Pamela R. Portschy, MD; Todd M. Tuttle, MD, MS
Potential Conflicts of Interest: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-1840.
Requests for Single Reprints: Todd M. Tuttle, MD, MS, Department of Surgery, University of Minnesota, 420 Delaware Street, Mayo Mail Code 195, Minneapolis, MN 55455; e-mail, email@example.com.
Current Author Addresses: Drs. Portschy and Tuttle: Department of Surgery, University of Minnesota, 420 Delaware Street, Mayo Mail Code 195, Minneapolis, MN 55455.
Portschy PR, Tuttle TM. Contralateral Prophylactic Mastectomy: Perceptions Versus Reality. Ann Intern Med. 2013;159:428-429. doi: 10.7326/0003-4819-159-6-201309170-00011
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Published: Ann Intern Med. 2013;159(6):428-429.
The important and timely study by Rosenberg and colleagues in this issue (1) evaluated preferences, knowledge, decision making, and experiences of young women with breast cancer who chose contralateral prophylactic mastectomy (CPM). The authors concluded that young women who have the procedure markedly overestimate their risk for contralateral breast cancer (CBC). Other studies have reported that a substantial proportion of women overestimate their risk for breast cancer events. For example, in a study of 200 women without breast cancer, Black and coworkers (2) reported that respondents overestimated their probability of dying of the disease by more than 20-fold compared with probabilities derived from the Gail model. In another survey study of patients with ductal carcinoma in situ, Rakovitch and associates reported that the mean patient-perceived risk for death from breast cancer was 27% (3). Abbott and colleagues (4) recently published the results of a prospective single-center study designed to determine women's perceived risk for CBC. Patients completed a standardized survey before surgical consultation and were asked to estimate their risk for CBC. They substantially overestimated their 10-year cumulative risk, with a mean perceived risk of 31.4%.
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Hematology/Oncology, Breast Cancer, Cancer Screening/Prevention, Prevention/Screening.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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