Utilisation of prophylactic mastectomy in 10 European centres

Dis Markers. 1999 Oct;15(1-3):148-51. doi: 10.1155/1999/605917.


Increasingly women at high risk of breast cancer are opting for prophylactic surgery to reduce their risks. Data from 10 European centres that offer a risk counselling and screening service to women at risk show different approaches to the option of preventive surgery, although most centres adhere to a protocol including at least two risk counselling sessions and a psychological assessment. Thus far the combined centres have data on 174 women who have undergone prophylactic mastectomy with in excess of 400 women years of follow up. Operations were carried out on women with lifetime risks of 25-80%, with an average annual expected incidence rate of 1% per women. No breast cancers have occurred in this cohort. Long term follow up on an extended group of women will be necessary to truly address the risk of subsequent breast cancer and the psychological sequelae.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • BRCA2 Protein
  • Breast Neoplasms / genetics
  • Breast Neoplasms / prevention & control*
  • Cohort Studies
  • Europe
  • Family Health
  • Female
  • Follow-Up Studies
  • Genes, BRCA1
  • Genetic Counseling / organization & administration
  • Genetic Testing
  • Humans
  • Mammaplasty
  • Mastectomy / statistics & numerical data*
  • Middle Aged
  • Neoplasm Proteins / genetics
  • Neoplastic Syndromes, Hereditary / diagnosis
  • Neoplastic Syndromes, Hereditary / genetics
  • Neoplastic Syndromes, Hereditary / prevention & control*
  • Oncogenes
  • Patient Education as Topic
  • Risk
  • Transcription Factors / genetics


  • BRCA2 Protein
  • Neoplasm Proteins
  • Transcription Factors