Time to decide about risk-reducing mastectomy: A case series of BRCA1-2 gene mutation carriersReportar como inadecuado




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BMC Women-s Health

, 7:3

First Online: 06 March 2007Received: 17 July 2006Accepted: 06 March 2007

Abstract

BackgroundThe purpose of this research was to explore women-s decision-making experiences related to the option of risk-reducing mastectomy RM, using a case series of three women who are carriers of a BRCA1-2 gene mutation.

MethodsData was collected in a pilot study that assessed the response of women to an information booklet about RM and decision-making support strategies. A detailed analysis of three women-s descriptions of their decision-making processes and outcomes was conducted.

ResultsAll three women were carriers of a BRCA1-2 gene mutation and, although undecided, were leaning towards RM when initially assessed. Each woman reported a different RM decision outcome at last follow-up. Case #1 decided not to have RM, stating that RM was -too radical- and early detection methods were an effective strategy for dealing with breast cancer risk. Case #2 remained undecided about RM and, over time, she became less prepared to make a decision because she felt she did not have sufficient information about surgical effects. Case #3 had undergone RM by the time of her second follow-up interview and reported that she felt -a load off her mind now-.

ConclusionRM decision making may shift over time and require decision support over an extended period.

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Autor: Mary McCullum - Joan L Bottorff - Mary Kelly - Stephanie A Kieffer - Lynda G Balneaves

Fuente: https://link.springer.com/







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