Prophylactic bilateral mastectomy and contralateral prophylactic mastectomy

Surg Oncol Clin N Am. 2014 Jul;23(3):423-30. doi: 10.1016/j.soc.2014.03.008. Epub 2014 Apr 14.

Abstract

With increasing public awareness of the risk for breast cancer and modern techniques of reconstruction, the option of surgical prophylaxis for risk reduction is becoming increasingly popular. Bilateral prophylactic mastectomy for women at increased risk of developing breast cancer and contralateral prophylactic mastectomy for those with unilateral breast cancer seeking symmetry, risk reduction, and ease of follow-up are acceptable options for many women. However, prophylactic surgery is not an inconsequential decision, and careful consideration should be given to the risks and benefits of such procedures.

Keywords: Breast cancer; Prophylactic mastectomy; Risk; Surgery.

Publication types

  • Review

MeSH terms

  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / genetics
  • Breast Neoplasms / prevention & control*
  • Breast Neoplasms / surgery
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Mastectomy* / methods
  • Mastectomy* / psychology
  • Prophylactic Surgical Procedures*
  • Risk Assessment
  • Risk Reduction Behavior