title: A protocol for preventative mastectomy in women with an increased lifetime risk of breast cancer.
abstract: This paper describes a protocol for women at high risk of breast cancer wishing to undergo preventative mastectomy. The protocol described is a holistic approach to each woman involving the use of a multidisciplinary team. The protocol takes a number of months from initiation to surgery. A time delay is deliberate to allow women to fully address the issues involved with a decision for surgery. Early evidence suggests that this prepares the women emotionally and physically for their surgery.
authors.affiliation: Family History Clinic, Christie NHS Trust, Manchester, UK. flalloo@central.cmht.nwest.nhs.uk
authors.forename: F
authors.initials: F
authors.lastname: Lalloo
authors.forename: A
authors.initials: A
authors.lastname: Baildam
authors.forename: A
authors.initials: A
authors.lastname: Brain
authors.forename: P
authors.initials: P
authors.lastname: Hopwood
authors.forename: D G
authors.initials: DG
authors.lastname: Evans
authors.forename: A
authors.initials: A
authors.lastname: Howell
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000235:genetics / Q000517:prevention & control* / Q000523:psychology / Q000601:surgery; D005260:Female; D005817:Genetic Counseling; D020022:Genetic Predisposition to Disease; D006801:Humans; D008408:Mastectomy / Q000379:methods*; D012307:Risk Factors