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Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors

Body image concerns often arise during and after treatment and are a major concern in up to 67% of breast cancer survivors. Negative changes in body image are a predictor of worse satisfaction with appearance and poor quality of life outcomes. Opportunities to mitigate the negative impact of cancer...

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Autores principales: Fiser, Caroline, Crystal, Jessica S, Tevis, Sarah E, Kesmodel, Susan, Rojas, Kristin E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8687859/
https://www.ncbi.nlm.nih.gov/pubmed/34938117
http://dx.doi.org/10.2147/BCTT.S321721
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author Fiser, Caroline
Crystal, Jessica S
Tevis, Sarah E
Kesmodel, Susan
Rojas, Kristin E
author_facet Fiser, Caroline
Crystal, Jessica S
Tevis, Sarah E
Kesmodel, Susan
Rojas, Kristin E
author_sort Fiser, Caroline
collection PubMed
description Body image concerns often arise during and after treatment and are a major concern in up to 67% of breast cancer survivors. Negative changes in body image are a predictor of worse satisfaction with appearance and poor quality of life outcomes. Opportunities to mitigate the negative impact of cancer treatment on a patient’s body image present during preoperative education or in the neoadjuvant setting, or during surgical management, adjuvant therapy delivery, and survivorship. The surgical management of breast cancer has evolved from breast amputations to procedures that provide improved cosmesis without compromising the oncologic outcome. The advent of the sentinel lymph node biopsy and lymphatic reconstruction techniques has led to decreased axillary morbidity. Modified radiation techniques and systemic therapies tailored to subtype limit unnecessary exposure to skin and systemic toxicities. Finally, incorporating prehabilitation and survivorship support optimizes the physical and psychosocial well-being of these patients. Setting expectations, treatment de-escalation when appropriate, morbidity risk reduction and improved screening and management of psychological sequelae during survivorship can decrease breast cancer treatment’s negative impact on body image. The following review synthesizes interventions during preoperative planning, local and systemic treatment, and survivorship to prevent poor body image outcomes without compromising oncologic success.
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spelling pubmed-86878592021-12-21 Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors Fiser, Caroline Crystal, Jessica S Tevis, Sarah E Kesmodel, Susan Rojas, Kristin E Breast Cancer (Dove Med Press) Review Body image concerns often arise during and after treatment and are a major concern in up to 67% of breast cancer survivors. Negative changes in body image are a predictor of worse satisfaction with appearance and poor quality of life outcomes. Opportunities to mitigate the negative impact of cancer treatment on a patient’s body image present during preoperative education or in the neoadjuvant setting, or during surgical management, adjuvant therapy delivery, and survivorship. The surgical management of breast cancer has evolved from breast amputations to procedures that provide improved cosmesis without compromising the oncologic outcome. The advent of the sentinel lymph node biopsy and lymphatic reconstruction techniques has led to decreased axillary morbidity. Modified radiation techniques and systemic therapies tailored to subtype limit unnecessary exposure to skin and systemic toxicities. Finally, incorporating prehabilitation and survivorship support optimizes the physical and psychosocial well-being of these patients. Setting expectations, treatment de-escalation when appropriate, morbidity risk reduction and improved screening and management of psychological sequelae during survivorship can decrease breast cancer treatment’s negative impact on body image. The following review synthesizes interventions during preoperative planning, local and systemic treatment, and survivorship to prevent poor body image outcomes without compromising oncologic success. Dove 2021-12-16 /pmc/articles/PMC8687859/ /pubmed/34938117 http://dx.doi.org/10.2147/BCTT.S321721 Text en © 2021 Fiser et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. 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 (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Review
Fiser, Caroline
Crystal, Jessica S
Tevis, Sarah E
Kesmodel, Susan
Rojas, Kristin E
Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors
title Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors
title_full Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors
title_fullStr Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors
title_full_unstemmed Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors
title_short Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors
title_sort treatment and survivorship interventions to prevent poor body image outcomes in breast cancer survivors
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8687859/
https://www.ncbi.nlm.nih.gov/pubmed/34938117
http://dx.doi.org/10.2147/BCTT.S321721
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