Mastectomies on the Rise for Breast Cancer: “The Tide Is Changing”

In this issue of the Annals are three articles that describe a substantial increase in the number of therapeutic mastectomies for breast cancer and an increased rate of contralateral prophylactic mastectomies. 1–3 These publications reflect a national trend that is most likely the result of multiple factors. Of these, the major influence is a change in patient attitudes and their choices as they contemplate the benefits and risks of an increasing array of surgical options for breast cancer. Simultaneously, they are exposed to better information about future risks of contralateral disease and the increasing trend to have bilateral mastectomies to achieve a cancer treatment benefit, cancer prevention, cosmetically better symmetry of their breasts, and ‘‘peace of mind,’’ all in one surgical procedure. However, these approaches are not for everyone, and it is our burden of responsibility to ensure that patients are properly informed about all their options and know the relative risks and complications so they can be fully informed as we ask them to participate in these complex decisions.

• Publication year

  2009

• Venue

  Annals of Surgical Oncology

• Publication date

  2009-07-31

• Fields of study

  Medicine

• Identifiers
  DOI 10.1245/s10434-009-0634-yPMID 19644723PMCID 2749168
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Contralateral Prophylactic Mastectomy

  2011cited by this paper
• Increasing rates of contralateral prophylactic mastectomy among patients with ductal carcinoma in situ.

  2009cited by this paper
• Predictors of contralateral breast cancer in patients with unilateral breast cancer undergoing contralateral prophylactic mastectomy

  2009cited by this paper
• Patient and Surgeon Characteristics Associated with Increased Use of Contralateral Prophylactic Mastectomy in Patients with Breast Cancer

  2009influential reference
• Diagnostic Breast Magnetic Resonance Imaging and Contralateral Prophylactic Mastectomy

  2009cited by this paper
• Are Mastectomies on the Rise? A 13-Year Trend Analysis of the Selection of Mastectomy Versus Breast Conservation Therapy in 5865 Patients

  2009cited by this paper
• Perception of screening and risk reduction surgeries in patients tested for a BRCA deleterious mutation

  2009cited by this paper
• Contralateral Prophylactic Mastectomy for Unilateral Breast Cancer: An Increasing Trend at a Single Institution

  2009influential reference
• Recent trends and predictors in immediate breast reconstruction after mastectomy in the United States.

  2009cited by this paper
• Predictors of contralateral prophylactic mastectomy in women with a BRCA1 or BRCA2 mutation: the Hereditary Breast Cancer Clinical Study Group.

  2008cited by this paper
• Increasing use of contralateral prophylactic mastectomy for breast cancer patients: a trend toward more aggressive surgical treatment.

  2007cited by this paper
• Society of Surgical Oncology: Position Statement on Prophylactic Mastectomy. Approved by the Society of Surgical Oncology Executive Council, March 2007

  2007cited by this paper
• Quality of life after contralateral prophylactic mastectomy in newly diagnosed high-risk breast cancer patients who underwent BRCA1/2 gene testing.

  2007cited by this paper
• ASCO/SSO Review of Current Role of Risk-Reducing Surgery in Common Hereditary Cancer Syndromes

  2006cited by this paper
• Breast Cancer Local Recurrence after Mastectomy and TRAM Flap Reconstruction: Incidence and Treatment Options

  2006cited by this paper
• Contentment with quality of life among breast cancer survivors with and without contralateral prophylactic mastectomy.

  2006cited by this paper
• Efficacy of prophylactic mastectomy in women with unilateral breast cancer: a cancer research network project.

  2005cited by this paper
• Patterns of Care for Immediate and Early Delayed Breast Reconstruction following Mastectomy

  2005cited by this paper
• Satisfaction after contralateral prophylactic mastectomy: the significance of mastectomy type, reconstructive complications, and body appearance.

  2005cited by this paper
• Contralateral prophylactic mastectomy

  2004cited by this paper
• Treatment and outcome of patients with chest wall recurrence after mastectomy and breast reconstruction.

  2004cited by this paper
• Results of Immediate Breast Reconstruction After Skin-Sparing Mastectomy

  2001cited by this paper

• Systematic review and meta-analysis of revision surgery following immediate implant-based breast reconstruction: re-implantation or converting to free tissue transfer?

  2026cites this paper
• Patient-driven decisions and perceptions of the ‘safest possible choice’: insights from patient-provider conversations about how some breast cancer patients choose contralateral prophylactic mastectomy

  2023cites this paper
• Superior survival for breast-conserving therapy over mastectomy in patients with breast cancer: A population-based SEER database analysis across 30 years

  2023cites this paper
• Development of an Intelligent Full-Field Polarization Sensitive Optical Coherence Tomography for Breast Cancer Classification.

  2023cites this paper
• Ductal Carcinoma in Situ in Young Women: Increasing Rates of Mastectomy and Variability in Endocrine Therapy Use

  2021cites this paper
• Understanding Stakeholder Preference for Contralateral Prophylactic Mastectomy: A Conjoint Analysis.

  2021cites this paper
• Socioeconomic Factors Associated with the Receipt of Contralateral Prophylactic Mastectomy in Women with Breast Cancer

  2020cites this paper
• Funnel usefulness in direct-to-implant breast reconstruction using periareolar incision with prepectoral implant placement and complete coverage with acellular dermal matrix.

  2020cites this paper
• Mastectomia profilática em cancro da mama hereditário: opções reconstrutivas

  2019cites this paper
• Mastectomy versus breast-conservation therapy: an examination of how individual, clinicopathologic, and physician factors influence decision-making.

  2019cites this paper
• Facilitating validation of prediction models: a comparison of manual and semi-automated validation using registry-based data of breast cancer patients in the Netherlands

  2019cites this paper
• Rising rates of bilateral mastectomy with reconstruction following neoadjuvant chemotherapy

  2018cites this paper
• Factors associated with the increasing trend of contralateral prophylactic mastectomy among patients with ductal carcinoma in situ: Analysis of Surveillance, Epidemiology, and End Results data.

  2018cites this paper
• MRI and Preoperative Staging in Women Newly Diagnosed with Breast Cancer

  2017cites this paper
• Basic Facts of Breast Cancer in Korea in 2014: The 10-Year Overall Survival Progress

  2017cites this paper
• FACTORS INFLUENCING PREFERENCE FOR SURGICAL CHOICE AMONG WOMEN WITH EARLY STAGE BREAST CANCER

  2017cites this paper
• Rising Rates of Contralateral Prophylactic Mastectomy as a Treatment for Early-Stage Breast Cancer

  2017cites this paper
• The Basic Facts of Korean Breast Cancer in 2013: Results of a Nationwide Survey and Breast Cancer Registry Database

  2016cites this paper
• Use of immediate breast reconstruction and choice for contralateral prophylactic mastectomy.

  2016cites this paper
• Role of Breast MRI in Patients with Newly Diagnosed Breast Cancer

  2016cites this paper
• Immediate Implant Reconstruction Is Associated With a Reduced Risk of Lymphedema Compared to Mastectomy Alone: A Prospective Cohort Study

  2016cites this paper
• Angiography for Preoperative Flap Planning

  2016cites this paper
• Predictors for Reconstruction and Mood Disorder Associated With Reconstruction in Patients With Breast Cancer and Mastectomy

  2016cites this paper
• Computed Tomography Angiography for Preoperative Thoracoabdominal Flap Planning.

  2016cites this paper
• Growing Use of Mastectomy for Ductal Carcinoma-In Situ of the Breast Among Young Women in the United States

  2015cites this paper
• Why Women Are Choosing Bilateral Mastectomy.

  2015cites this paper
• Breast cancer survivorship: a comprehensive review of long-term medical issues and lifestyle recommendations.

  2015cites this paper
• Incidence of Internal Mammary Lymph Nodes with Silicone Breast Implants at MR Imaging after Oncoplastic Surgery.

  2015cites this paper
• Survival Comparisons for Breast Conserving Surgery and Mastectomy Revisited: Community Experience and the Role of Radiation Therapy

  2015cites this paper
• The Basic Facts of Korean Breast Cancer in 2012: Results from a Nationwide Survey and Breast Cancer Registry Database

  2015cites this paper
• A Woman’s Decision to Choose Bilateral Mastectomy

  2015cites this paper
• Rates of Neoadjuvant Chemotherapy and Oncoplastic Surgery for Breast Cancer Surgery: A French National Survey

  2015cites this paper
• Breast-Conserving Therapy for Breast Cancer

  2015cites this paper
• Current Concepts on Preoperative Breast MRI

  2015cites this paper
• An Analysis of Treatment Patterns, Receipt of Guideline-Concordant Care, and Survival Outcomes among Elderly Women with Non-Metastatic Breast Cancer Using the SEER-Medicare Linked Dataset

  2015cites this paper
• Influences on decision for mastectomy in patients eligible for breast conserving surgery.

  2014cites this paper
• Delay of Adjuvant Chemotherapy After Elective Mastectomy and Immediate Reconstruction in Breast-conservation Candidates: A Matched-pair Analysis

  2014cites this paper
• The Basic Facts of Korean Breast Cancer in 2011: Results of a Nationwide Survey and Breast Cancer Registry Database

  2014cites this paper
• Update on imaging of the postsurgical breast.

  2014cites this paper
• Direct to implant breast reconstruction by using SERI®, preliminary report

  2014cites this paper
• Polarization-sensitive multimodal imaging for detecting breast cancer.

  2014cites this paper
• Factors associated with the frequency of initial total mastectomy: results of a multi-institutional study.

  2013cites this paper
• The Multi Centre Canadian Acellular Dermal Matrix Trial (MCCAT): study protocol for a randomized controlled trial in implant-based breast reconstruction

  2013cites this paper
• Postmastectomy Reconstruction is Associated with Improved Survival in Patients with Invasive Breast Cancer: A Single-institution Study

  2013cites this paper
• Increasing National Mastectomy Rates for the Treatment of Early Stage Breast Cancer

  2013cites this paper
• Increasing Use of Elective Mastectomy and Contralateral Prophylactic Surgery Among Breast Conservation Candidates: A 14-year Report From a Comprehensive Cancer Center

  2013cites this paper
• Quality of life before reconstructive breast surgery: FA preoperative comparison of patients with immediate, delayed, and major revision reconstruction

  2013cites this paper
• Increasing Mastectomy Rates Among all Age Groups for Early Stage Breast Cancer: A 10‐Year Study of Surgical Choice

  2012cites this paper
• Is Breast Conservation Therapy Under Siege

  2012cites this paper
• Bilateral simultaneous breast reconstruction with SGAP flaps

  2012cites this paper
• Mastectomy trends for early-stage breast cancer: a report from the EUSOMA multi-institutional European database.

  2012cites this paper
• Nipple-Areola Sparing Mastectomy Followed by Immediate Breast Reconstruction in 126 Patients

  2012cites this paper
• United States Trends in the Surgical Treatment of Primary Breast Cancer

  2012cites this paper
• Increasing incidence of bilateral mastectomies: the patient perspective.

  2011cites this paper
• Trends in the local treatment of breast cancer: Should we be worried?

  2011cites this paper
• Changes in Psychosocial Functioning 1 Year After Mastectomy Alone, Delayed Breast Reconstruction, or Immediate Breast Reconstruction

  2011cites this paper
• Surgeon Recommendations and Receipt of Mastectomy for Treatment of Breast Cancer

  2010cites this paper
• Chirurgie des cancers invasifs du sein (à l’exception de la reconstruction mammaire)

  2010cites this paper
• Are mastectomy rates really increasing in the United States?

  2010cites this paper