%0 Journal Article
%T Twenty-five years of risk-reducing mastectomies and immediate breast reconstruction—lessons learned from a single institution
%A Sandelin, Kerstin
%A Gahm, Jessica
%A Schultz, Inkeri
%J Annals of Breast Surgery
%D 2019
%B 2019
%9 
%! Twenty-five years of risk-reducing mastectomies and immediate breast reconstruction—lessons learned from a single institution
%K 
%X Risk-reducing mastectomy is an established surgical option for patients with inherited high risk for breast cancer. At the Karolinska University Hospital, a structured care plan for this patient group has been developed over a 25-year period. This paper describes the gradual evolution of patient care and surgical technique at a single high-volume university hospital. The results presented are based upon multidisciplinary collaborative efforts, prospective and retrospective studies and the patients’ and their partners’ own experiences after approximately 700 risk-reducing mastectomies. For women at high risk for breast cancer, a multidisciplinary approach is considered crucial for both pre- and postoperative assessment. The importance of accurate and personalized preoperative counseling and patient participation in decision making is stressed, and different surgical techniques are described.
%U https://abs.amegroups.org/article/view/5536
%V 3
%P 
%@ 2616-2776