Publication date: Available online 23 May 2019
Source: Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): J.T.K. Salo, J.P. Repo, R.P. Roine, H. Sintonen, E.J. Tukiainen
Abstract
Objectives
There is limited information on the health-related quality of life (HRQoL) after surgical treatment of chest wall tumors. This cross-sectional study aimed to assess long-term HRQoL after chest wall reconstruction following oncological resection.
Methods
Seventy-eight patients having undergone chest wall tumor resection and reconstruction during 1997-2015 were invited to complete the 15D and QLQ-C30 HRQoL instruments.
Results
Altogether 55 patients (17 men and 38 women), with a mean (SD) age of 68 (14) years, completed the questionnaires (response rate 71%). Patients had been operated due to soft tissue sarcoma (n = 16), advanced breast cancer (n = 15), osteo- or chondrosarcoma (n = 14), or other tumor (n = 10). Median time after primary surgery was 66 (IQR 38, 141) months. The resection was full-thickness in 29/55 cases, and partial-thickness in 26/55. Chest wall reconstruction was required for 47/55 (85%). Reconstruction was performed using soft-tissue flap in eight cases, skeletal stabilizations with mesh or mesh-cement-mesh (sandwich method) in 15 cases, and skeletal stabilizations and soft-tissue flap in 24 cases.
Patients’ mean 15D score (0.878, SD 0.111) was comparable to that of the age- and gender-standardized general population (0.891, SD 0.041). Limitations in breathing and usual activities were noted. The QLQ-C30 cancer-specific HRQoL was 72 points (max. 100). Scores in the QLQ-C30 Functional scales ranged from 78 (Physical) to 91 (Social).
Conclusions
Long-term HRQoL in patients after chest wall reconstruction following oncological resection is fair and comparable to that of the general population. Limitations in breathing and usual activities can occur.
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