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Correspondence
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Volume 345:1498-1500 November 15, 2001 Number 20
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Prophylactic Mastectomy in Carriers of BRCA Mutations

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To the Editor: At first glance, the data of Meijers-Heijboer and colleagues (July 19 issue)1 appear to support the position that prophylactic mastectomy reduces the risk of breast cancer in carriers of a BRCA mutation. On close reading of the article, however, I find that very little support for this position is presented. The authors report no new cases of breast cancer after a mean of 2.9 years in a cohort of 76 women who underwent mastectomy. This is to be expected, however; no breast cancers were detected on pathological review of the corresponding specimens, and it is exceedingly unlikely . . . [Full Text of this Article]

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