title: Decision-Making in the Surgical Treatment of Breast Cancer: Factors Influencing Women's Choices for Mastectomy and Breast Conserving Surgery.
abstract: One of the most difficult decisions a woman can be faced with when choosing breast cancer treatment is whether or not to undergo breast conserving surgery or mastectomy. The factors that influence these treatment decisions are complex and involve issues regarding access to health care, concerns for cancer recurrence, and the impact of surgery on body image and sexuality. Understanding these factors will help practitioners to improve patient education and to better guide patients through this decision-making process. Although significant scientific and societal advances have been made in improving women's choices for the breast cancer treatment, there are still deficits in the decision-making processes surrounding the surgical treatment of breast cancer. Further research is needed to define optimal patient education and shared decision-making practices in this area.
authors.affiliation: Department of General and Oncologic Surgery, University of Maryland , Baltimore, MD , USA.
authors.forename: Emily Catherine
authors.initials: EC
authors.lastname: Bellavance
authors.affiliation: Department of General and Oncologic Surgery, University of Maryland , Baltimore, MD , USA.
authors.forename: Susan Beth
authors.initials: SB
authors.lastname: Kesmodel
keywords: breast cancer; breast conserving surgery; contralateral prophylactic mastectomy; mastectomy; shared decision-making