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Impact of Breast cancer on Body Image and Self-Esteem

How physical changes affect mental health


Approaches to rebuilding self-confidence

A research proposal submitted by

Deepshikha

Department of psychology

VPM'S K.G Joshi College of Arts and N.G Bedekar College of Commerce
(Autonomous), Thane

Under the guidance of

Ms. Simran Dhiman

October 2024

Abstract

Cancer is one of the leading health challenges globally,


characterized by the uncontrolled growth of abnormal cells, often leading
to severe complications such as metastasis. This disease affects millions
of people across all demographics, with over 100 types of cancer
identified, each originating in different organs or tissues. Various risk
factors, including genetic predispositions, environmental exposures, and
lifestyle choices, contribute to cancer development. Early detection
through screening methods such as mammograms and colonoscopies is
vital for successful treatment outcomes. Recent advances in medical
research, including precision medicine and immunotherapy, have
improved survival rates, yet late-stage cancers continue to pose
significant treatment challenges. In women, cancers like breast and
cervical cancer are prevalent, influenced by hormonal, genetic, and
lifestyle factors. Despite advances in treatment options such as surgery,
chemotherapy, and targeted therapies, cancer remains a significant
physical, emotional, and economic burden on patients, families, and
healthcare systems. Ongoing research, preventive strategies, and
equitable access to healthcare are essential in reducing cancer’s global
impact and improving patient outcomes.

Keywords

Cancer, metastasis, abnormal cell growth, breast cancer, cervical cancer,


risk factors, early detection, screening, precision medicine,
immunotherapy, treatment options, genetic mutations, public health
strategies, women's health, healthcare burden.

Introduction

Cancer is one of the most significant health challenges of the modern


world, affecting millions of people across the globe. It refers to a large
group of diseases characterized by the uncontrolled growth of abnormal
cells. Normally, cells grow, divide, and die in a regulated manner.
However, in cancer, this process goes awry. The abnormal cells divide
uncontrollably and can invade nearby tissues, potentially spreading to
other parts of the body through the bloodstream or lymphatic system.
This spread of cancerous cells, known as metastasis, is one of the most
dangerous aspects of the disease, as it often complicates treatment and
reduces the chances of recovery (National Cancer Institute, 2020).

There are over 100 types of cancer, each named according to the organ or
tissue where it originates. Common types include breast cancer, lung
cancer, colorectal cancer, prostate cancer, and skin cancer. The
occurrence of cancer is not limited to any particular demographic; it
affects people of all ages, genders, and ethnic backgrounds. However,
certain risk factors, such as age, family history, environmental exposures
(like radiation or carcinogens), lifestyle factors (such as smoking, alcohol
use, diet, and physical inactivity), and infections (such as human
papillomavirus or hepatitis) can increase the likelihood of developing
cancer (World Health Organization [WHO], 2021).

The biology of cancer is complex. It involves mutations in the DNA of


cells that disrupt the normal mechanisms controlling cell growth and
death. These genetic mutations can be inherited or acquired during a
person’s lifetime due to environmental influences or errors in cell
division. Once these mutations accumulate, they may enable cells to
bypass regulatory signals, leading to uncontrolled proliferation. Some
mutations may also allow the cancer cells to avoid detection by the
immune system, evade apoptosis (programmed cell death), or stimulate
the growth of blood vessels (angiogenesis) to supply the tumor with
nutrients (American Cancer Society, 2022).

Early detection and diagnosis of cancer are critical for successful


treatment. In many cases, cancers detected at an early stage are more
treatable and have better survival outcomes. Various screening methods
are available, depending on the type of cancer. For example,
mammograms can detect breast cancer, colonoscopies can screen for
colorectal cancer, and Pap smears can identify cervical cancer. Once
diagnosed, treatment options may include surgery, chemotherapy,
radiation therapy, immunotherapy, targeted therapies, or a combination of
these approaches. The choice of treatment depends on the type, stage, and
location of the cancer, as well as the overall health of the patient
(National Cancer Institute, 2020).

In recent decades, advances in medical research have led to the


development of more effective treatments and therapies. Precision
medicine, which tailors treatment to the genetic makeup of the
individual's cancer, has shown promise in improving outcomes for some
patients. Immunotherapy, which harnesses the body’s immune system to
fight cancer, has emerged as a revolutionary approach in cancer
treatment. Despite these advances, certain cancers, particularly those
diagnosed in late stages, remain difficult to treat and are associated with
high mortality rates (American Cancer Society, 2022).

The impact of cancer extends beyond the physical health of individuals. It


affects emotional well-being, families, and communities. A cancer
diagnosis often brings psychological challenges such as fear, anxiety, and
depression, both for patients and their loved ones. Moreover, the
economic burden of cancer is substantial. The costs associated with
treatment, loss of productivity, and long-term care can place a significant
financial strain on families and healthcare systems (World Health
Organization [WHO], 2021).

Globally, cancer is the second leading cause of death, accounting for


millions of deaths each year. However, many cancer deaths are
preventable. Public health strategies that promote healthier lifestyles,
reduce exposure to carcinogens, encourage regular screenings, and
provide vaccinations against cancer-causing infections (such as the HPV
vaccine) are crucial in reducing cancer incidence and mortality (National
Cancer Institute, 2020).

In conclusion, cancer is a multifaceted disease that poses immense


challenges to both individuals and society. While significant progress has
been made in understanding its causes and developing treatments, there is
still much to be done in the fight against cancer. Ongoing research,
improved prevention strategies, early detection, and equitable access to
treatment are essential in reducing the global burden of cancer and
improving the quality of life for those affected.

Cancer in Women

Cancer is a major health concern for women worldwide. Certain types of


cancer, such as breast, cervical, and ovarian cancer, disproportionately
affect women (Centers for Disease Control and Prevention [CDC], 2021).
Breast cancer is the most common cancer among women, while cervical
cancer is also significant, particularly in low-resource settings. Factors
such as hormonal changes, genetic predisposition, lifestyle choices, and
reproductive health can influence a woman’s risk of developing these
cancers (WHO, 2021). Regular screening and early diagnosis are
essential for improving survival rates in women (American Cancer
Society, 2021).

Breast Cancer in Women

Breast cancer is the most common cancer affecting women worldwide,


accounting for a significant number of cancer diagnoses each year (CDC,
2021). It occurs when cells in the breast grow uncontrollably, forming a
tumor that can spread to other parts of the body if not treated (National
Cancer Institute, 2022). While breast cancer can also affect men, it is far
more prevalent in women due to biological factors like hormone levels
and breast tissue density.

There are various types of breast cancer, with the most common being
invasive ductal carcinoma, which starts in the milk ducts and spreads to
surrounding tissue. Risk factors for breast cancer in women include age,
family history, genetic mutations (such as BRCA1 and BRCA2),
hormonal imbalances, lifestyle factors like diet and physical activity, and
reproductive history (American Cancer Society, 2021). Early detection
through regular screenings, such as mammograms, significantly increases
the chances of successful treatment and survival (WHO, 2021).

Advances in treatment options, including surgery, chemotherapy,


radiation, and targeted therapies, have improved outcomes for many
women. However, breast cancer remains a significant health challenge,
with survivors often facing physical, emotional, and financial impacts
throughout their journey. Regular self-examinations, awareness of risk
factors, and early medical intervention are key strategies in reducing the
burden of breast cancer among women (National Cancer Institute, 2022).

Impact of Cancer

The impact of cancer is profound, affecting not only the individual


diagnosed but also their families and communities. Physically, cancer can
cause pain, fatigue, and other health complications. Treatment options,
such as surgery, chemotherapy, and radiation, often come with side
effects that can be debilitating (CDC, 2021). Psychologically, cancer can
lead to stress, anxiety, depression, and a reduced quality of life.
Economically, the cost of treatment can be a heavy burden on families
and healthcare systems (American Cancer Society, 2021). Additionally,
the emotional toll on families, along with potential loss of productivity
and income, can have long-lasting effects. Despite these challenges,
advances in cancer treatment and support services are helping to improve
outcomes for many individuals (WHO, 2021).

Physical Impact: "Cancer and treatments like chemotherapy can cause women to
feel very tired, weak, and sometimes sick for long periods. Body changes from
surgeries or treatments can affect how a woman feels about herself, and cancer
treatments may also impact fertility, making it harder or impossible for some women
to have children".

Emotional Impact: "Women diagnosed with cancer often experience stress, worry,
and anxiety about their health and future. Body image can be affected by physical
changes from surgery, and the fear of cancer coming back may persist even after
successful treatment" .

Social Impact: "Cancer can strain relationships with family, friends, and partners due
to physical and emotional changes. It may also affect intimacy and lead to feelings of
isolation, where women feel misunderstood or like a burden".
Financial Impact: "Cancer treatments can be very costly, especially without health
insurance, causing stress for women and their families. Many may also face loss of
income due to the inability to work temporarily or permanently" .

Impact on Daily Life: "Cancer and its treatments can make it difficult for women to
carry out everyday tasks, including work, exercise, and caregiving. Some may require
help with basic activities, leading to a loss of independence" .

Emotional Challenges After Treatment: "Adjusting to life after cancer can be


challenging, with women needing to adapt to changes in their body, health, and
emotions".

References

American Cancer Society. (2021). Cancer facts and figures.


https://www.cancer.org/

Centers for Disease Control and Prevention. (2021). Breast cancer


awareness. https://www.cdc.gov/cancer/

National Cancer Institute. (2022). Breast cancer treatment options.


https://www.cancer.gov/

World Health Organization. (2021). Cancer prevention and control.


https://www.who.int/cancer/en/

American Cancer Society. (2022). How cancer starts.


https://www.cancer.org/cancer/cancer-basics/how-cancer-starts.html

National Cancer Institute. (2020). What is cancer?


https://www.cancer.gov/about-cancer/understanding/what-is-cancer

World Health Organization. (2021). Cancer: Key facts.


https://www.who.int/news-room/fact-sheets/detail/cancer

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