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	<title>Beat Breast Cancer Through Breast Health &#187; Prophylactic Mastectomies</title>
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		<title>Beat Breast Cancer Through Breast Health &#187; Prophylactic Mastectomies</title>
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		<title>Prophylactic Mastectomies: Where&#8217;s the Science?</title>
		<link>http://drsherri.wordpress.com/2007/08/21/prophylactic-mastectomies-wheres-the-science/</link>
		<comments>http://drsherri.wordpress.com/2007/08/21/prophylactic-mastectomies-wheres-the-science/#comments</comments>
		<pubDate>Tue, 21 Aug 2007 03:41:47 +0000</pubDate>
		<dc:creator>Sherri Tenpenny, DO</dc:creator>
				<category><![CDATA[Prophylactic Mastectomies]]></category>

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		<description><![CDATA[Blog posts M-W-F…please spread the word!
COMMENT: This amazing abstract deserved to be posted in full. Conventional medicine poo-poos thermography, writing it off as having &#8220;no proof of efficacy&#8221; and having &#8221; no support in science” despite years of published studies and clinical evidence.  New research points out that aggressive medical procedures, such as prophylactic bilateral mastectomies even in women with BRCA genes, has little foundation in science.  [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=drsherri.wordpress.com&blog=1399790&post=26&subd=drsherri&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><font face="Times New Roman"><font color="#3366ff"><font color="#ff0000"><span style="font-size:9pt;color:red;font-family:Georgia;">Blog posts M-W-F…please spread the word!</span></font></font></font></p>
<p><font face="Times New Roman"><font color="#3366ff"><font color="#ff0000"><span style="font-size:9pt;color:red;font-family:Georgia;"></span><font face="Times New Roman"><font color="#3366ff"><font color="#ff0000"><strong>COMMENT:</strong> </font><font face="Times New Roman"><span><span style="color:red;font-family:Georgia;"><span style="font-family:Georgia;"><font color="#000000">This amazing abstract deserved to be posted in full. Conventional medicine poo-poos thermography, writing it off as having &#8220;no proof of efficacy&#8221; and having &#8221; no support in science” despite years of published studies and clinical evidence.  New research points out that aggressive medical procedures, such as prophylactic bilateral mastectomies even in women with BRCA genes, has little foundation in science.<strong>  </strong>My vote would be for non-invasive, RISK FREE, pain-free and radiation-free prevention rather than radical surgery with little science to support it. </font></span></span></span></font></font></font></font></font></font><font face="Times New Roman"><font color="#3366ff"></font></font><font face="Times New Roman"><font color="#3366ff"><font color="#ff0000"><font color="#000000"><font face="Times New Roman"><font face="Times New Roman"><span><span style="color:red;font-family:Georgia;"><span style="font-family:Georgia;"><strong>                              </strong></span></span></span></font></font><font face="Times New Roman"><font face="Times New Roman"><span><span style="font-family:Georgia;"></span></span><span style="font-family:Georgia;">+++++++++++++++++++++++++++++++++++++++++++++++</span></font></font></font><font face="Times New Roman"> </font></p>
<p></font></font></font><font face="Times New Roman"><font face="Times New Roman"><span style="font-family:Georgia;"></span><span style="font-family:Georgia;">ABSTRACT From <a href="http://www3.interscience.wiley.com/cgi-bin/abstract/114230475/ABSTRACT"><font color="#3366ff">International Journal of Cancer</font></a> </span><span style="font-size:11pt;font-family:Georgia;">Published Online: 30 Apr 2007</span></font></font></p>
<p><font face="Times New Roman"><font face="Times New Roman"><span style="font-size:11pt;font-family:Georgia;"></span></font></font><font face="Times New Roman"><font face="Times New Roman"><span style="font-size:11pt;font-family:Georgia;"></span><span><span><span style="font-size:13pt;font-family:Georgia;"><strong>Mini Review:</strong></span><span style="font-size:13pt;font-family:Georgia;"> <span style="font-family:Georgia;">Effectiveness<strong> </strong></span><font size="3"><strong>of preventive interventions in BRCA1/2 gene mutation carriers: A systematic review<font face="Times New Roman"> </font></strong></font></span><strong> </strong></span></span><span style="font-family:Georgia;">by M.J. Bermejo-Pérez  et al  </span></font></font><font face="Times New Roman"> </font></p>
<p><font face="Times New Roman"><font face="Times New Roman"><span style="font-family:Georgia;"></span><span style="font-family:Georgia;">A systematic review of the literature was conducted to assess the outcomes of preventive interventions (prophylactic mastectomies, intensive cancer screening, and chemoprevention such as Tamoxifen) in women who carry mutations in BRCA1 and BRCA2 genes, in terms of reducing breast and gynecological cancer incidence and/or mortality. </span></font></font></p>
<p><font face="Times New Roman"><font face="Times New Roman"><span style="font-family:Georgia;"></span></font></font><font face="Times New Roman"><font face="Times New Roman"><span style="font-family:Georgia;"></span><span style="font-family:Georgia;">A search for relevant articles published between 1996 and 2005 (inclusive) was run on Medline, Embase and other databases. <span style="background:yellow;font-family:Georgia;"><strong>From the 749 journal articles</strong></span> retrieved from this search strategy, <span style="background:yellow;"><u><strong>[only] 18 studies were eligible for this review</strong></u></span> (2 systematic reviews, 10 cohort studies and 6 case-control studies). The critical appraisal of the studies was performed by two independent reviewers with a list of ad hoc selected criteria. The synthesis of results was qualitative.</span></font></font><font face="Times New Roman"> </font></p>
<p><font face="Times New Roman"><span style="font-family:Georgia;"></span><span style="font-family:Georgia;">Mastectomy and prophylactic gynecological surgery (oophorectomy <strong>[ovaries removed]</strong> or salpingo-oophorectomy <strong>[ovaries and tubes removed]</strong> )  reduced breast and gynecological cancer incidence in carriers of BRCA mutations, by comparison to surveillance.  </span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span style="font-family:Georgia;">However,<strong> <span style="background:yellow;">all the studies presented flaws in internal and external validity</span>,</strong> none of these preventive interventions is risk-free, and<strong> <span style="background:yellow;">protection against breast and gynecological cancer,</span></strong> as well as other cancers linked to BRCA mutations<strong>, <span style="background:yellow;">is incomplete.</span></strong></span> </span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></span></span></font><font face="Times New Roman"><span style="font-family:Georgia;"><span></p>
<p style="line-height:15.6pt;"><u><strong><span style="background:yellow;font-family:Georgia;">No studies</span><span style="font-family:Georgia;"> </span></strong></u><span style="font-family:Georgia;">comparing surveillance programs of varying intensity were found. Exposure to drugs (such as tamoxifen and oral contraceptives) in women carrying BRCA mutations was assessed through a limited number of papers.</span><font face="Times New Roman"> </font><span style="font-family:Georgia;">All of these were case-control studies with prevalent cases and<strong><u> <span style="background:yellow;">presented major methodological flaws.</span></u></strong><span>  </span></span></p>
<p style="line-height:15.6pt;"><span style="font-family:Georgia;"><span><strong><font color="#ff0000">Additional comment:</font></strong> Where&#8217;s the science to support this disfiguring, radical procedure?</span></span></p>
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