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More US women are choosing mastectomy over breast conservation surgery

BMJ 2014; 349 doi: (Published 20 November 2014) Cite this as: BMJ 2014;349:g6960
  1. Jacqui Wise
  1. 1London

The number of women in the United States undergoing mastectomy rather than breast conservation surgery for early stage cancer has risen steadily, a study published in JAMA Surgery has shown.

The steepest rises in mastectomy rates occurred in younger women with non-invasive disease, those with smaller tumours, and those with node negative disease, the study noted.1

Breast conservation surgery is seen as the preferred option for early stage cancers, after research in the 1980s showed no difference in survival between mastectomy and lumpectomy with radiation. The use …

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