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KMID : 1134120160190020218
Journal of Breast Cancer
2016 Volume.19 No. 2 p.218 ~ p.221
Experience with Bilateral Risk-Reducing Mastectomy for an Unaffected BRCA Mutation Carrier
Yurina Maeshima

Kumiko Oseto
Ryohei Katsuragi
Yukiko Yoshimoto
Sachiko Takahara
Akira Yamauchi
Abstract
Women with BRCA1/2 mutations have a high risk of breast cancer and may opt for risk-reducing mastectomy (RRM). We report a 38-year-old Japanese woman who was diagnosed as a BRCA2 mutation carrier. She underwent prophylactic bilateral skin-sparing mastectomy (SSM) with excision of the nipple and preservation of the areola skin. It is unclear whether a bilateral RRM leads to better survival compared with intensive surveillance. The oncological risk associated with the presence of remnant breast glandular tissue after SSM or nipple-sparing mastectomy has been obscure. We report the first case of RRM for a Japanese BRCA mutation carrier and provide a literature review on risk management for BRCA mutation carriers with a focus on the concepts and procedures of RRM.
KEYWORD
Genes, BRCA2, Prophylactic surgical procedure, Subcutaneous mastectomy
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