The effect of immediate breast reconstruction with Becker-25 prosthesis on the preservation of proper body posture in patients after mastectomy

Purpose

This was a prospective study comparing coronal, sagittal and transverse plane body posture parameters in women after radical mastectomy and women after radical mastectomy with immediate breast reconstruction (IBR) for stage I and II breast cancer.

Methods

The three studied groups were one that underwent Madden’s radical mastectomy (n = 38), a second with skin sparing mastectomy with IBR with expander-prosthesis Becker-25 (n = 38), and the control (n = 38). All the women were examined to determine their body posture in the coronal, sagittal and transverse planes using three-dimensional (3D) body surface analysis before and 6, 12, 18 and 24 months after surgery.

Results

There is a significant difference body posture in the coronal, sagittal and transverse planes between groups of patients after mastectomy with IBR comparing with patients after mastectomy alone. The women after radical mastectomy demonstrated the greatest postural changes in particular parameters of body posture in postsurgical months 18 and 24. The IBR group only demonstrated significant postural changes in one parameter, though as time after surgery increased, these changes decreased.

Conclusions

IBR after mastectomy has an impact on proper body posture. Photogrammetric examination revealed important body posture disturbances only in the radical mastectomy group. It gives useful information on body posture parameters in the evaluation of quality of life in breast cancer survivors. It appears that immediate breast reconstruction helps to preserve proper body posture after mastectomy.     

Ethnicity and persistent symptom burden in breast cancer survivors

Introduction  

Relatively few studies of breast cancer survivors have included nonwhite women or women who do not speak English.     

A <Emphasis Type="Italic">Promotora</Emphasis>-administered group education intervention to promote breast and cervical cancer screening in a rural community along the U.S.–Mexico border: a randomized controlled trial

Background  

Breast cancer is the most common neoplasm among Hispanic women. Cervical cancer has a higher incidence and mortality among Hispanic women compared with non-Hispanic White women.     

Family history of cancer and risk of breast cancer in the Black Women’s Health Study

Introduction  

Relatively little research has been conducted on familial breast cancer in African American women.     

Benefits and harms of cervical screening from age 20 years compared with screening from age 25 years

Background:

To quantify the benefits (cancer prevention and down-staging) and harms (recall and excess treatment) of cervical screening starting from age 20 years rather than from age 25 years.

Methods:

We use routine screening and cancer incidence statistics from Wales (for screening from age 20 years) and England (screening from 25 years), and unpublished data from the National Audit of Invasive Cervical Cancer to estimate the number of: screening tests, women with abnormal results, referrals to colposcopy, women treated, and diagnoses of micro-invasive (stage 1A) and frank-invasive (stage IB+) cervical cancers (under three different scenarios) in women invited for screening from age 20 years and from 25 years.

Results:

Inviting 100 000 women from age 20 years yields an additional: 119 000 screens, 20 000 non-negative results, 8000 colposcopy referrals, and an extra 3000 women treated when compared with inviting from age 25 years. Screening from age 20 years prevents between three and nine frank invasive cancers and between 0 and 23 cancers in total (depending on the scenario). A cumulative increase of nine stage IB+ cancers corresponds to an annual rate increase of 0.9 per 100 000 women aged 20–29 years.

Conclusions:

To prevent one frank invasive cancer, one would need to do between 12 500 and 40 000 additional screening tests in the age group 20–24 years and treat between 300 and 900 women.     

Cancer risk in DES daughters

Objective  

We examined long-term risk of cancer in women exposed to diethylstilbestrol (DES) in utero.     

Chordoma: clinical characteristics,management and prognosis of a case series of 25 patients

Background  

Adequate surgery still remains the only curative treatment of chordoma. Interesting clinical data on advanced disease with molecularly targeted therapies were reported.     

Incidence of reversible amenorrhea in women with breast cancer undergoing adjuvant anthracycline-based chemotherapy with or without docetaxel

Background  

To determine the incidence of reversible amenorrhea in women with breast cancer undergoing adjuvant anthracycline-based chemotherapy with or without docetaxel.     

Alcohol consumption and mortality from all-cause and cancers among 1.34 million Koreans: the results from the Korea national health insurance corporation’s health examinee cohort in 2000

Background  

The relationship between alcohol and cancer death has not been well established in Asian population, particularly among women.     

Overexpression of CDC25B,CDC25C and phospho-CDC25C (Ser216) in vulvar squamous cell carcinomas are associated with malignant features and aggressive cancer phenotypes

Background  

CDC25 phosphatases are important regulators of the cell cycle. Their abnormal expression detected in a number of tumors implies that their dysregulation is involved in malignant transformation. However, the role of CDC25s in vulvar cancer is still unknown. To shed light on their roles in the pathogenesis and to clarify their prognostic values, expression of CDC25A, CDC25B and CDC25C in a large series of vulvar squamous cell carcinomas were examined.     

The EORTC information questionnaire,EORTC QLQ-INFO25. Validation study for Spanish patients

Introduction  

The EORTC QLQ-INFO25 evaluates the information received by cancer patients. This study assesses the psychometric properties of the QLQ-INFO25 when applied to a sample of Spanish patients.     

Serum calcium levels are elevated among women with untreated postmenopausal breast cancer

Objective  

Reports of an association between primary hyperparathyroidism in women and risk of breast cancer suggest an etiologic role for high serum calcium. However, data on the association between serum calcium levels and breast cancer in women without clinical hyperparathyroidism are limited.     

Birth size and breast cancer risk among young California-born women

Objective  

Evaluate the risk of breast cancer associated with birth size among young California-born women.     

Peer navigation improves diagnostic follow-up after breast cancer screening among Korean American women: results of a randomized trial

Objective  

To test an intervention to increase adherence to diagnostic follow-up tests among Asian American women.     

A community effort to reduce the black/white breast cancer mortality disparity in Chicago

Background  

The Metropolitan Chicago Breast Cancer Taskforce was formed to address a growing black/white breast cancer mortality disparity in Chicago. The Taskforce explored three hypotheses: black women in Chicago receive fewer mammograms, black women receive mammograms of inferior quality, and black women have inadequate access to quality of treatment for breast cancer.     

Papillary thyroid cancer incidence rates vary significantly by birthplace in Asian American women

Objective  

To investigate how birthplace influences the incidence of papillary thyroid cancer among Asian American women.     

Body size and the risk of ovarian cancer by hormone therapy use in the California Teachers Study cohort

Objective  

To investigate whether obesity and hormone therapy (HT) are associated with ovarian cancer risk among women in the California Teachers Study cohort.     

Timeliness and follow-up patterns of cervical cancer detection in a cohort of medically underserved California women

Introduction  

This study examines factors associated with timely follow-up after Pap test in a program providing cervical cancer detection services to medically underserved California women.     

Young age: an independent risk factor for disease-free survival in women with operable breast cancer

Background  

The incidence of breast cancer in young women (age < 35) is low. The biology of the disease in this age group is poorly understood, and there are conflicting data regarding the prognosis for these women compared to older patients.     

Beliefs about the causes of breast and colorectal cancer among women in the general population

Objective  

To describe and compare the causal beliefs and attributions about breast and colorectal cancer among unaffected women in the general population.