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Related Experiment Videos

Women's regrets after bilateral prophylactic mastectomy.

D K Payne1, C Biggs, K N Tran

  • 1Barbara White Fishman Center for Psychological Counseling of the Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA. payned@mskcc.org

Annals of Surgical Oncology
|April 13, 2000
PubMed
Summary

Bilateral prophylactic mastectomy (PM) reduces breast cancer risk, but some women regret the procedure due to psychological distress and lack of support. Careful evaluation and support are crucial for women considering PM.

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Area of Science:

  • Oncology
  • Preventive Medicine
  • Psychosocial Oncology

Background:

  • Primary prevention of breast cancer includes chemoprevention and bilateral prophylactic mastectomy (PM).
  • These strategies are increasingly considered for high-risk women.
  • Bilateral PM aims to significantly reduce breast cancer incidence.

Purpose of the Study:

  • To investigate the experiences and regrets of women who underwent bilateral prophylactic mastectomy (PM).
  • To identify factors contributing to regret after PM.
  • To provide recommendations for improving patient care and outcomes.

Main Methods:

  • Analysis of data from the Memorial Sloan-Kettering Cancer Center National Prophylactic Mastectomy Registry.
  • Interviews with 19 women who expressed regrets after undergoing PM.

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  • Psychiatric and psychological assessment of women's experiences.

    • Main Results:

    • Physician-initiated discussion was a common factor in the decision for PM.
    • Most regrets stemmed from psychological distress and inadequate support.
    • Other regrets included cosmetic concerns, surgical complications, pain, and sexual dysfunction.

    Conclusions:

    • Bilateral PM reduces breast cancer risk but can lead to physical and psychological sequelae.
    • Comprehensive pre- and post-operative evaluation, education, and support are essential.
    • Recommendations are provided for surgical and psychiatric assessment of candidates for risk-reducing PM.