Mastectomy is a critical option for many women battling breast cancer. While it can be life-saving, the surgery can also lead to complex challenges. A recent systematic review highlighted these emotional and physical impacts, showcasing the need for better pre-surgery counseling.
The study was presented at the 2025 American College of Surgeons Clinical Congress and published in the Journal of the American College of Surgeons. Lead researcher Dr. Lauren Raymond-King from Yale School of Medicine noted that most discussions focus solely on medical aspects. “Many women go into surgery unaware of what to expect,” she said.
More than 25% of breast cancer patients typically undergo this procedure, often with reduced hospital stays. Researchers analyzed 20 studies out of nearly 3,000 that looked at the experiences of women with stage I to III breast cancer. They found that 15 of the studies reported negative psychosocial outcomes following mastectomy, indicating a pressing need to address patients’ mental and emotional health.
Interestingly, the review revealed 38 different methods used to assess post-surgery quality of life across the studies. The most common areas evaluated included:
– Body image (55%)
– Sexual health (50%)
– Pain or physical function (45%)
– Overall quality of life (40%)
However, the inconsistency in assessment methods suggests a need for a standardized approach to gather reliable data. A hefty 72% of the patient-reported outcome measures were only used once, highlighting a gap in ongoing monitoring.
Dr. Elizabeth Berger, senior author and assistant professor at Yale, stated, “With so many more survivors, focusing on their quality of life is essential.” As breast cancer treatments improve, understanding the long-term effects on survivors becomes increasingly important.
Moreover, the study has limitations due to the varying quality of included research. Future efforts aim to create a validated screening tool to better prepare women for the struggles they may face after mastectomy.
Broadening our understanding of breast cancer’s impact involves acknowledging not just survival but also how to enrich the lives of those living after treatment. Continuous feedback and examination can make a meaningful difference in patients’ experiences.
For those looking to dive deeper into this topic, you may explore the comprehensive insights shared in the ACS Cancer Program, where ongoing improvements in care and survivorship are discussed extensively.
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