THE WOMAN AT INCREASED RISK FOR BREAST-CANCER - EVALUATION AND MANAGEMENT STRATEGIES

被引:68
作者
BILIMORIA, MM
MORROW, M
机构
[1] Department of Surgery, Northwestern University Medical School, Chicago, Illinois
[2] Lynn Sage Comprehensive Breast Center, Northwestern University Medical School in Chicago, Illinois
关键词
D O I
10.3322/canjclin.45.5.263
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Increased understanding of risk factors for breast cancer, especially the identification of genes associated with a predisposition to breast cancer, has focused attention on the issue of breast cancer prevention. At present, the only clinically available method of breast cancer prevention is prophylactic mastectomy. However, there are no absolute indications for its use, and it is not often appropriate in relation to actual risk for disease. This article reviews what is known about major breast cancer risk factors, reviews the available data on prophylactic mastectomy, and discusses current strategies for the management of the woman at increased risk for breast cancer.
引用
收藏
页码:263 / 278
页数:16
相关论文
共 80 条
  • [61] Beasley ME, The pedicled TRAM as preference for immediate autogenous tissue breast reconstruction, Clin Plast Surg, 21, pp. 191-205, (1994)
  • [62] Pennisi VR, The prevention of breast cancer by subcutaneous mastectomy, Surg Clin North Am, 57, pp. 1023-1034, (1977)
  • [63] (1993)
  • [64] Morrow M, Quiet C, Hellman S, Et al., Treatment selection in breast cancer: Are our biases correct?, Proceedings of the American Society of Clinical Oncologists, 13, (1994)
  • [65] Foster RS, Lang SP, Costanza MC, Et al., Breast self‐examination practices and breast cancer stage, N Engl J Med, 299, pp. 265-270, (1978)
  • [66] Greenwald P, Nasca PC, Lawrence CE, Et al., Estimated effect of breast self‐examination and routine physician examinations on breast‐cancer mortality, N Engl J Med, 299, pp. 271-273, (1978)
  • [67] O'Malley MS, Fletcher SW, Screening for breast cancer with breast self‐examination, JAMA, 257, pp. 2196-2203, (1987)
  • [68] Laughter DC, Kean TJ, Dream KD, Et al., The breast self‐examination practices of high risk women: Implications for patient education, Patient Couns Health Educ, 3, pp. 103-107, (1981)
  • [69] Baines CJ, To T, Changes in breast self‐examination behavior achieved by 89,835 participants in the Canadian National Breast Screening Study, Cancer, 66, pp. 570-576, (1990)
  • [70] Kelly PT, Breast self‐examinations: Who does them and why, J Behav Med, 2, pp. 31-38, (1979)