الفهرس 
Incidence and Mortality of Breast CancerOnly 14 pages are availabe for public view
 |  | from | 159 |  |  |
| | | from | 159 | | |
Abstract
Breast cancer is considered the most common type of cancer among females worldwide. In Egypt its incidence is 32% of all cancers
Advances in diagnostic and treatment modalities resulted in increased survival rates (3). Thus focusing on the quality of life after diagnosis and treatment is becoming mandatory.In a culture in which females who talk about their sexual problems are frowned upon. Many breast cancer patients suffer in silence struggling with their sexual problems.
Aim: In our study we aim to assess the effect of breast cancer treatment on sexuality among Egyptian breast cancer patients.
Methodology: Data were collected from 105 females attending the chemotherapy and breast cancer outpatient clinic at Ain Shams university hospital starting March 2016 till December 2016
Inclusion criteria: females equal or below 55 years old, histo-pathologically proved to have breast cancer, married, premenopausal at time of diagnosis, operated and on adjuvant treatment.
Exclusion criteria: metastatic and double primary cancer patients.
Results: The median age of our patients was 43 years old. With 89.5 % housewives, 85.7% ECOG 1, 14.3% ECOG 2 and 80% with no known comorbidities. Unfortunately, 98.1% were circumcised and only 21% attended university. 53.3% underwent MRM while 46.7% underwent BCS. 64.8% received Rth. 28.6% were on chemotherapy (+- trastuzumab), 59.1% on tamoxifen (+- trastuzumab) and 12.3% on aromatase inhibitors or trastuzumab alone or tamoxifen plus LHRH analogue. We studied the effect of multiple demographics on sexuality; there was no statistically significant correlation between the FSFI total score and age, residence, education, comorbidities, menstruation and employment. The only statistically significant correlation was with the years of marriage with a p value of 0.024.
Conclusion: Type of Surgery doesn’t affect sexuality, but body image affects sexuality and because body image is affected by type of surgery with better scores for BCS. Thus, type of surgery may have an indirect effect on sexuality. All types of systemic therapy affect sexuality with a more negative effect for patients on chemotherapy in comparison to patients on tamoxifen.