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24.05.2016
Serving plastic surgery Atlanta patients, Artisan Plastic Surgery is a distinguished cosmetic surgery center. This is how she felt, she said, when her doctor broke the news to her that she'd tested positive for a gene mutation that put her in the high-risk category for developing breast cancer. It sounds like an extreme choice but a woman who has inherited a harmful mutation of either the BRCA1 or BRCA2 gene is about five times more likely than average to develop breast cancer and up to 40 percent more likely to develop ovarian cancer, according to the National Cancer Institute. In one recent study that followed nearly 2,500 women who carried one of the two dangerous gene variants, having a double mastectomy did appear to lower their risk of breast cancer.
But even though the data show a preemptive strike against breast cancer can improve the chances of survival in women with inherited risk, some medical experts are concerned that instead of fighting to save their breasts as they did in the past, many women are choosing to remove them at the slightest whiff of cancer. The Journal of Clinical Oncology reported a 188 percent jump in the surgery between 1998 and 2005 among women given a new diagnosis in one breast of ductal carcinoma in situ, or DCIS, the "stage zero" cancer. Kim stressed that there is no evidence to support the idea that removing both breasts after a diagnosis of breast cancer increases survival rate.


Kim said that breast cancer survival is less affected by how much of the breast tissue is removed than by how aggressive the cancer is and how much it has spread at the time of surgery. And even when it's a proven cancer-avoidance tactic, Horn said the decision to remove your breasts is not an easy one. Her doctor told her she could monitor her health with frequent screening to put off the surgery but ultimately Horn felt it was the only choice she could make. Please note that these photos are typical results, and individual results may vary between one person to another.
Their female plastic surgeons are dedicated to helping patients achieve beautiful, natural-looking results through procedures such as Atlanta facelift, eyelid lift, tummy tuck, and liposuction. So at the age of 21, Horn chose to undergo double-mastectomy surgery to remove both her breasts and, hopefully, the future threat of cancer. Stars like actress Christina Applegate, talk-show host Sharon Osborne and, most recently, Oscar-winner Angelina Jolie have revealed that they, too, have chosen to preemptively removed their breasts because of a strong genetic predisposition for breast cancer.


Experts increasingly believe that removing as much breast tissue as possible can be a lifesaving strategy. Mehra Golshan, director of Breast Surgical Services at the Dana-Farber Cancer Institute and Brigham and Women's Hospital in Boston explained it, "For women who know in advance there is a good chance they will develop breast cancer sooner or later, having prophylactic surgery can make sense.
None of the women who opted to have their breasts or ovaries removed were diagnosed with breast cancer in the three decades they were followed, while 7 percent of those who chose not to have surgery were. And indeed, one recent University of Michigan study found that 70 percent of women who had both breasts removed following a breast cancer diagnosis did not get any benefit from the procedure because their risk of developing cancer in the healthy breast was no greater than in women without cancer. If the disease has spread into lymph nodes and the blood stream by the time of surgery then removing more breast tissue will not affect a patient's outcome, he noted.



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