1. Breast cancer in premenopausal women is relatively young and has different disease characteristics from postmenopausal breast cancer: premenopausal breast cancer patients have worse prognosis and earlier recurrence; premenopausal breast cancer patients have worse prognosis and earlier recurrence; premenopausal breast cancer patients have stronger willingness to treat; Premenopausal breast cancer patients have unique psychological needs, such as caring for children and families, career development and so on. 2. Premenopausal breast cancer patients aged ≤ 45 years are more likely to recur than those aged ≥ 65 years. Premenopausal breast cancer patients have lower actual quality of life than postmenopausal patients: a study recruited women with breast cancer from 2008 to 2013 and followed them from 2017 to 2018. The HR-QoL questionnaire was completed by 1078 (64%) of 1685 women with medical record follow-up. Questionnaire results were analyzed using linear regression models to investigate baseline factors associated with HR-QoL. Although there was no statistical difference, the mean values of PCS-12 and MCS-12 in premenopausal patients with breast cancer were lower than those in postmenopausal patients, and the quality of life in premenopausal patients was lower than that in postmenopausal patients to a certain extent. 4. Premenopausal women need more psychological attention: younger premenopausal breast cancer patients have unique psychosocial and emotional challenges, including interaction with spouses/children, body image, sexual behavior, and loss of fertility/premature menopause; emotional and social functioning, energy, and depression 6 years after diagnosis are inversely related to age at diagnosis; Negative attitudes toward menopause and associated symptoms affect health-related quality of life; more than half of young breast cancer survivors (median age, 32.9 years) are concerned about infertility; young women experience more distress and decreased energy levels after treatment than breast cancer patients in general; Six months after diagnosis, women who had undergone mastectomy (< 60 years) reported significantly less control over events in their lives and more difficulty with sexual relationships. 5. Unique disease characteristics, worse prognosis; reduced quality of life; higher expectations of family and society 6. This leads to the following thoughts: First, how to reduce the recurrence of the disease? Second, how to better control symptoms? How to get better security?
Breast cancer