BACKGROUND: Numerous studies have reported increasing rates of contralateral prophylactic mastectomies (CPMs). Understanding patient rationale for the surgical choice may provide insight into this trend. METHODS: A questionnaire was mailed to 350 mastectomy patients identified from a community health system tumor registry. RESULTS: Two hundred fifty questionnaires were received; of these, 237 had undergone mastectomy. Fifty-two percent had unilateral mastectomy (UM), and 43% had bilateral mastectomies (BMs) (6% for bilateral disease). Women younger than 60 years of age were more likely to choose BM (P = .0046). Those who had CPM were significantly more likely to make the same surgical decision (P < .0001). Reconstruction was performed in 52%, with BM patients more likely to undergo reconstruction (P = .009). Twenty-three (19%) needed unanticipated reoperation for reconstruction complications. CPM had equivalent rates of unanticipated surgery versus UM (P = .64). CONCLUSIONS: Patients choosing BMs are younger, have equivalent rates of reoperation because of reconstruction complications, and are significantly more satisfied with their decision than those who chose UM.
BACKGROUND: Numerous studies have reported increasing rates of contralateral prophylactic mastectomies (CPMs). Understanding patient rationale for the surgical choice may provide insight into this trend. METHODS: A questionnaire was mailed to 350 mastectomy patients identified from a community health system tumor registry. RESULTS: Two hundred fifty questionnaires were received; of these, 237 had undergone mastectomy. Fifty-two percent had unilateral mastectomy (UM), and 43% had bilateral mastectomies (BMs) (6% for bilateral disease). Women younger than 60 years of age were more likely to choose BM (P = .0046). Those who had CPM were significantly more likely to make the same surgical decision (P < .0001). Reconstruction was performed in 52%, with BM patients more likely to undergo reconstruction (P = .009). Twenty-three (19%) needed unanticipated reoperation for reconstruction complications. CPM had equivalent rates of unanticipated surgery versus UM (P = .64). CONCLUSIONS:Patients choosing BMs are younger, have equivalent rates of reoperation because of reconstruction complications, and are significantly more satisfied with their decision than those who chose UM.
Authors: Karen Kaiser; Kenzie A Cameron; Jennifer Beaumont; Sofia F Garcia; Leilani Lacson; Margaret Moran; Lindsey Karavites; Chiara Rodgers; Swati Kulkarni; Nora M Hansen; Seema A Khan Journal: Breast Cancer Res Treat Date: 2019-03-06 Impact factor: 4.872
Authors: Peter Angelos; Isabelle Bedrosian; David M Euhus; Virginia M Herrmann; Steven J Katz; Andrea Pusic Journal: Ann Surg Oncol Date: 2015-08-11 Impact factor: 5.344
Authors: Sachiko M Oshima; Sarah D Tait; Christel Rushing; Whitney Lane; Terry Hyslop; Anaeze C Offodile; Stephanie B Wheeler; S Yousuf Zafar; Rachel Greenup; Laura J Fish Journal: JCO Oncol Pract Date: 2021-02-10