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Time to decide about risk-reducing mastectomy: A case series of BRCA1/2 gene mutation carriers

BioMed Central

Background: The 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. Methods: Data 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. Results: All 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". Conclusion: RM decision making may shift over time and require decision support over an extended period.

Text

2016-02-04

Attribution 4.0 International (CC BY 4.0)

http://hdl.handle.net/2429/56903

BMC Women's Health. 2007 Mar 06;7(1):3

Reviewed

McCullum et al.

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