Abstract

MOREIRA, Helena  and  CANAVARRO, Maria Cristina. Type of surgery, psychosocial adjustment and body image in breast cancer Abstract. Psic., Saúde & Doenças [online]. 2012, vol.13, n.2, pp.169-190. ISSN 1645-0086.

Research on the influence of type of surgery in the breast cancer patients’ adjustment has resulted in an extensive scientific production over the last years. This study aims to review the vast body of research conducted over the past 20 years on the influence of type of surgery (mastectomy and breast conserving surgery) in the patient's psychosocial adaptation and body image. A literature review was undertaken in national and international databases, giving rise to a comprehensive review of 23 scientific publications. The vast majority of studies found no significant differences between surgical groups in the main indicators of psychosocial adjustment, although this result is not consensual. The only difference consistently found refers to the women’s body image, i.e., the patients who report a more positive body image are the ones who underwent breast conserving surgery. In short, this literature review suggests that rather than rigidly defend a type of surgery over another, it is important to include the patient in the therapeutic decision-making process.

Keywords : breast cancer; type of surgery; mastectomy; breast conserving surgery; psychosocial adjustment; body image.

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