![]() Having a prophylactic mastectomy before the cancer develops might add many years to their lives. Most women with a BRCA1 or BRCA2 gene mutation will develop breast cancer at some point. Unfortunately there’s no way to know for sure ahead of time if a woman will benefit from this surgery. ![]() For women at very high risk of breast cancerįor women in this group, removing both breasts (known as a bilateral prophylactic mastectomy) before cancer is diagnosed can greatly reduce (but not eliminate) the risk of getting breast cancer. The breast cells that are left behind might still go on to become cancer.Ī prophylactic mastectomy might be considered in two main situations. This is because it's not possible to remove all breast cells, even with a mastectomy. There are different types of mastectomies that might be options.Ī prophylactic mastectomy can lower breast cancer risk by 90% or more, but it doesn’t guarantee that you will not get breast cancer. Prophylactic mastectomyĪ prophylactic mastectomy is surgery to remove one or both breasts to lower the chances of getting breast cancer. Because of this, preventive surgery is not usually a good option for women who are at average risk of breast cancer, or for those who are at only slightly increased risk.įor women who are known (or strongly suspected) to have a BRCA1 or BRCA2 gene mutation, a prophylactic oophorectomy (removal of the ovaries) might be recommended as well. Like any type of surgery, a mastectomy can have risks and side effects, some of which could affect your quality of life. ![]() Have (or have had) cancer in one breast (especially if you also have a strong family history).Had radiation therapy to the chest before age 30.Have a strong family history of breast cancer (such as breast cancer in several close relatives, or breast cancer in at least one relative at a young age).Have a mutation in the BRCA1 or BRCA2 gene (or certain other genes that increase breast cancer risk) that is found by genetic testing.You might consider preventive surgery if you: Should I consider surgery to lower my risk of breast cancer? This study qualifies its use in patients with higher-than-average risk factors for more extensive reconstructive modalities, proving to be a safe and effective technique.Some women who have a very high risk of breast cancer may choose preventive surgery to remove their breasts ( prophylactic mastectomy) to lower their risk. Post-operative radiation therapy was associated with a higher rate of mastectomy flap dehiscence (p=0.0190).ĬONCLUSIONS: Goldilocks breast reconstruction is an ideal option in patients with higher than average BMI or excess local breast tissue, or in patients meeting these criteria preferring a single-stage reconstruction. Obese patients were more likely to undergo the Goldilocks Only procedure (p=0.0218). A statistically-significant higher rate of seroma occurrence was identified in the Goldilocks + Implant group (p=0.0145). Overall complication rate was 11.0% (seroma=6, hematoma=4, cellulitis=4, wound dehiscence=4, DVT/PE=1). RESULTS: A total of 95 patients (172 breasts) were included in this study. Aesthetic outcomes were also assessed in those with postoperative imaging available. Univariate and multivariate analysis was conducted to analyze factor predictive of poor outcomes between sub-groups. Reconstructive approach was divided into three groups and analyzed comparatively: Goldilocks Only, Goldilocks + Tissue Expander, and Goldilocks + Implant. METHODS: Comprehensive review of every patient who underwent Goldilocks mastectomy from 2012-2018 included relevant medical and surgical comorbidities, as well as complication profiles. The purpose of this study was to provide outcomes data for 172 Goldilocks mastectomy procedures performed at a single tertiary academic center analyzing indications, complications, relevant comorbidities, and adjuvant cancer treatment impacting reconstructive and aesthetic outcomes. ![]() Manrique, MD 2, Jorys Martinez-Jorge, MD 2.ġMayo Clinic School of Medicine, Rochester, MN, USA, 2Mayo Clinic, Rochester, MN, USA.īACKGROUND: The Goldilocks mastectomy procedure involves local contouring of completely autologous breast tissue created by preserving and de-epithelializing the residual mastectomy flaps. Oliver, BA 1, Arif Chaudhry, MD 2, Krishna S. Outcomes Analysis of Goldilocks Mastectomy and Breast Reconstruction: A Single Institution Experience of 172 Cases
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