COMPARISON OF POSTOPERATIVE QUALITY OF LIFE WITH DIFFERENT SURGERY FOR BREAST CANCER

Abstract

The aim of this study was to compare postoperative quality of life (QOL) among different types of surgery for breast cancer. 118 patients at 1 to 3 years after surgery were subjected to two questionnaire surveys; one was the Japanese version of EORTC QLQ-C30 (C30J), and the other was the Hospital Anxiety Depression Scale (HADS). Mann-Whitney U test was used for statistical analysis. For C30J, the social function of patients who had undergone mastectomy was significantly higher than those with breast conservation surgery (BCS) (P=0.048). Fatigue of the patients with axillary lymph node dissection (ALND) tended to be worse than those with sentinel lymph node biopsy (SLNB) (P=0.052). Congnitive function of patients with operation under scope (Scope) tended to be higher than those without scope (Non-scope) (P=0.069). For HADS, a significantly lower HADS-depression score was noted in patients with SLNB than those with ALND (P=0.039). Patients in the Scope group showed significantly lower HADS-anxiety, depression and total scores than those in the Non-scope group. In conclusion, the results suggested that BCS, SLNB and Scope may present better postoperative QOL in patients with breast cancer.