title: Life quality of women with breast cancer after mastectomy or breast conserving therapy treated with adjuvant chemotherapy.
abstract: BACKGROUND
  Breast cancer is the most frequent malignant neoplasm in women. The evaluation of the quality of life has become a treatment parameter as important as survival.
  
  
  OBJECTIVE
  The aim of the study was evaluation of the quality of life among women treated for breast cancer who underwent surgical procedures using two alternative methods: mastectomy or breast conserving therapy (BCT).
  
  
  METHODS
  85 patients treated with BCT and 94 patients who underwent mastectomy were evaluated. Standard questionnaires for the evaluation of the quality of life of cancer patients were used - QLQ-C30 (Quality of life questionnaire - core 30) with QLQ-BR23 (Breast Cancer Module). The Hospital Anxiety and Depression Scale was also applied.
  
  
  RESULTS
  Social and demographic factors (age, education, marital status) influenced the evaluation of the life quality among both groups. Obtained data was also dependent on the type of surgical procedure and chemical treatment. The level of anxiety and depression also influenced the general quality of life and was higher in women who underwent mastectomy.
  
  
  CONCLUSIONS
  Quality of life plays an important role in the treatment process. Women after BCT declared a higher quality of life compared to patients after mastectomy. The process of making the decision concerning the planned surgical procedure should take into consideration the influence of the intervention on the quality of patients' future life.
authors.affiliation: Clinical Oncology Ward, St. John's Cancer Center, Lublin, Poland.
authors.forename: Marzena
authors.initials: M
authors.lastname: Kamińska
authors.affiliation: Clinical Oncology Ward, St. John's Cancer Center, Lublin, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Ciszewski
authors.affiliation: Clinical Oncology Ward, St. John's Cancer Center, Lublin, Poland.
authors.forename: Bożena
authors.initials: B
authors.lastname: Kukiełka-Budny
authors.affiliation: Clinical Oncology Ward, St. John's Cancer Center, Lublin, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Kubiatowski
authors.affiliation: Department of Internal Medicine in Nursing, Medical University, Lublin, Poland.
authors.forename: Bożena
authors.initials: B
authors.lastname: Baczewska
authors.affiliation: Department of Applied Psychology, Medical University, Lublin, Poland.
authors.forename: Marta
authors.initials: M
authors.lastname: Makara-Studzińska
authors.affiliation: Clinical Oncology Ward, St. John's Cancer Center, Lublin, Poland.
authors.forename: Elżbieta
authors.initials: E
authors.lastname: Starosławska
authors.affiliation: Institute of Rural Health in Lublin, Poland.
authors.forename: Iwona
authors.initials: I
authors.lastname: Bojar
mesh_terms: D000328:Adult; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000188:drug therapy / Q000523:psychology* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D008408:Mastectomy; D008875:Middle Aged; D011044:Poland; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires
chemical_list: D000970:Antineoplastic Agents