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Related Experiment Video

Updated: Jul 19, 2025

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Contralateral Prophylactic Mastectomy Decision-Making: The Partners' Perspective.

Amanda L Nash1,2, Diane L Bloom3, Brittany M Chapman4

  • 1Department of Surgery, Duke University Medical Center, Durham, NC, USA. amanda.nash@duke.edu.

Annals of Surgical Oncology
|August 12, 2023
PubMed
Summary
This summary is machine-generated.

Partners of women undergoing contralateral prophylactic mastectomy (CPM) often viewed the decision as life or death, struggling with communication about physical and emotional changes. Including partners in counseling may improve outcomes.

Keywords:
Contralateral prophylactic mastectomyDecision-makingExperiencePartnerRole

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Area of Science:

  • Oncology
  • Psychosocial Oncology
  • Surgical Oncology

Background:

  • Contralateral prophylactic mastectomy (CPM) rates are increasing without survival benefits.
  • CPM poses risks of surgical complications and negatively impacts quality of life.
  • This study investigates the perspectives of partners whose wives underwent CPM.

Purpose of the Study:

  • To explore the experiences and perceptions of male partners of women undergoing CPM.
  • To understand the role of partners in the decision-making process for CPM.
  • To identify challenges couples face regarding intimacy and recovery after CPM.

Main Methods:

  • Qualitative study involving in-depth interviews with partners of women with early-stage, low-genetic-risk unilateral breast cancer.
  • Semi-structured topic guide used for interviews.
  • Thematic analysis of interview data.

Main Results:

  • Fifteen male partners were interviewed; most felt their role was strong and logical.
  • Partners often framed the CPM decision as life or death, overshadowing aesthetic concerns.
  • Partners experienced difficulty discussing physical/emotional changes, impacting couple intimacy and communication.
  • Some partners reported stress managing home life during early recovery.

Conclusions:

  • Male partners' experiences offer insights into couple's navigation of complex treatment decisions.
  • Pre- and post-surgical counseling involving partners could mitigate miscommunication about CPM outcomes.
  • Addressing partners' perspectives is crucial for holistic patient care and support.