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Challenging and Complex Decisions in the Management of the BRCA Mutation Carrier

Identifieur interne : 003004 ( Pmc/Corpus ); précédent : 003003; suivant : 003005

Challenging and Complex Decisions in the Management of the BRCA Mutation Carrier

Auteurs : Daniela L. Stan ; Lynne T. Shuster ; Myra J. Wick ; Casey L. Swanson ; Sandhya Pruthi ; Jamie N. Bakkum-Gamez

Source :

RBID : PMC:4047843

Abstract

Abstract

Women afflicted by the hereditary breast and ovarian cancer syndrome face complex decisions regarding medical interventions aimed at reducing their risk of ovarian and breast cancer, interventions which in turn may interfere with their fertility and cause early menopause. This review addresses selected topics of importance and controversy in the management of the BRCA mutation carrier, such as psychological well-being and quality of life, breast and ovarian cancer screening, risk-reducing interventions for breast cancer and ovarian cancer, the issue of hysterectomy at the time of the risk-reducing salpingo-oophorectomy, health consequences of early surgical menopause, and safety of hormonal therapy after oophorectomy. The information presented is based on an extensive review of the literature on the selected topics and on the expertise of our multidisciplinary team.


Url:
DOI: 10.1089/jwh.2013.4407
PubMed: 23987739
PubMed Central: 4047843

Links to Exploration step

PMC:4047843

Le document en format XML

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<p>Women afflicted by the hereditary breast and ovarian cancer syndrome face complex decisions regarding medical interventions aimed at reducing their risk of ovarian and breast cancer, interventions which in turn may interfere with their fertility and cause early menopause. This review addresses selected topics of importance and controversy in the management of the BRCA mutation carrier, such as psychological well-being and quality of life, breast and ovarian cancer screening, risk-reducing interventions for breast cancer and ovarian cancer, the issue of hysterectomy at the time of the risk-reducing salpingo-oophorectomy, health consequences of early surgical menopause, and safety of hormonal therapy after oophorectomy. The information presented is based on an extensive review of the literature on the selected topics and on the expertise of our multidisciplinary team.</p>
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Division of General Internal Medicine,
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Department of Obstetrics and Gynecology,
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<corresp>Address correspondence to:
<italic>Daniela L. Stan, MD, Division of General Internal Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905. E-mail:</italic>
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<volume>22</volume>
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<copyright-statement>Copyright 2013, Mary Ann Liebert, Inc.</copyright-statement>
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<title>Abstract</title>
<p>Women afflicted by the hereditary breast and ovarian cancer syndrome face complex decisions regarding medical interventions aimed at reducing their risk of ovarian and breast cancer, interventions which in turn may interfere with their fertility and cause early menopause. This review addresses selected topics of importance and controversy in the management of the BRCA mutation carrier, such as psychological well-being and quality of life, breast and ovarian cancer screening, risk-reducing interventions for breast cancer and ovarian cancer, the issue of hysterectomy at the time of the risk-reducing salpingo-oophorectomy, health consequences of early surgical menopause, and safety of hormonal therapy after oophorectomy. The information presented is based on an extensive review of the literature on the selected topics and on the expertise of our multidisciplinary team.</p>
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