Twenty-two patients participated in the follow-up evaluations and were included in the final analyses. 2018;141:10771084. Dieterich M, Angres J, Stubert J, Stachs A, Reimer T, Gerber B. Patient-reported outcomes in implant-based breast reconstruction alone or in combination with a titanium-coated polypropylene mesh a detailed analysis of the BREAST-Q and overview of the literature. doi:10.1016/j.breast.2012.12.001, 43. Why would anyone want to show something so traumatic and personal to strangers. 2009;124(1):18. Turner-Bowker DM, Saris-Baglama RN, DeRosa MA, Giovannetti ER, Jensen RE, Wu AW. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. The authors have no financial relationships relevant to this article to disclose. Available from: https://www.who.int/news-room/fact-sheets/detail/breast-cancer. Skin-sparing mastectomy. 74. Thus, a sensitivity mapping of the breast was achieved. The low level in this domain is most likely due to the embarrassment of being confronted with such intimate details.10,16,56 We recorded a significant decrease in physical well-being. Breast reconstruction after mastectomy. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Get beauty tips and advice plus enjoy special Dove coupon offers and exclusive content. The psychological contribution of nipple addition in breast reconstruction. Part 2 objective cosmetic and functional correlates of quality of life in women treated with breast-conserving surgical procedures and radiotherapy . If someone asked you to describe yourself, what would you say? By accessing the work you hereby accept the Terms. 2000;106:769776. A computerized adaptive version of the SF-36 is feasible for clinic and internet administration in adults with HIV. Oncological Outcomes of Total Skin-Sparing Mastectomy for - PubMed Patient satisfaction in postmastectomy breast reconstruction: a comparative evaluation of DIEP, TRAM, latissimus flap, and implant techniques. doi:10.1200/JCO.20.00299, 34. Hart made an appointment with a breast specialist in the Bronx, New York, who happened to also be her friend. doi:10.1080/09540121.2012.656573, 20. From an early age women are exposed to statements and clichs, masked as advice, that dictate how we should look if we want to be accepted. The sample sizes ranged from 22 to 2048. 2018;19(9):12051214. 2018;24:180183. This review also found that autologous BRS had better PROs than implant-based BRS in all BREAST-Q domains. It's a woman with a double mastectomy. Psychological problems derived from mastectomy: a qualitative study. Plast Reconstr Surg. 2020;146(5):964975. 18. 2016;76(2):155163. Privacy Policy 61. Red columnrepresents our data collected during this study, blue column represents the data fromBullinger and Kirchberger.27. 59. Breast reconstruction after mastectomy: a ten-year analysis of trends and immediate postoperative outcomes. An overview of animation deformity in prosthetic breast reconstruction. In the latter case, patient sexual well-being should improve following complete healing which could take up to a year or more.63 Future longitudinal studies are needed to define the etiology of this domain because if decreased sexual wellbeing is due to mental health, this defines an opportunity to address it with a health professional. Ann Surg Oncol. Br J Surg. Nine commonly utilized mastectomy patterns have been identified. Submit ONCE per commercial, and allow 48 to 72 hours for your request to be processed. Patient Prefer Adherence. Therefore, we investigated the quality of life, esthetic outcome, and patient well-being after BRRM and simultaneous implant-based BR.Patients and Methods: Of the 35 patients who underwent skin-sparing or nipple-sparing mastectomy between May 2012 and December 2017 at a university hospital, only 22 completed the evaluation. Plast Reconstr Surg. 2013;28(346):f167. Patient satisfaction with nipple-sparing mastectomy: a prospective study of patient reported outcomes using the BREAST-Q. Higher reconstruction failure and less patient-reported satisfaction after post mastectomy radiotherapy with immediate implant-based breast reconstruction compared to immediate autologous breast reconstruction. Salt Lake City, UT: DEF publishers; 2018:12. doi: nobascholar.com. Ueda S, Tamaki Y, Yano K, et al. Bailey CR, Ogbuagu O, Baltodano PA, et al. Bilateral prophylactic mastectomy reduces breast cancer risk in BRCA1 and BRCA2 mutation carriers: the PROSE Study Group. SF-36 total score as a single measure of health-related quality of life: scoping review. Maruccia M, Di Taranto G, Onesti MG. One-stage muscle-sparing breast reconstruction in elderly patients: a new tool for retaining excellent quality of life. Accessed November 29, 2021. Through study screening, there was a wide variation of BRS types evident in literature, therefore a meta-analysis would show significant heterogeneity and ungeneralizable results. Jakub JW, Peled AW, Gray RJ, et al. Furthermore, adequate wall thickness at the lower breast pole could be guaranteed.25. 2009;123(3):98e106e. 83. Rindom et al compared the PROs between BRS with a latissimus dorsi (LD) flap and a thoracodorsal artery perforator flap, while Ludolph et al compared the PROs between DIEP and TRAM.38,39 These two studies found no significant difference between the two groups in respect to all satisfaction and HRQoL domains, as both groups reported high satisfaction rates.38,39 Similarly, two studies compared the use of saline and silicone implants. Video Dove: 'We deeply regret' ad, after widespread backlash 40. Ashing-Giwa K, Rosales M. A cross-cultural validation of patient-reported outcomes measures: a study of breast cancers survivors. doi:10.1177/229255031202000201, 68. Follow-up was conducted in a mean of 2.15 years (standard deviation [SD] 1.58) after the surgery. There was no significant difference between breasts in terms of typical measurements, showing that a symmetrical BR was achieved (Table 1). Tung NM, Boughey JC, Pierce LJ, et al. Double Incision Mastectomy with Free Nipple Graft for Masculinizing Chest Wall Surgery. BMJ Open. Cocquyt VF, Blondeel PN, Depypere HT, et al. 51. Plast Reconstr Surg. Breast. British Association of Plastic Reconstructive and Aesthetic Surgeons; 2012: 68. Inspection of the breasts showed hypertrophic scars in three patients. doi:10.1111/tbj.12860, 67. 2011;4(2011):e132461. Better cosmetic results and comparable quality of life after skin-sparing mastectomy and immediate autologous breast reconstruction compared to breast conservative treatment. Figure 1 Pre- and postoperative photographs of a patient who underwent risk reducing NSM and simultaneous pre-pectoral implant-based breast reconstruction. Aesth Plast Surg. Quality of life following total mastectomy with and without reconstruction versus breast-conserving surgery for breast cancer: a case-controlled cohort study. In patients without cancer gene mutations but with a suspicious family history or lifetime cancer risk >30%, the lifetime risk was calculated using the standardized prediction model, Cyrillic 2.1.3. Continuous variables were reported as meanSD and categorical variables as number (percentage). Incisions were made around the areola, and the new position of the areola continued down to the inframammary fold following an inverted-T incision line. 2013;36(4):375380. In future, this PRO should be focused upon more and be viewed as a potentially valuable tool for measuring quality of care.64, The BREAST-Q questionnaire was designed to measure outcomes which should be examined in BRS.65,66 When examined by Rasch analysis, BREAST-Q has a high narrow internal consistency and testretest reproducibility.17,51,52 This strongly supports that it is valid and reliable tool for its purpose. In the postoperative evaluation, the additional information assessed included: satisfaction with information and the surgeon, medical team, and office staff. Dove TV Commercials - iSpot.tv Therefore, in this study, we evaluated HRQoL, esthetic outcomes, and changes in patient well-being using the SF-36 and BREAST-Q questionnaires preoperatively and after BRRM and simultaneous implant-based BR. Macadam S, Lennox PA. Acellular dermal matrices: use in reconstructive and aesthetic breast surgery. Patients undergoing bilateral mastectomy with simultaneous BR using pre-pectoral implants possess an HRQoL equal to that of healthy women. 2017;140:219226. Breast cancer is the most prevalent type of cancer globally. doi:10.1016/j.clbc.2017.04.005. Ann Rheum Dis. However, as represented in our population, patients with germline mutations or those at an increased risk due to their family history often opted for a risk-reducing mastectomy with immediate reconstruction.38. 2014;21(7):21592164. doi:10.1159/000496696, 63. It's interesting how we change how we feel about things as we get older. Breast. 52. Albornoz CR, Matros E, McCarthy CM, et al. 2019;321:27. doi:10.1001/jama.2018.18942, 36. Quality of life and patient satisfaction after one-stage implant-based breast reconstruction with an acellular dermal matrix versus two-stage breast reconstruction (BRIOS): primary outcome of a randomised, controlled trial. 2001;91(12):22822287. 2015;13:147153. All statistical analyses were conducted using SPSS Statistics, version 25.0 (IBM Corp., Armonk, NY, USA). To complete the pocket and fully protect the implant, an acellular dermal matrix is often used, thereby a naturally appearing breast without compromising the mastectomy flaps can be created.61 However, Thangarajah et al showed a comparison of sub- and pre-pectoral implant-based reconstruction of the breast following NSM and SSM where the physical well-being and the other domains of the HRQoL were similar in both groups.48 Furthermore, the sub-pectoral group had a significantly higher rate of major complications.62 Additionally, due to the extensive manipulation of the pectoralis muscle, stronger pain and longer recovery time were observed in this population.6365 In the pre-pectoral plane, an acellular dermal matrix can be used to build a pocket for the implant, or even be completely wrapped around the implant and anchor it to the chest wall.61,66 Hereby, a stable position of the fully covered implant is achieved, and additionally pressure is taken off of the skin flaps.67,68, In case of persistent breast discomfort, revision and reconstruction with an autologous tissue transfer are helpful alternatives. 45. Lins L, Carvalho FM. Dove Shampoo Radio Commercial (2020) - YouTube Volume 2021:13 Pages 711724, Editor who approved publication: Song D, Slater K, Papsdorf M, et al. If you agree to our use of cookies and the contents of our Privacy Policy please click 'accept'. 40. 2010;125(3):761771. The participants provided written informed consent for participation in this study, and for the publication of all data and accompanying images. https://www.youtube.com/watch?v=K_epVeWif-U. Patient-reported aesthetic satisfaction with breast reconstruction during the long-term survivorship period. Join us to take action and build body confidence. 73. J Clin Oncol. Bulk reprints for the pharmaceutical industry. At follow-up, 21 patients showed no impairment of shoulder range of motion. 2020;44:664672. 2020;145(6):13711379. Copyright 2017 Informa PLC. Potter S, Holcombe C, Ward JA, et al. Hahn EA, Segawa E, Kaiser K, Cella D, Smith BD. 1999;340:7784. Dove says that our skin tells a story. 2014;40:10051018. Bellavance EC, Kesmodel SB. 68. Contact Us 2009;118:623633. Lumpectomy vs. Mastectomy: Which is Right for You? - Healthline Lastly, there was diversity amongst the geographic origin of included studies which may have introduced sociocultural factors. No need for them to be ashamed. Hermel DJ, Wood ME, Chun J, et al. *You're signing up to receive QVC promotional email. Dove Self-Esteem Project At Dove, we have a vision of a world where beauty is a source of confidence, not anxiety. The absence or presence of touch sensitivity to the Semmes-Weinstein monofilament at the crossing points was recorded. Lostumbo L, Carbine NE, Wallace J. Prophylactic mastectomy for the prevention of breast cancer. death notices toomebridge dove commercial mastectomy 2020. Int J Evid Based Health. 2010;304:967975. Eltahir Y, Werners LL, Dreise MM, et al. A retrospective single center analysis of quality of life, complications and comorbidities after DIEP or ms-TRAM flap using the BREAST-Q. I DO NOT WANT TO SEE THAT !!! When I was younger, I thought I'd never let a doctor do that to me. Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Factors influencing day surgery patients quality of postoperative recovery and satisfaction with recovery: a narrative review. Nipple-sparing bilateral prophylactic mastectomy and immediate reconstruction with TiLoop Bra mesh in BRCA1/2 mutation carriers: a prospective study of long-term and patient reported outcomes using the BREAST-Q. 10 Reconstr Surg. Introduction. However, no muscle is removed. I've seen way worse! 2000;92(17):14221429. McCarthy CM, Klassen AF, Cano SJ, et al. doi:10.1097/01.prs.0000246379.99318.74. 76. 2020;43(6):809818. The average body mass index (BMI) was 27 (range: 1852) kg/m2, and 11 patients had a history of constant nicotine abuse. Pure hemi-periareolar incision versus conventional lateral radial When I was younger, I thought I'd never let a doctor do that to me. Ashing-Giwa KT, Padilla GV, Tejero JS, Kim J. Written informed consent for the publication of all data and accompanying images was obtained from all patients. 71. 2020 - 2021 (c) Unilever PhilippinesDove Shampoo Sachets now have 20% more fill for only P5, Use Dove Intense Repair with Keratin repair actives for softer, . Prophylactic and therapeutic mastectomy in BRCA mutation carriers: can the nipple be preserved? Call Us for Professional Plumbing Services! Ann Chir Plast Estht Elsevier. Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Quality of Life After Bilateral Risk-Reducing Mastectomy and Best Pract Res Clin Obstet Gynaecol. Management of hereditary breast cancer: American Society of Clinical Oncology, American Society for Radiation Oncology, and Society of Surgical Oncology Guideline. 2010;66(4):397407. He was shocked for a moment. doi:10.1002/14651858.CD002748.pub4, 38. My Beauty My Say Plast Reconstr Surg Glob Open. 20. Simultaneous mastopexy in patients undergoing prophylactic nipple-sparing mastectomies and immediate reconstruction. The postoperative questionnaires were answered during the follow-up examination. The current systematic review achieved its aims to examine the current evidence about BREAST-Q for management of post-mastectomy BRS and was able to compare it with the other PROMs (Table 3). You can learn about our use of cookies by reading our Privacy Policy. By using iSpot.tv, you accept our, Health & Beauty: Deodorants & Antiperspirants. 2020 Oct;9 (5):1193-1204. Long-term patient-reported satisfaction after contralateral prophylactic mastectomy and implant reconstruction. Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. 75. Evaluation of SF-36 and BREAST-Q forms was performed using ShapiroWilk, MannWhitney U, and t-tests. Quality-of-life outcomes between mastectomy alone and breast reconstruction: comparison of patient-reported BREAST-Q and other health-related quality-of-life measures. I've seen way worse! The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. Do you mean a woman who has had a double mastectomy or an image of a woman whose breasts have been blurred out by censors? The women I know who have survived breast cancer make it a topic of conversation whenever they can, but they don't open up their shirts and show you the surgeons handy work. Sun CS, Cantor SB, Reece GP, Fingeret MC, Crosby MA, Markey MK. Lucas RE. The BREAST-Q questionnaire is a validated tool for evaluating PROs in patients undergoing BRS following mastectomy. Ochoa O, Garza III R, Pisano S, et al. 2018;4:CD002748. Patient satisfaction and health-related quality of life following breast reconstruction: patient-reported outcomes among saline and silicone implant recipients. 86. Find out why women can be their own worst critic. Appearance hate costs young people their health, happiness, and even their lives. Is there a rationale for autologous breast reconstruction in older patients? Carbine NE, Lostumbo L, Wallace J, Ko H. Risk-reducing mastectomy for the prevention of primary breast cancer. Find out how were supporting the LGBTQIA+ community. 2017;377:22282239. 92. An exception to this was Rowland et al who found patients undergoing mastectomy with and without reconstruction showed declined physical wellbeing, but this was equal when compared with women undergoing lumpectomy.60 Another domain, sexual wellbeing, generally decreased following mastectomy compared with pre-operative BREAST-Q scores, and after BRS there was reportedly worsened to minimal improvements.41,42,61 Overall, sexual wellbeing fared the least compared to all other domains which can be explained by the psychological effects of breast cancer surgery which can include anxiety, depression, and a feeling of loss of femininity.62 Moreover, pain and discomfort in the months following surgery may impact the pursuit or desire for sexual activity. 2012;118(6):17011709. 91. Breast Cancer Res Treat. Other wounds healed without any signs of irritation. Table 2 Average BREAST-Q Score for Different Breast Reconstruction Surgeries Across Included Studies. Plast Reconstr Surg. Conversely, the exclusion criteria were as follows: patients with current cancer and/or on cancer therapy, patients who needed translation assistance for verbal consent and age <18 years. Davies C, Holcombe C, Skillman J, et al. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. 69. Brady MJ, Cella DF, Mo F, et al. At Dove, we have a vision of a world where beauty is a source of confidence, not anxiety. In contrast to these questionnaires, BREAST-Q is also specific to BRS and is the only tool to accurately assess patient satisfaction with care (Table 3).67,68 Chen et al reported BREAST-Q as one of the best tools for assessing HRQoL in breast cancer patients, stating that it was able to address surgery-specific issues, unlike other PROMs.69 In support, the International Consortium for Health Outcomes Measurement endorsed BREAST-Q for breast cancer patients, highlighting its approval by healthcare governing bodies for assessing oncoplastic BRS outcomes.70. Plast Reconstr Surg. 2020:JCO2000299. 27. doi:10.1016/s0140-6736(03)14065-2, 3. Wei CH, Scott AM, Price AN, et al. Can J Plast Surg. Plast Reconstr Surg. In contrast, satisfaction amongst patients who underwent mastectomy without BRS was poorer, with women being unhappy with their breasts and surgical scar despite the cancer being successfully treated.53,54 Duggal et al found that over three-quarters of their participants opting for BRS had body image as their motivating factor.55 These BREAST-Q scores and supporting findings suggest BRS should be indicated for patients who house concerns about body image, or hope to improve body image following mastectomy. Br J Plast Surg. Published February 11, 2020 Advertiser Dove Skin Care Advertiser Profiles 46. 2013;4(6):6168. 26. The BREAST-Q questionnaire is the only PROM which allows patients to reflect on their care, surgical outcomes, and satisfaction collectively.Conclusion: This review highlights the fact that BREAST-Q can effectively and reliably measure satisfaction and wellbeing of breast cancer patients after BRS. Breast. Cancer Treat Rev. 48. Cosmetic outcome and patient satisfaction after skin-sparing mastectomy for breast cancer with immediate reconstruction of the breast. The patterns can be grouped into three categories: hidden scar, vertical scar, and transverse scar. Post-mastectomy sensory recovery and restoration Web Design by Adhesion. Arroyo JMG, Lpez MLD. Validation of EORTC QLQ-C30 and QLQ-BR23 questionnaires in the measurement of quality of life of breast cancer patients in Singapore. Her doctor did a great job of keeping her scars to just a line on each side. 2016;4:2050312116671725. doi:10.1177/2050312116671725. Comparing the pre- and postoperative BREAST-Q results, a significant decrease in the physical well-being of the chest (p=0.0179) and a slight improvement in breast satisfaction were observed (p=0.3266). Nevertheless, we were able to match the NSM and SSM groups by race, sex, BMI, and age. Aesthet Surg J. Implant breast reconstruction and radiation: a multicenter analysis of long-term health-related quality of life and satisfaction. Figure 2 shows the SF-36 findings and illustrates the course in contrast to standardized reference values of the general female population.27, Figure 2 Results of the SF-36 quality of life questionnaire following mastectomy in the immediate implant-based reconstruction group and the general female population. BMJ. 2007;57(5):278300. Morch LS, Skovlund CW, Hannaford PC, Iversen L, Fielding S, Lidegaard O. 2018;42:936940. Dr Johnny Chen, Nick Spindler,1 Franziska Ebel,1 Susanne Briest,2 Sandra Wallochny,2 Stefan Langer1 1Department of Orthopedic Surgery, Traumatology and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany; 2Department of Gynecology, Womens and Childrens Centre, University Hospital Leipzig, Leipzig, GermanyCorrespondence: Nick SpindlerDepartment of Orthopedic Surgery, Traumatology and Plastic Surgery, University Hospital Leipzig, Liebigstrasse 20, Leipzig, 04103, GermanyTel +49-341-9717140Fax +49-341-9717139Email [emailprotected]Purpose: Bilateral risk-reducing mastectomy (BRRM) can reduce the risk of developing breast cancer by up to 95% in women with increased exposure. I said to him, I thought the woman felt free of having those things hanging on her chest for no reason anymore. Spector DJ, Mayer DK, Knafl K, Pusic A. Womens recovery experiences after breast cancer reconstruction surgery. Contact Us Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. Peled AW, Duralde E, Foster RD, et al. Black N. Patient reported outcome measures could help transform healthcare. In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content. The BREAST-Q tool was compared with five other HRQoL PROM questionnaires (Table 3). Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. J Biosci Med. doi:10.1177/1090820X11398111, 13. When you dont have the time to handle your plumbing installation issues, you can always rely on our team of expert plumbers for doing the job right in a way that will spare you the trouble of doing it on your own. Eur. Autologous breast reconstruction in women older than 65 years versus women younger than 65 years: a multi-center analysis. Breast Cancer Res Treat. Stretch marks, scars and tattoos on our skin all share a different story unique to each person. Differences between breast cancer reconstruction and institutionally established normative data using the BREAST-Q reconstruction module: a comparative study. I actually called my BF to the TV to show him. Primary research published in peer-reviewed journals including experimental such as randomized control trials (RCTs) and non-randomized trials, and observational such as cohort and casecontrol studies; Studies with a target population included women with primary breast cancer who had mastectomy, or women who had prophylactic mastectomy. dove commercial mastectomy 2020 Download the 2023 Super Bowl TV Ad Report from iSpot Today. doi:10.1245/s10434-011-1908-8, 14. doi:10.1002/jso.24364, 11. Since its introduction, the SF-36 has been continuously developed and is frequently used to monitor the effect of therapy or disease progression.1720 Because of the lack of organ-specific questionnaires to quantify HRQoL after esthetic or reconstructive breast surgery, the BREAST-Q was developed by the Memorial Sloan-Kettering Cancer Center and the University of British Columbia.2124. Thangarajah F, Treeter T, Krug B, et al. Health Econ. Ou Z, Tang Y, Fu J, Doucette J, Murimi IB. Koslow S, Pharmer LA, Scott AM, et al. Plast Reconstr Surg. Another patient developed a seroma, requiring a single aspiration. The groups were matched, and no significant differences in the race (p=1.00), BMI (p=0.612), and age (p=0.543) were observed. Find out more about our partnership with Steven Universe. The SF-36 results of our sample differed only slightly from that of the general female population. I think normalizing women who have gone through that is a positive thing, not a negative. Liu L, Branford O, Mehigan S. BREAST-Q measurement of the patient perspective in oncoplastic breast surgery: a systematic review. Gttingen, Germany: Hogrefe Verlag GmbH & Co. KG; 2011. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/9781119536604.ch8. In: Cochrane Handbook for Systematic Reviews of Interventions [Internet]. dove commercial mastectomy 2020 - firmenchroniker.de Thorat MA, Balasubramanian R. Breast cancer prevention in high-risk women. doi:10.1016/j.bjps.2016.08.015, 30. P values <0.05 were considered statistically significant. Gilbert E, Emilee G, Ussher JM, Perz J. Sexuality after breast cancer: a review. Rebbeck TR, Friebel T, Lynch HT, et al. The filament had a thickness of 2.83 mm and the crossing points had a distance of 1 cm to each other. doi:10.1159/000485830, 33. JAMA Surg. Reinders FCJ, Young-Afat DA, Batenburg MCT, et al. Defining a place for nipple sparing mastectomy in modern breast care: an evidence based review. Patients that underwent one-staged and two-staged breast reconstructions fared similarly. Prepectoral implant-based breast reconstruction: rationale, indications, and preliminary results. doi:10.1002/pon.4397, 41. Furthermore, an improvement in breast satisfaction was observed in our study. 2019;45(8):13571363. J Plast Reconstr Aesthet Surg. Alderman AK, Wilkins EG, Lowery JC, Kim M, Davis JA. dove commercial mastectomy 2020 - primegame.com.ar Table 1 Postoperative Symmetry Between the Right and Left Breasts, In the follow-up period, the mean SF-36 scores were: physical functioning 85.9015.47; physical role functioning 76.1335.75; bodily pain 75.0922.73; general health perception 71.6318.64; vitality 61.1317.85; social role function 85.7922.91; emotional role functioning 86.3631.97; and mental health 74.908.27. Fingeret MC, Nipomnick SW, Crosby MA, Reece GP. Beral V, Million Women Study Collaborators. doi:10.1097/PRS.0b013e3181774267, 73. The operation choice (NSM vs SSM) was made after detailed information regarding the varying degrees of the remaining residual glandular tissue and the associated risk of developing breast cancer as well as possible occurring side effects and general complications were explained to the patient. I think it's ok to share up to a point, IMO this is the point.
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