[Why do women refuse reconstructive breast surgery after mastectomy?].
The implementation of mammographic screening and neo-adjuvant therapeutics has profoundly modified breast cancer surgery, making it less aggressive. Despite these progresses, mastectomies must be performed in more than 20% of breast cancer cases. Psychological disorders following mastectomy are numerous and lead to various alterations of self-esteem, femininity and sexuality. Reconstructive breast surgery proves to be beneficial to improve these psychological disorders in about 20% of women, who accept breast mourning and appropriate their reconstructed breast. However, 80% of the patients refuse reconstructive breast surgery. Our review aims at analysing different motivations explaining reconstructive breast surgery refusal and different ways of "reconstructing psychologically" after mastectomy.
Henry
M
M
Unité de sénologie, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
Baas
C
C
Mathelin
C
C
D000368:Aged; D001828:Body Image; D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery*; D000075202:Contraindications; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000523:psychology* / Q000706:statistics & numerical data; D008408:Mastectomy / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D010817:Physician-Patient Relations; D019529:Sexuality; D016312:Treatment Refusal / Q000523:psychology*