{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:46:26Z","timestamp":1791963986745,"version":"4.3.4"},"reference-count":57,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast cancer and its treatments have a significant impact on patients' health\u2010related quality of life (HRQL). The aim of this study was to compare HRQL in a long\u2010term, cross\u2010sectional assessment after breast conserving therapy (BCT) and mastectomy without reconstruction, using the BREAST\u2010Q.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Altogether 500 patients who had undergone either mastectomy or BCT between 06\/2016 and 8\/2018 were approached. The postoperative HRQL was assessed using the BREAST\u2010Q Breast Conserving Therapy and Mastectomy Modules.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 171 (34%) women participated, 85 of whom had undergone BCT and 86 mastectomy without reconstruction. The mean (SD) time from surgery to the survey was 3.3 (1) years. The mean age of the participants did not differ in the groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.45). Compared to those who had undergone mastectomy, women with a history of BCT reported better psychosocial well\u2010being (78 (19) vs. 66 (17),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01), sexual well\u2010being (61 (20)\n                      <jats:italic>vs<\/jats:italic>\n                      . 41 (22),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01) and physical well\u2010being of the chest (86 (16) vs. 77 (20),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). They were also more satisfied with their breasts (72 (22) vs. 52 (17),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01) and reported fewer radiotherapy side effects (7 (1) vs. 8 (3),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These data suggest that the long\u2010term HRQL remains high after both BCT and mastectomy. However, women with a history of BCT reported higher psychosocial, sexual, and physical well\u2010being and greater satisfaction with their breasts than those with a history of mastectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70517","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:18:13Z","timestamp":1788412693000},"page":"2787-2795","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Long\u2010Term Health\u2010Related Quality of Life After Mastectomy and Breast Conserving Therapy"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9723-8351","authenticated-orcid":false,"given":"Sanna","family":"J\u00e4rvinen","sequence":"first","affiliation":[{"name":"Division of Musculoskeletal and Plastic Surgery Department of Plastic Surgery University of Helsinki and Helsinki University Hospital  Helsinki 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Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7027-4080","authenticated-orcid":false,"given":"Susanna","family":"Kauhanen","sequence":"additional","affiliation":[{"name":"Division of Musculoskeletal and Plastic Surgery Department of Plastic Surgery University of Helsinki and Helsinki University Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5454-3313","authenticated-orcid":false,"given":"Pauliina","family":"Homsy","sequence":"additional","affiliation":[{"name":"Division of Musculoskeletal and Plastic Surgery Department of Plastic Surgery University of Helsinki and Helsinki University Hospital  Helsinki 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