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Editorials |

Contralateral Prophylactic Mastectomy: Perceptions Versus Reality

Pamela R. Portschy, MD; and Todd M. Tuttle, MD, MS
[+] Article, Author, and Disclosure Information

From University of Minnesota, Minneapolis, Minnesota.

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, tuttl006@umn.edu.

Current Author Addresses: Drs. Portschy and Tuttle: Department of Surgery, University of Minnesota, 420 Delaware Street, Mayo Mail Code 195, Minneapolis, MN 55455.

Ann Intern Med. 2013;159(6):428-429. doi:10.7326/0003-4819-159-6-201309170-00011
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In this issue, Rosenberg and colleagues evaluated preferences, knowledge, decision making, and experiences of young women with breast cancer who chose contralateral prophylactic mastectomy and found that these women markedly overestimate their risk for contralateral breast cancer. The editorialists discuss the study and its findings and conclude that the discordance between patient perceptions and realistic expectations provides a teachable opportunity for physicians treating patients newly diagnosed with breast cancer.

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