Clinical Observation: Assessment of Factors Associated with the Refusal or Termination of Treatment in Patients with Breast Cancer

Abstract

The  study  analyzed  the  clinical  observation of the  psychological characteristics  of a woman  diagnosed with  breast cancer,  who refused  part  of the proposed therapy, and had no contraindications to start  special treatment.Patient Yu.F., born in 1953, diagnosis: cancer  of the right  breast T1NxM0 ЭР(95 %), ПР(15 %), Her2neu(0), Ki67 (5 %), refused  for personal reasons from the surgical treatment proposed at the 1st stage  (a written refusal was taken), in connection with which  a course  of hormone therapy was prescribed, a course  of remote radiation therapy according to a radical program. When assessing the psychological profile of the patient, the data obtained demonstrate the presence of paradoxical hyperprotection in the patient who refused part of the treatment. Her psychological profile is similar to the psychological characteristics of women with breast cancer, whose course  of the disease ended  in death.  In a study conducted in 2021, data were obtained on women with  a negative outcome of the  disease (death), who were convinced of their  own luck and in the  ability  to control what was happening, used a wide range  of coping  strategies, were more resilient, are optimistic and had a pronounced internality in comparison with women  in whom the disease went into stable  remission.