Contralateral prophylactic mastectomy in breast cancer: What to discuss with patients Review
| Authors: | Montagna, G.; Morrow, M. |
| Review Title: | Contralateral prophylactic mastectomy in breast cancer: What to discuss with patients |
| Abstract: | Introduction: The contralateral prophylactic mastectomy (CPM) rate in the U.S. has been steadily increasing. This is of particular concern because many women who undergo this procedure are candidates for breast-conserving surgery. Areas covered: CPM’s medical benefit is related to the risk of contralateral cancer development and whether CPM provides a survival benefit. Contralateral cancer rates have decreased, and CPM does not provide a survival benefit. Other potential benefits of the procedure may be improved quality of life; these data are reviewed. Research efforts have been undertaken to better understand the decision-making process of patients who consider, and ultimately undergo, this procedure. Expert opinion: Decisional traits, personal values, the desire for peace of mind, and the desire to obtain breast symmetry are important factors that drive a woman’s decision to undergo CPM. Additionally, many patients lack the knowledge on how different types of breast surgery impact outcomes. To improve the shared decision-making process, a stepwise approach to address possible misconceptions, and clarify the real risks/benefits of this procedure should be utilized. A clear recommendation (for/against) should be made for every patient with newly diagnosed breast cancer who considers CPM. Communication tools to assist patients and surgeons in this process are sorely needed. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group. |
| Keywords: | patient education; contralateral prophylactic mastectomy; shared decision making; benefits; harms |
| Journal Title: | Expert Review of Anticancer Therapy |
| Volume: | 20 |
| Issue: | 3 |
| ISSN: | 1473-7140 |
| Publisher: | Taylor & Francis Group |
| Date Published: | 2020-01-01 |
| Start Page: | 159 |
| End Page: | 166 |
| Language: | English |
| DOI: | 10.1080/14737140.2020.1732213 |
| PUBMED: | 32077338 |
| PROVIDER: | scopus |
| PMCID: | PMC7193761 |
| DOI/URL: | |
| Notes: | Review -- Export Date: 1 April 2020 -- Source: Scopus |
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