title: A case of deceptive mastectomy.
abstract: This paper poses the question, "what are providers' obligations to patients who lie?" This question is explored through the lens of a specific case: a 26-year-old woman who requests prophylactic bilateral mastectomy with reconstruction reports a significant and dramatic family history, but does not want to undergo genetic testing. Using a conversational-style discussion, the case is explored by a breast surgeon, genetic counselor/medical geneticist, clinical psychologist, chair of a hospital ethics committee and director of a clinical ethics consultation service.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Volpe
authors.forename: Maria
authors.initials: M
authors.lastname: Baker
authors.forename: George F
authors.initials: GF
authors.lastname: Blackall
authors.forename: Gordon
authors.initials: G
authors.lastname: Kauffman
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Green
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000517:prevention & control / Q000523:psychology; D008192:Deception; D017558:Elective Surgical Procedures / Q000941:ethics*; D004992:Ethics, Medical; D005190:Family; D005260:Female; D005820:Genetic Testing; D006801:Humans; D008408:Mastectomy / Q000941:ethics*