Prophylactic mastectomy is the surgical removal of the entire breasts, including the nipples and surrounding areas, in an attempt to reduce the risk of breast cancer. Before making a decision regarding this surgery talk with your health care provider to learn your actual risk of developing breast cancer. Determine the type of surgical or treatment options available to you as well as the advantages and the disadvantages of each option. You need to know the physical and emotional consequences of your decision. If you decide to have the prophylactic mastectomy, you need to prepare for the assistance you will require while recovering from the surgery.
Will I live longer if I have this procedure?
If you have a very high risk of breast cancer, the prophylactic mastectomy may dramatically reduce your risk for breast cancer. It will not guarantee that you will never get breast cancer.
Will prophylactic mastectomy improve my quality of life?
Removal of your breasts may reduce your feelings of risk and fear of breast cancer. It may affect your body image and feelings of sexuality. Many women chose to have reconstructive breast surgery after the mastectomy. You and your health care provider will determine your options regarding this surgery and if reconstructive breast surgery is best for you.
Will prophylactic mastectomy make my symptoms better?
Prophylactic mastectomy would take place before you develop symptoms of breast cancer.
How safe is this procedure?
Mastectomies are generally safe and free of complications. However, any surgical procedure involves some risk and may result in complications or death.
Minor reported complications:
Major reported complications:
Women who want to aggressively deal with their risk of breast cancer may choose prophylactic surgery. For women who want to be less aggressive there are alternative treatments. No matter what the choice, a woman with BRCA1 or BRCA2 gene abnormality should follow closely with her breast care specialist and discuss their best screening plan.
Alternative treatments include:
Preventative measures that have been associated with a reduced risk of breast cancer in high-risk women include the following:
The approximate cost for prophylactic mastectomy, including the physician and facility charges, may be over $15,000. The costs could vary depending on the physician, the facility, the geographic location, as well as any special needs or complication you may experience.
The cost may or may not be covered by your health benefits plan.
The following are off-site links :
American Cancer Society. (2013, September). Breast cancer overview. Retrieved January 9, 2014 from
Mayo Clinic. (2011, December). Prophylactic mastectomy: Surgery to reduce breast cancer risk. Retrieved January 9, 2014 from http://www.mayoclinic.com/health/prophylactic-mastectomy/WO00060.
Society of Surgical Oncology. (January, 2007). Society of Surgical Oncology: Position statement on prophylactic mastectomy. Retrieved January 9, 2014 from
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