Comparison of patient satisfaction and body image after Breast Conserving Surgery and Immediate Breast Reconstruction with prosthesis after mastectomy

Introduction: Different clinical trials showed that survival of Breast Conserving Surgery (BCS) and mastectomy is the same. However change in the appearance of a woman cause psychological trauma and could affect her quality of life.The aim of this study was to compare BCS and post-mastectomy reconstruction by prosthesis in terms of satisfaction of surgery and body image (BI) in Breast Cancer Research Center and Imam Khomeini Hospital .Materials and Methods: Breast cancer patients in stage 0,I,II who finished their treatment at least 3 months ago were included since august 2016 till October 2017. The Persian version of the BICI (Body Image Concern Inventory) questionnaire was used and Patients’ satisfaction was evaluated by four-scale answers, very satisfied, moderately, slightly and dissatisfied. T-test, One way Anowa and K2 were used.Results: A total of 70 BCS cases and 43 patients with prosthetic reconstruction were enrolled. The mean follow up time was 43.5 months (3-288). The mean age of BCS and Post-MRM reconstruction were 44.3 and 40.6 years, respectively. There was no significant difference between two groups in terms of occupation, educational level and marital status except for economic status which was higher in reconstruction group. The BI score was not significantly related to these variables.There was no significant difference between the two groups in terms of satisfaction, although excellent satisfaction was lower in the reconstruction group (76.2% versus 91.4%). The mean score of satisfaction was significantly different between the two groups (P= 0.036)There was no significant difference between the two groups in term of Body Image.Conclusion: Breast Conserving Surgery and Mastectomy with reconstruction by prosthesis were not significantly different in term of Body Image, but the satisfaction of surgery was worse in reconstruction group. The preferred option for breast cancer surgery is breast conserving if there is no contraindication.