Article
Decision analysis of prophylactic surgery or screening for BRCA1 mutation carriers: a more prominent role for oophorectomy.
Journal of clinical oncology : official journal of the American Society of Clinical Oncology - 15 Apr 2002
van Roosmalen Mariëlle S, Verhoef Lia C G, Stalmeier Peep F M, Hoogerbrugge Nicoline, van Daal Willem A J
Abstract excerpt
PURPOSE: BRCA1 mutation carriers have a high risk of developing breast and ovarian cancer. Carriers may opt for prophylactic surgery and screening. Recent data suggesting that prophylactic oophorectomy reduces breast cancer risk have been incorporated in a decision analysis. METHODS: A Markov model was developed to compare LE and QALE following four strategies: (1) prophylactic mastectomy and prophylactic...
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