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Master Thesis

Comparaison du tatouage aréole-mamelonnaire médical et non médical dans la reconstruction après mastectomie pour cancer du sein

Abstract : The survival rate for Breast Cancer is 87% thanks to current treatments. Quality of life after these treatments, which are sometimes very damaging, should then be a priority. The physical reconstruction after mastectomy can include a volumic reconstruction of the breast, then a reconstruction of the nipple-areola complex by surgery and / or tattooing. This tattoo can me medical (MT) or non-medical (NMT), but no study has yet compared these two techniques. Method : A progressive anonymous questionnaire has been diffused online by associations or patient groups. The principal objective was to evaluate the satisfaction degree of patients with one or the other technique. The secondary objectives were to evaluate the reasons for choosing the technique, the realization conditions, the technical characteristics and the psychological impact of tattooing. Results : 30 questionnaires has been analysed (17 for the medical tattoo, 13 for the non-medical tattoo). All were satisfied of the realization conditions and the result, but patients with NMT were quantitatively more satisfied (8,6/10) than those who underwent MT (8,1/10). The reasons for choosing the technique were essentially reprezented by recommandations and trust in the professionnal (doctor or tattoist). The MT was generally realised less than one year after surgery, despite the NMT was realised more than one year after. The fields of dissatisfaction were color choice and fading of the tattoo, a little bit more often seen in MT ; but patients were almost all satisfied about the size, form and position. The tattoo had a positive impact on their sexuality for a lot of patients (1/2 of the MT group and 2/3 of the NMT group), but they were also considering that sexuality was more important for their well being before surgery, and 60% stayed anxious about revealing their chest. Their opinion about their body was different if considered naked or dressed. Almost one patient out of two probably got anxious or depressive symptoms. Discussion : thus, nipple-areola tattooing after surgery for breast cancer would bring real benefits, even if psychological sequelae remain. Our study shows a greater satisfaction of patients with NMT but these results must be considered with prudence due to very little amount of cases and possible recruting bias. Disparities between medical and non-medical tattoo suggest anyway that a more extensive study comparing these two techniques would be judicious.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03540586
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Submitted on : Monday, January 24, 2022 - 10:14:09 AM
Last modification on : Monday, February 14, 2022 - 3:17:47 AM
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Ève de la Guerrande. Comparaison du tatouage aréole-mamelonnaire médical et non médical dans la reconstruction après mastectomie pour cancer du sein. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03540586⟩

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