SG
authors.lastname: William
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001828:Body Image; D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery*; D003466:Cultural Characteristics; D003657:Decision Making; D003906:Developing Countries; D004534:Egypt; D005260:Female; D006801:Humans; D015411:Mastectomy, Modified Radical / Q000523:psychology*; D015412:Mastectomy, Segmental / Q000523:psychology*; D008875:Middle Aged; D009367:Neoplasm Staging; D017698:Postmenopause; D011184:Postoperative Period; D011379:Prognosis; D011446:Prospective Studies; D011788:Quality of Life; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome
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