Trends in Contralateral Prophylactic Mastectomy and Use of Immediate Breast Reconstruction

Nationally, the rates of contralateral prophylactic mastectomy (CPM) have increased. A study analyzed trends in the rates of CPM and immediate breast reconstruction (IBR) in women with newly diagnosed unilateral stages 0-III breast cancer from January 2009 to December 2014. Of 3,195 patients who underwent breast cancer surgery, 51% had a lumpectomy and 49% had a therapeutic mastectomy. Fifty-three percent of patients who underwent therapeutic mastectomy underwent bilateral mastectomy. It was found that the use of IBR substantially increased for those undergoing therapeutic mastectomy, and patients undergoing IBR were considerably more likely to choose bilateral mastectomy. The accessibility of IBR may effect patient decisions to have a bilateral mastectomy.

Hoskin TL, Hieken TJ, Degnim AC, Jakub JW, Jacobson SR, Boughey JC. Use of immediate breast reconstruction and choice for contralateral prophylactic mastectomy. Surgery. 2016;159(4):1199-1209. doi:10.1016/j.surg.2015.11.001