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Breast cancer after bilateral risk-reducing mastectomy.

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TLDR
Breast cancer after bilateral risk‐reducing mastectomy in women with a history of undiagnosed breast cancer.
Abstract
This study aims to evaluate the incidence of breast cancer after risk-reducing mastectomy (RRM) in healthy BRCA mutation carriers. This study is a long-term follow-up of 307 BRCA mutation carriers of whom 96 chose RRM. None of the study participants had a previous history of breast or ovarian cancer nor had they undergone RRM or risk-reducing bilateral salpingo-oophorectomy (BSO) prior to the time of BRCA testing. The annual incidence of post-mastectomy breast cancer was 0.8% compared with 1.7% in the non-operated group. Implications of these findings in relation to genetic counseling and future management are discussed.

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Citations
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Risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women: U.S. Preventive Services Task Force recommendation statement.

TL;DR: The USPSTF recommends that primary care providers screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with 1 of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2).
Journal ArticleDOI

Prevention and screening in BRCA mutation carriers and other breast/ovarian hereditary cancer syndromes: ESMO Clinical Practice Guidelines for cancer prevention and screening

TL;DR: The aim of this work is to provide a systematic literature review and confirm the findings of the ESMO Guidelines Committee that smoking cessation in women with a history of oncology and breast cancer is associated with atypical prognosis and should be considered a risk factor for disease progression.
Journal ArticleDOI

Risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women: a systematic review to update the U.S. Preventive Services Task Force recommendation.

TL;DR: In this article, a systematic review, conducted to inform the U.S. Preventive Services Task Force, summarizes evidence about risk assessment and genetic counseling and testing for BRCA-related cancer in women.
Journal ArticleDOI

The Role of Risk-Reducing Surgery in Hereditary Breast and Ovarian Cancer

TL;DR: The risk of breast and ovarian cancer among women with mutations such as BRCA1 and BRCa2 mutations can be mitigated by operations to remove the organs at greatest risk, and data are presented to assist in deciding what operation should be performed.
References
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Journal ArticleDOI

Meta-analysis of BRCA1 and BRCA2 penetrance

TL;DR: A set of risk estimates for BRCa1 and BRCA2 mutation carriers that can be used by counselors and clinicians who are interested in advising patients based on a comprehensive set of studies rather than one specific study are provided.
Journal Article

Genetic linkage analysis in familial breast and ovarian cancer: results from 214 families. The Breast Cancer Linkage Consortium.

TL;DR: The results suggest that a gene(s) on chromosome 17q accounts for the majority of families in which both early-onset breast cancer and ovarian cancer occur but that other genes predisposing to breast cancer exist.
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