Prophylactic mastectomy: who needs it, when and why.
نویسندگان
چکیده
Prophylactic mastectomy generally occurs in two different patient populations: (1) high-risk women without breast cancer who undergo bilateral prophylactic mastectomy (BPM) to reduce their risk of developing breast cancer and (2) women with unilateral breast cancer who choose contralateral prophylactic mastectomy (CPM) to prevent cancer in the contralateral breast. The purpose of this article is to review the indications, outcomes, and trends in the use of BPM and CPM.
منابع مشابه
Psychosocial Implications of Prophylactic Bilateral Mastectomy
Introduction: The removal of healthy breast tissue to prevent the development of breast cancer is seen by many to be a radical surgical intervention. As the numbers of women contemplating such surgery are increasing it is essential that the psychological costs and benefits of prophylactic bilateral mastectomy are established. Aims: This prospective study aims to measure psychological morbidity,...
متن کاملWhat women wish they knew before prophylactic mastectomy.
Although prophylactic mastectomy significantly reduces the incidence and recurrence of breast cancer, little is known about women's information needs before the procedure. We surveyed 967 women, from 6 healthcare systems, with bilateral or contralateral prophylactic mastectomy performed between 1979 and 1999. There were 2 open-ended questions: "What one thing do you wish you had known before yo...
متن کاملDecision making, psychological wellbeing and psychosocial outcomes for high risk women who choose to undergo bilateral prophylactic mastectomy - A review of the literature.
A bilateral prophylactic, or preventative, mastectomy (BPM) for women at high risk of developing breast cancer (BC) can reduce their risk of developing the disease by up to 90% (relative risk reduction). An increasing number of women, including young women, are taking up this option. However, there is a dearth of information for younger women (under 40 years) choosing preventative mastectomy. I...
متن کاملBreast Cancer Development after Prophylactic Subcutaneous Mastectomy: A Case Report
Following prophylactic mastectomy (aka bilateral risk-reducing mastectomy), the incidence of breast carcinoma is presumably not more than 2% [1]. The studies by Pennisi and Capozzi [2] and Woods [3], among several others, reported that a few out of more than 1,000 patients in their studies (prophylactic subcutaneous mastectomy) developed breast cancer after years of follow-up (incidence rate 0....
متن کاملThe Use of Sentinel Lymph Node Biopsy in BRCA1/2 Mutation Carriers Undergoing Prophylactic Mastectomy: A Retrospective Consecutive Case-Series Study
Introduction Sentinel lymph node biopsy in prophylactic mastectomy is controversial. It avoids lymphadenectomy in occult carcinoma but is associated with increased morbidity. Women with BRCA mutations have a higher incidence of occult carcinoma and our objective was to assess the clinical utility of sentinel lymph node biopsy when these women undergo prophylactic mastectomy. Materials and Met...
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ورودعنوان ژورنال:
- Journal of surgical oncology
دوره 111 1 شماره
صفحات -
تاریخ انتشار 2015