Breast cancer in BRCA mutation carriers: Breast-conserving therapy or bilateral mastectomy? Journal Article


Authors: Murphy, J. O.; Sacchini, V. S.
Article Title: Breast cancer in BRCA mutation carriers: Breast-conserving therapy or bilateral mastectomy?
Abstract: BRCA mutation carriers who are diagnosed with breast cancer can be overwhelmed with decisions. The choice between breast-conserving therapy, mastectomy or a bilateral mastectomy is often the first to be made by patients. Those who choose breast-conserving therapy are faced with an increased risk of ipsilateral breast tumor recurrence and contralateral breast cancer; however, choosing more extensive surgery increases surgical morbidity without a proven survival advantage. Additional factors that influence surgical decision-making are the use of adjuvant therapy, the role of risk-reducing salpingo-oophorectomy and the biology of the breast cancer. Advances in surgical techniques, breast reconstruction and screening must also be considered when choosing the surgical treatment for breast cancer patients with a BRCA mutation. © 2013 Future Medicine Ltd.
Journal Title: Clinical Practice
Volume: 10
Issue: 6
ISSN: 2044-9038
Publisher: Future Medicine  
Date Published: 2013-11-01
Start Page: 751
End Page: 764
Language: English
DOI: 10.2217/cpr.13.72
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 2 December 2013" - "Source: Scopus"
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  1. Virgilio Sacchini
    147 Sacchini
  2. James Oliver Murphy
    7 Murphy