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The
majority of these studies focused on the influences of breast cancer and its
treatment on HRQOL and analyzed the impact of sociodemographic and clinical
data 17, 19–26, 28, or examining the knowledge, attitude and perceptions of
women with breast cancer towards their HRQOL 16.

Health
related quality of life has become an important outcome measure in the
treatment of cancer patients during the last decade.  It is a multidimensional construct encompassing
several domains of health such as physical, emotional, social and functional
wellbeing 1, 2.   Recently, HRQOL has been considered as
an important endpoint for women diagnosed and living with breast cancer and the
HRQOL is receiving more and more attention from researchers. As it facilitate
doctor – patient communication, and can be used as diagnostic tools for
problem- oriented follow – up care, and as strong predictors of survival 6,7. Therefore, several studies that
assessed HRQOL have been conducted in various Arab countries: Egypt, 17–19
United Arab Emirates, 20 Kuwait, 21 Tunisia, 22 Yemen, 23 Lebanon, 24
Bahrain, 25, 26 Morocco, 27, Jordan. 28, and Saudi Arabia 29, 30.

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Breast cancer-related lymphedema
(BCRL) is the most common complications reported following breast cancer surgeries
and therapy. The reported incidence of BCRL varies greatly and ranges between
2% and 83% 13-17. These variations in incidence are largely depended on the definition,
duration of lymphedema and measurement tools. BCRL is
not a life threating condition, however, it has a significant impact on the
patient’s emotional, physical, social and psychological aspect, with subsequent
influencing on quality of life (QOL). Lymphedema affects many social aspects of
the participants’ lives such as role function, lack of social support, and pain
and disability 36-44. Collectively, these problems place an increased stress
on the entire body and are associated with poor treatment outcomes 4-7.

Breast cancer is
the most common
cause of cancer
among women worldwide
1. Breast
cancer accounts for 25.1% of the female cancer in Saudi Arabia 2. Due
to early detection and improvements in diagnostics and treatment regimes, the
survival rate of breast cancer women is increased. The 5 year survivals for the younger
(

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