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Ann Surg Oncol. 2017 Mar;24(3):611-613. doi: 10.1245/s10434-016-5758-2. Epub 2017 Jan 5.

Commentary on the Consensus Statement of the American Society of Breast Surgeons on Contralateral Prophylactic Mastectomy.

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National Cancer Policy Forum and Board on Health Care Services, Health and Medicine Division, The National Academies of Sciences, Engineering, and Medicine, Washington, DC, USA.
Department of Population Medicine, Cancer Survivorship in Primary Care, Harvard Medical School, Boston, MA, USA.


The increasing rate of contralateral prophylactic mastectomy (CPM) led the American Society of Breast Surgeons (ASBrS) to issue an evidence-based consensus statement on CPM, as well as a discussion guide that health care providers can use to facilitate shared decision making with patients considering CPM for unilateral breast cancer. This article suggests several ways to improve the discussion guide by eliciting patient values and preferences and by providing more current, detailed, and balanced information about the potential risks and benefits of CPM.

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