Comparison of Socio Economic Problems and Quality of Life Between Mastectomy and Breast
Conserving Treatment Among Early Breast Cancer Patients Attending Oncology Centers In Dakshina Kannada, Karnataka
BACKGROUND AND INTRODUCTION
Breast conservation therapy has been highlighted as to be efficient as mastectomy in the curing of tumors of about 2 centime1ters or smaller 1 . On the other hand, proof of its efficiency, in patients diagnosed with tumors more than 2 centimeter over the long term is limited 2 . From May 1980 through to May 1986, a randomized and multicenter trial to compare breast conservation therapy was conducted with mechanized radical mastectomy for patients diagnosed with tumors measuring up to 5 centimeters 3 . In analysis, this study will assess whether the treatments will result in different general survival, time to loco-regional or distant metastasis recurrence. Therefore, the purpose of this synopsis will be to compare the quality of life as well as the general satisfaction with therapy of women with early stage of breast cancer cured undergoing breast conservation therapy or mastectomy in oncology Centers in Dakshina Kannada, Karnataka. The importance of this preliminary synopsis is to establish the end results of quality of life among patients undergoing mastectomy and breast conservation treatment within patients with early breast cancer 4 . The study is relevant in highlighting the possible effects of autologous reconstruction among patients and the patient’s preference as the driving force behind receiving mastectomy 5 . Thus, the study results will be applicable in the analysis of patient’s perception regarding cosmetic outcomes as one of the integrated designs of breast cancer trails in Dakshina Kannada, Karnataka 6 . Research Questions Is breast conservation an alternative or equivalent to mastectomy? What are the contributing factors for the up surged usage of mastectomy? What are the driving forces behind patient’s receiving mastectomy or breast conservation? What are the patient’s perception regarding cosmetic outcome? Research Objective To determine whether breast conservation is medicinally alternative to mastectomy To establish the contributing factors towards patient preference to mastectomy To find out the driving forces behind patient’s receiving mastectomy or breast conservation To evaluate the patient’s perception regarding cosmetic outcome. Literature Review Random attempts have showed that breast conservation is a substitute replacement to mastectomy for majority of patients diagnosed with early-stage breast cancer 7 . Nonetheless, a significant patients’ minority are receiving mastectomy 8 . The decision is mostly driven by the preference of the patient whereas in others it is driven by breast conservation’s contraindications 9 . Some research show that in Dakshina Kannada, Karnataka, amounts of both unilateral as well as bilateral mastectomy are on the rise. The reason for high- level usage of mastectomy is indefinite; however it seems to be as a result of the patient’s decision 10 . Moreover, some patients have proposed that enhanced cosmetic result with contemporary mechanisms of reconstruction of breast might give rise to this tendency 11 . The long lasting life quality coupled with cosmetic results after varied approaches can therefore be a significant regard for patients while choosing a local treatment alternative for cancer of the breast therapy 12 . The perception of the patient on cosmetic results is a vital endpoint 13 . Cosmetic result measures that are self-supported are presently highly integrated into design of breast cancer clinical attempts 14 . Even though there is an increasing growth in the recent years to date, on the interest in patient-reported results, this research lacks data regarding on the satisfaction on patient-reports with cosmetics results of breast cancer therapy after an early post-operative duration. This is specifically among the survivors of breast cancer who got their in different contexts and with different treatment approaches. Thus, in a section of survivors of breast cancer established via two registries based on metropolitan population, quality of life and long term satisfaction of patient-reports were described with cosmetic results after therapeutic breast cancer 15 . Particularly, a comparison was made on outcomes among patients undergoing mastectomy only and patients receiving therapy on breast conservation 16 . A further consideration was made in the subset obtaining reconstruction, whether; reconstruction timing, type or characteristics of the patient were related with satisfaction of cosmetic 17 . Due to the possible consequences for clinical practice 18 , there was a specific interest in assessing the assumption that the effect of reconstruction timing and type on patient results may vary among patients who receive radiotherapy after mastectomy, as compared to patients who do not. Research Hypothesis Breast conservation is an alternative or substitute replacement to mastectomy for majority of patients diagnosed with early-stage breast cancer. The contributing factors for the up surged usage of mastectomy are the patient’s decision and enhanced cosmetic result with contemporary mechanisms of reconstruction of breast. The driving forces behind patient’s receiving mastectomy or breast conservation are preference of the patient and breast conservation’s contraindications. The patient’s perception regarding cosmetic outcome are presently and highly integrated into design of breast cancer clinical trials.