WASHINGTON, May 21, 2014 (AFP) – Women diagnosed with cancer in one breast often face a difficult decision of whether to surgically remove both, and a study Wednesday found double mastectomies may be performed too often. The surgery does not increase survival in most women, and is typically recommended for about 10 percent of women considered at high risk for breast cancer.
Some 69 percent of women who underwent surgery to remove a healthy breast did not have major family or genetic risk factors, said the study in the Journal of the American Medical Association.
Meanwhile, just a quarter of women who did face a higher risk of future cancer had the recommended surgery to remove both breasts, known as a contralateral prophylactic mastectomy. Women with certain mutations in the BRCA1 and BRCA2 genes, or who have a strong family history of breast cancer are usually counseled to have both breasts removed after a diagnosis in one, to avoid a recurrence.
The research was based on a sample of 1,447 US women, average age 59, who were diagnosed with stage 1-3 cancer in one breast. Nearly eight percent of the women had both breasts removed, 35 percent had just the affected breast removed, and nearly 58 percent had breast conservation surgery, in which only the lump is taken out. Researchers found that women with higher education levels were more likely to choose contralateral prophylactic mastectomy, with concern about the disease surfacing in the healthy breast listed as a main factor in their decision.
These women could be driving a rise in double mastectomy surgeries over the past decade, even though the procedure carries an increased risk of surgical complications and a longer recovery time, researchers said.
Hawley and colleagues noted that their data was based on information obtained from surveys in Los Angeles and Detroit, and may not be generalizable to all areas.
In addition, the information was based on patients’ self-reports, and inaccurate recall of genetic testing and results could have skewed the figures, they said.
An accompanying editorial by Shoshana Rosenberg and Ann Partridge of the Dana-Farber Cancer Institute in Boston, pointed out the emotional complexities that women face after receiving a diagnosis of breast cancer. Medical Observer understands how important the privacy of personal information is to our users. This Privacy Policy applies to Web sites owned and operated by Medical Observer that are intended for use by consumers, for non-commercial personal, family or household purposes including the mobile optimized version of this site. References to Medical Observer mean Mosman NewMedia Inc., including any company that Mosman NewMedia Inc. If you choose to register or update your Medical Observer newsletter subscription or access certain functionality on the Medical Observer Web Site, you may be required to submit Personal Information.
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Press your menu button and find the option to bookmark this page (a star icon for some browsers). McIver helped Melania Trump write the speech, and said in the statement she included lines from Michelle Obama’s speech by mistake after Melania Trump read them to her over the phone as an example of people who inspired her.
Former House Speaker Newt Gingrich, who is scheduled to speak Wednesday night at the convention, weighed in by saying the plagiarism was being overblown. He suggested that if a Democrat had been caught lifting parts of someone’s speech the news media would not be nearly as concerned. During an interview with CNN, Gingrich was asked if her lifting passages from Michelle Obama’s 2008 speech is a problem for the campaign.
A study by the Media Research Center released Wednesday shows that the networks obsessively covered the Melania Trump plagiarism scandal but went easy on then Sen.
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I wrote them down and later included some of the phrasing in the draft that ultimately became the final speech. If you do not want us to use the random number for the purposes for which we use Cookies, please do not use the Mobile Device App, and please use your mobile device browser to access the Medical Observer website or our mobile optimized sites. In addition, if you see a phrase such as "Powered by" or "in association with" followed by the name of a company other than Medical Observer, then you are on a web site hosted by a company other than Medical Observer. We do not obtain any information about your mobile device, other than the brand, make and model and type of operating software your device uses. This was my mistake, and I feel terrible for the chaos I have caused Melania and the Trumps, as well as to Mrs.



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