title: [Why do women refuse reconstructive breast surgery after mastectomy?].
abstract: 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.
authors.affiliation: Unité de sénologie, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Henry
authors.forename: C
authors.initials: C
authors.lastname: Baas
authors.forename: C
authors.initials: C
authors.lastname: Mathelin
mesh_terms: 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*