title: [Impact on quality of life with breast reconstructive surgery after mastectomy for breast cancer].
abstract: BACKGROUND
  Breast cancer treatment leads mutilation and destruction of breast shape, with negative effects on body image and self-esteem.
  
  
  OBJECTIVE
  Assessment on quality of life after breast reconstruction surgery, impact on sexuality, the cosmetic outcome experienced by the patient, and compare result with patients who refused breast reconstruction.
  
  
  METHODS
  Retrospective, observational, descriptive, analytic study. We included breast cancer patients treated between April 15 2010 to April 15, 2011. Application of "The Survey Questionnaire short form Health 36" (SF-36) with valid use on Mexican population was conducted to measure quality of life, which uses 8 concepts: physical functioning, physical role, body pain, general health, vitality, social function, emotional role and mental health, the results are transferred to a scale 0 (worst health) to 100 (best health).
  
  
  RESULTS
  37 patients whit breast reconstruction had the inclusion criteria, mean age was 48.4 years. The score of SF-36 questionnaire in reconstructed patients was 76.8, in control group was 85.19 and mastectomy patients without reconstruction was 72.6. Among the items studied those with the greatest difference was the mental health, emotional role and social function, this means that patients with breast reconstruction are less affected in their social and sexual interaction.
  
  
  CONCLUSIONS
  The reconstructed patients have a positive impact on quality of life slightly higher, sexuality is significantly worse in patients without breast reconstruction, it is important to inform and offer breast reconstruction because many do not require these procedures for fear or lack of information.
authors.affiliation: Fundación del Cáncer de Mama (FUCAM).
authors.forename: José Luis
authors.initials: JL
authors.lastname: Trejo-Ochoa
authors.forename: Antonio
authors.initials: A
authors.lastname: Maffuz-Aziz
authors.forename: Francisco Miguel
authors.initials: FM
authors.lastname: Said-Lemus
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: Dominguez-Reyes
authors.forename: Betsabé
authors.initials: B
authors.lastname: Hernández-Hernández
authors.forename: Felipe
authors.initials: F
authors.lastname: Villegas-Carlos
authors.forename: Sergio
authors.initials: S
authors.lastname: Rodríguez-Cuevas
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008408:Mastectomy; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D012189:Retrospective Studies; D019529:Sexuality; D011795:Surveys and Questionnaires