Skip to content
My WebMD Sign In, Sign Up

Breast Cancer Health Center

Select An Article
Font Size

Breast Cancer and Preventive Mastectomy

(continued)

Who Should Have a Preventive Mastectomy?

According to the Society of Surgical Oncology, only those women who are at very high risk of breast cancer should consider preventive mastectomy. This includes women with one or more of the following risk factors:

  • Mutated BRCA genes
  • Previous cancer in one breast and a strong family history of breast cancer
  • History of lobular carcinoma in situ (LCIS)

Preventive mastectomy should only be considered after you've received the appropriate genetic and psychological counseling to discuss the psychosocial impacts of the procedure.

What Are My Options for Breast Cancer Surgery?

For women who choose prophylactic mastectomy, several new and important surgical options have become available.

It is now possible to remove breast tissue using skin-sparing techniques in which the underlying breast tissue is removed from just under the skin, down to the chest wall. This technique removes the vast majority of the glands where breast cancer may be likely to develop. The nipple and surrounding tissue, called the areola, are removed, because the ducts converge toward the nipple, creating a concentrated area of duct tissue. However, the skin of the breast is spared, preserving the breast skin envelope.

When skin-sparing mastectomy is combined with immediate breast reconstruction, the results can be excellent. Women who choose prophylactic mastectomy, often combined with immediate reconstruction, are very pleased, not only with their choice but also the reconstruction.

While surgery is not an approach that should be advocated for all high-risk individuals, it can be very important for some women.

 It is important that you talk to your doctor to learn about all your options.

1|2

WebMD Medical Reference

Reviewed by Angela Jain on June 19, 2014
Next Article:

Today on WebMD

Breast Cancer Overview
From self-exams and biopsies to reconstruction, we’ve got you covered.
Dealing with breast cancer
Get answers to your questions.
 
woman having mammogram
Experts don’t agree on all fronts, but you can be your own advocate.
woman undergoing breast cancer test
Many women worry. But the truth? Most abnormalities aren’t breast cancer.
 
Breast Cancer Treatments Improving
VIDEO
Resolved To Quit Smoking
SLIDESHOW
 
Woman getting mammogram
Article
Screening Tests for Women
SLIDESHOW
 
ovarian cancer overview slideshow
SLIDESHOW
serious woman
Article
 
what is your cancer risk
HEALTH CHECK
10 Ways to Revitalize Slideshow
SLIDESHOW