title: Comparison of psychological influence on breast cancer patients between breast-conserving surgery and modified radical mastectomy.
abstract: OBJECTIVE
  To compare the influence of breast-conserving surgery (BCS) and modified radical mastectomy (MRM) on the psychological state of breast cancer patients.
  
  
  METHODS
  Patients receiving MRM or BCS, and fulfilling the study criteria, were recruited. Patients were required to complete a self-reporting inventory (SCL- 90) on admission and 6 months after surgery and a self-rating depression scale (SDS) when discharged from hospital and 6 months after surgery.
  
  
  RESULTS
  A total of 70 patients received MRM and 50 BCS. Compared with the national standard, patients suffered to some extent psychological problems on admission, at discharge from hospital and at 6 months after surgery. Patients received BCS had a higher score of SDS compared with those with MRM when discharged from hospital. However, 6 months after surgery, SDS score increased in MRM and decreased in the BCS group, so the difference was significant.
  
  
  CONCLUSIONS
  The short-term psychological state of patients receiving BCS is worse than that with MRM but superior to MRM 6 months postoperatively. BCS imposed less influence on long term psychological state of breast cancer patients compared with MRM.
authors.affiliation: Department of General Surgery, Jiangsu Cancer Hospital and Research Institute, Nanjing, China.
authors.forename: Meng-Qing
authors.initials: MQ
authors.lastname: Sun
authors.forename: Ai-Feng
authors.initials: AF
authors.lastname: Meng
authors.forename: Xin-En
authors.initials: XE
authors.lastname: Huang
authors.forename: Mei-Xiang
authors.initials: MX
authors.lastname: Wang
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology* / Q000601:surgery*; D005260:Female; D006801:Humans; D015411:Mastectomy, Modified Radical / Q000523:psychology*; D015412:Mastectomy, Segmental / Q000523:psychology*; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D013997:Time Factors; D055815:Young Adult