ArticleJournal of cancer survivorship : research and practice2025
Body image of patients in follow-up for pediatric bone sarcoma: implications of tumor location and local therapy.
Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Fatigue after pediatric bone sarcoma: prevalence and associated factors in pediatric and adult patients and survivors after treatment.Journal of cancer survivorship : research and practice · 2026Article
- Group painting therapy for children and adolescents with bone tumors: a quasi-experimental trial evaluating anxiety, depression, post-traumatic growth, and health-related quality of life.Frontiers in psychiatry · 2026Article
- Criteria for unmet need in paediatric populations and their families: a literature-based case study in haematological malignancies in upper-middle and high-income countries.Frontiers in pediatrics · 2026Review
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeBone sarcomas often arise during adolescence, a crucial period for psychosocial development. Treatment requires local therapy, which frequently involves body-altering surgery. Therefore, we aim to evaluate this population's body image and perceived physical appearance, and explore its relationship with tumor location, surgery type for tumors around the knee, and psychological difficulties.
methodsPatients treated for pediatric bone sarcoma in the lower extremity, pelvis, or upper extremity and ≥ 2 years post-diagnosis completed the Perceived Physical Appearance Scale of the PedsQL Cancer Module (PedsQL-CM-PPA; 0 = worse,100 = good), Body Image Scale (BIS; 0 = good, 30 = worse, cut-off ≥ 10), and Emotion Thermometers (ET). The relationship with tumor location and surgery type for tumors around the knee was assessed by linear regression analyses controlled for age, sex, and time since local therapy. Pearson correlations evaluated associations with psychological difficulties (ET).
resultsPatients (n = 132, 47% female) were on average 20.5 years old and 7.8 years after local therapy. Mean PedsQL-CM-PPA score was 72.0 (SD = 23.0), with amputation patients scoring higher (81.8; p = 0.02), while rotationplasty patients (70.8) and those after limb-sparing surgery (65.9) scored similarly. Mean BIS score was 8.4 (SD = 6.8), with 37% scoring ≥ 10. BIS scores did not differ between groups. PedsQL-CM-PPA and BIS scores significantly correlated with psychosocial difficulties.
conclusionBody image, perceived physical appearance, and their relationship with psychological difficulties should be carefully addressed in counseling during shared decision-making for local therapy options and follow-up care. Since these outcomes are influenced by more than just medical factors, patient preferences and personal factors should be central to these discussions. IMPLICATIONS FOR CANCER SURVIVORS: Body image concerns and perceived physical appearance may persist long after treatment and are not solely related to surgery type. Addressing these issues in follow-up care is essential to support survivors' long-term well-being.
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