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Vol. 100. Issue 1.
Pages 7-17 (January 2022)
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Vol. 100. Issue 1.
Pages 7-17 (January 2022)
Review article
Psychological implications of risk-reducing mastectomies in BRCA1/2 mutation carriers
Aspectos psicológicos en las mastectomías reductoras de riesgo en mujeres portadoras de mutación patogénica BRCA1/2
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Sofía Luque Suáreza,
Corresponding author
soluque@ucm.es

Corresponding author.
, María Eugenia Olivares Crespoa,b, Juana María Brenes Sánchezb, María Herrera de la Muelab
a Universidad Complutense de Madrid, Madrid, Spain
b Hospital Clínico San Carlos, Madrid, Spain
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Table 1. Description and results of the included studies.
Table 2. Outcomes of the psychological variables.
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Abstract

Risk-reducing surgeries decrease the risk of developing breast cancer by 95%. But this type of surgery can be life-changing. This systematic review analyzed anxiety/depressive symptomatology, body image and quality of life on BRCA1/2 mutation carriers with or without a previous oncological history who have undergone risk-reducing mastectomy. PRISMA method was used to conduct this review. The initial search identified 234 studies. However, only 7 achieved the inclusion criteria. No statistically significant differences were found in terms of anxious symptomatology. One study found that depressive symptomatology had increased significantly in women without previous oncological history at the long-term follow-up measure. Women who underwent bilateral risk-reducing mastectomy and implant-based breast reconstruction tended to be satisfied with their body image/cosmetic outcome. No differences were reported at long-term follow-ups, independently of the surgery performed.

Keywords:
BRCA1/2
Breast cancer
Quality of life
Psycho-oncology
Risk-reducing surgery
Resumen

Las cirugías reductoras de riesgo descienden un 95% el riesgo de desarrollar cáncer de mama, pero traen consigo repercusiones psicológicas. Esta revisión sistemática tuvo como objetivo analizar la sintomatología ansiosa/depresiva, la imagen corporal y la calidad de vida de mujeres portadoras de una mutación BRCA1/2 con o sin antecedentes oncológicos personales que se habían sometido a una mastectomía reductora de riesgo. Para ello, se utilizó el método PRISMA. La búsqueda inicial identificó 234 estudios. Solo 7 investigaciones cumplieron los criterios de inclusión. No se encontraron diferencias en sintomatología ansiosa. Un estudio concluyó que la sintomatología depresiva aumentó significativamente en mujeres sin antecedentes oncológicos en el seguimiento a largo plazo. Las mujeres que optaron por una mastectomía bilateral reductora de riesgo y fueron reconstruidas mediante prótesis tendían a estar satisfechas con su imagen corporal/resultado cosmético. No se hallaron diferencias a largo plazo en la calidad de vida independientemente de la cirugía realizada.

Palabras clave:
BRCA1/2
Cáncer de mama
Calidad de vida
Psicooncología
Cirugías reductoras de riesgo

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