Prophylactic mastectomy
• The resultant lack of knowledge drives and sustains patient
anxiety, sometimes prompting them to select mastectomy in
hopes of a cure while sacrificing cosmesis, body image, and
perhaps sexuality
•
Kiebert GM, et al, J Clin Oncol. 1991
•
Schover
LR.CACancer Journal for Clinicians. 1991
•
BRCA1/2
mutation carriers who underwent prophylactic
mastectomy reported a less favorable body image, while
70% of them reported changes in their sexual relationships.
•
Van Oostrom I, et al. Long-term psychological impact of carrying a
BRCA1/2 mutation and prophylactic surgery: a 5-year follow-up study. Journal of
Clinical Oncology.2003