An interaction between psychological attitude and outcome in early-stage br
east cancer has been postulated, with a possible explanation related to the
presumed tendency of depressed patients to be less proactive in obtaining
health care. We report on the degree of acceptance of adjuvant chemotherapy
in patients with breast cancer who have concomitant depression, Only 20 (5
1.3%) of the study group accepted and received the proposed chemotherapy co
mpared with 75 (92.2%) of the control group (p<0.0001). Treatment of depres
sion might be essential for tailoring adjuvant treatments with chemotherapy
.