Perceptions of Contralateral Breast Cancer Risk: A Prospective, Longitudinal Study

Annals of Surgical Oncology
Pamela R PortschyTodd M Tuttle

Abstract

An increasing proportion of breast cancer patients undergo contralateral prophylactic mastectomy (CPM) to reduce their risk of contralateral breast cancer (CBC). Our goal was to evaluate CBC risk perception changes over time among breast cancer patients. We conducted a prospective, longitudinal study of women with newly diagnosed unilateral breast cancer. Patients completed a survey before and approximately 2 years after treatment. Survey questions used open-ended responses or 5-point Likert scale scoring (e.g., 5 = very likely, 1 = not at all likely). A total of 74 women completed the presurgical treatment survey, and 43 completed the postsurgical treatment survey. Baseline characteristics were not significantly different between responders and nonresponders of the follow-up survey. The mean estimated 10-year risk of CBC was 35.7 % on the presurgical treatment survey and 13.8 % on the postsurgical treatment survey (p < 0.001). The perceived risks of developing cancer in the same breast and elsewhere in the body significantly decreased between surveys. Both CPM and non-CPM (breast-conserving surgery or unilateral mastectomy) patients' perceived risk of CBC significantly decreased from pre- to postsurgical treatment surveys. Com...Continue Reading

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Citations

Mar 21, 2016·Medical Dosimetry : Official Journal of the American Association of Medical Dosimetrists·Uma GoyalGeorgi N Georgiev
Feb 2, 2017·BMC Women's Health·Dadrie F BaptisteMonet W Bowling
Mar 8, 2018·Breast Cancer Research and Treatment·Marzana ChowdhurySwati Biswas
Mar 7, 2019·Breast Cancer Research and Treatment·Karen KaiserSeema A Khan
Dec 19, 2019·Breast Cancer Research : BCR·Daniele GiardielloMarjanka K Schmidt
Feb 11, 2021·JAMA Surgery·David W LimSteven A Narod
Dec 11, 2020·NPJ Breast Cancer·Daniele GiardielloMarjanka K Schmidt
May 28, 2021·British Journal of Cancer·Vasily GiannakeasSteven A Narod

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