Expert: Minas T Chrysopoulo, MD - 2/1/2010

Question
Is it possible to have a skin saving masectomy - there is no cancer present only some atypical cells? I am getting tired of biopsies every other year and worry constantly. I have a strong family history of breast cancer. My mother is getting tested for the gene in a couple of week.  Are patients satisfied with the outcome of this surgery?

Answer
Valerie,

Yes, many women choose to undergo skin sparing mastectomy even in the absence of cancer. This is known as "prophylactic mastectomy". Some people refer to it as "preventive mastectomy". We see many women that are fed up of having one biopsy after another. Women who have a strong history of breast cancer in the family and who test positive for the BRCA gene are typically candidates. Most insurance companies will cover the cost if there is a documented positive gene test result so you'd likely need to be gene tested to.

There are many breast reconstruction options to consider:
http://www.prma-enhance.com/index.cfm/PageID/1571

In my experience, most women are very happy with their decision and outcome. Here is a support website for people with the BRCA gene where you can get some more perspectives and opinions:
http://previvorsandsurvivors.com

Hope that helps and good luck!

Dr C
http://www.prma-Enhance.com
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