Bilateral preventive mastectomy as a preventive method of breast cancer in the opinion of women

M. Olejniczak-Nowakowska, W. Trocha, Karolina Krupa-Kotara, M. Grajek
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Abstract

Background Breast cancer is the most common cancer among women. Despite of the progress of medicine and develop of treatment, it is still the second couse of death among women. To reduce the risk of getting breast cancer, the more ofen teratement is "preventive mastectomies" which completely remove the breast gland by healty women that are in the "high risk" group. Material and Methods To conduct the research I develop a survey, written by my own. The study included 252 women from Poland over the age of 18. Results The opinion about the performance of preventive mastectomies in case of women in "high risk" was very diverse. Only 13% of interviewees were convinced that they would have the surgery and up to 29% could not give an answer. Most woman (86%) are convinced that breast cancer is genetically determined. That mastectomy can be a way to prevent breast cancer agrees 69% of respondents. More than half of respondents (52%) don't know if such surgery is in Poland available. Only half of the respondents could indicate the place where an examination of an increased risk of breast cancer can be made (49%). 81% of respondents examine there breasts at least with one method, and 19% did not check it at all. Conclusions The knowledge about the heredity of cancer and the availability of treatments is insufficient. Women are not convinced that they would have gone to radical preventive treatment, and they are afraid of many consequences connected with it. It is essential to educate the public including the medical stuff in this scope. It is also important that the patient together with his doctor examined all the possible options for limiting the risk of cancer.
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双侧预防性乳房切除术作为乳腺癌的一种预防方法在女性中得到了广泛的认同
乳腺癌是女性中最常见的癌症。尽管医学和治疗方法取得了进步,但它仍然是妇女的第二死因。为了降低患乳腺癌的风险,更常见的治疗方法是“预防性乳房切除术”,即由属于“高风险”群体的健康妇女完全切除乳腺。为了进行研究,我编写了一份调查报告。这项研究包括252名18岁以上的波兰女性。结果对“高危”女性预防性乳房切除术的实施意见不一。只有13%的受访者确信他们会做手术,高达29%的人无法给出答案。大多数女性(86%)相信乳腺癌是由基因决定的。69%的受访者同意乳房切除术是预防乳腺癌的一种方式。超过一半的受访者(52%)不知道波兰是否可以进行这种手术。只有一半的答复者能指出可以进行乳腺癌风险增加检查的地点(49%)。81%的受访者至少用一种方法检查过乳房,19%的人根本没有检查过。结论对肿瘤的遗传和治疗认识不足。妇女们不相信她们会采取激进的预防性治疗,她们害怕与之相关的许多后果。在这方面教育公众包括医务人员是必要的。同样重要的是,病人和他的医生一起检查了所有可能的选择来限制癌症的风险。
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