KMID : 1134120100130040437
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Journal of Breast Cancer 2010 Volume.13 No. 4 p.437 ~ p.442
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Single-Port Access Laparoscopic Prophylactic Bilateral Salpingo-Oophorectomy in BRCA-Positive Breast Cancer Patient: A Case Report
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Kim Tae-Joong
Choi Min-Young Lee Se-Kyung Hur Sung-Mo Kim Sang-Min Koo Min-Young Bae Soo-Youn Cho Dong-Hui Choe Jun-Ho Kim Jung-Han Kim Jee-Soo Kim Byoung-Gie Bae Duk-Soo Lee Jeong-Eon Nam Seok-Jin Yang Jung-Hyun
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Abstract
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For women with a BRCA 1/2 mutation, prophylactic bilateral salpingo-oophorectomy (BSO) is known to reduce the risk of developing both ovarian and breast cancer. The increasing interest in hereditary breast cancer has recently resulted in frequent genetic testing for high-risk patients. Since breast surgeons frequently encounter BRCA-positive breast cancer patients or carriers in the outpatient clinic, it is a prerequisite that the decision of the patients and doctors should be based on a thorough understanding of the objective risk, the medical assessment and the various treatment options, including surgery and anti-cancer therapy. The risk for the ovarian cancer also makes up an important part of genetic counseling; therefore, the breast surgeons should be well aware of this. This report presents the first experience with performing single-port access laparoscopic prophylactic BSO for a BRCA-positive breast cancer patient, and this procedure was technically feasible and the patient had minimal scar. However, a future investigation is needed to properly assess the cosmetic outcome in this approach.
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KEYWORD
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BRCA2 gene mutation, Breast neoplasms, Hereditary, Laparoscopy, Salpingo-ovariectomy
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