Abstract
Until recently few patients at The University of Texas M. D. Anderson Cancer Center (MDACC) underwent “prophylactic mastectomy”—elective removal of what was thought to be a normal breast. The small group who did undergo this procedure included patients with a strong family history of breast cancer and thus a markedly increased risk of developing the disease and the occasional patient electing a contralateral mastectomy at the time of treatment of an index breast cancer. The typical patient in the latter group was an older woman with extremely large and pendulous breasts who wished to avoid the anticipated asymmetry. Overall, only two or three patients per year underwent removal of a normal breast even though many patients were at high risk because of a strong family history or a previous breast biopsy that revealed atypia or lobular carcinoma in situ.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Lynch HT, Lemon SJ, Durham C, et al. A descriptive study of BRCA1 testing and reactions to disclosure of test results. Cancer 1997;79:2219–2228.
Anderson DE, Badzioch MD. Bilaterality in familial breast cancer patients. Cancer 1985;56:2092–2098.
Claus EB, Risch NJ, Thompson WD. Age at onset as an indicator of familial risk of breast cancer. Am J Epidemiol 1990;131:961–972.
Schusterman MA, Kroll SS, Miller MJ, et al. The free TRAM flap for breast reconstruction: one center’s experience with 211 consecutive cases. Ann Plast Surg 1994;32:234–241.
Easton DF, Bishop DT, Ford D, et al. Genetic linkage analysis in familial breast and ovarian cancer: results from 214 families: the Breast Cancer Linkage Consortium. Am J Hum Genet 1993;52:678–701.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer-Verlag New York, Inc.
About this chapter
Cite this chapter
Ames, F.C. (1999). Prophylactic Mastectomy. In: Singletary, S.E. (eds) Breast Cancer. M.D. Anderson Solid Tumor Oncology Series. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2146-3_10
Download citation
DOI: https://doi.org/10.1007/978-1-4612-2146-3_10
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-7432-2
Online ISBN: 978-1-4612-2146-3
eBook Packages: Springer Book Archive