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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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