Breast Cancer
Project Title: Women who chose Lumpectomy Over Prophylactic Mastectomy as Treatment for Early Stage Breast Cancer May have an Increased Risk for Post-Treatment Anxiety Regarding Fear of Recurrence.
This proposed research plan will address the post treatment psychology of Stage I breast cancer patients who have received the less invasive breast retention surgery, referred to as lumpectomy.
Do women with early stage breast cancer have more intrusive thoughts (stress) regarding recurrence after lumpectomy than after prophylactic mastectomy? Within the survivor group the study will specifically address issues of psychological anxiety related to recurrence of cancer. The study will be retrospective, based upon cognitive memories of post treatment anxiety related to recurrence of breast cancer and subjects will be chosen in a non-random fashion. The main research query will be: Do women who choose prophylactic mastectomy after early stage breast cancer return to their pre-diagnostic sense of wellness as compared to women who choose lumpectomy? The basic decision associated with breast cancer treatment has often centered around post treatment body image associated with radical mastectomy, leaning treatment decision in the way of breast retention surgery, and away from the more traditional prophylactic mastectomy. (Rowland, Desmond, Meyerowitz, Belin, Wyat, Ganz. 2000, pg. 1422) (Parson, 2001, pg. 154) (Kissane, Clarke, Ikin, Bloch, Smith, Vitetta, McKenzie, 1998, pgs. 192-197) (Norton, 2003, 29-30) Recovery from breast cancer should always take into consideration the long-term psychological effects of all treatment plans.
Review of the Literature:
The literature associated with post treatment anxiety in breast cancer treatment, though rather limited gives at least some indication that there is a greater risk for anxiety related...
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