contralateral risk-reducing mastectomy
Also written as: CRRM — contralateral risk-reducing mastectomy
Prophylactic surgical removal of the unaffected breast in patients with unilateral breast cancer to reduce future cancer risk.
Full Definition
Contralateral risk-reducing mastectomy (CRRM) refers to the prophylactic removal of the unaffected breast in women diagnosed with unilateral breast cancer. This procedure is considered to reduce the risk of developing a new primary cancer in the contralateral breast, though the absolute risk reduction varies based on individual risk factors such as genetic mutations, family history, and age at diagnosis. CRRM rates have increased significantly in recent decades, though the procedure may not provide survival benefit for most patients. Decision-making requires careful consideration of individual risk factors, patient preferences, and potential psychosocial benefits versus surgical morbidity.
Usage
Usage note: Preferred term over 'prophylactic mastectomy' as it emphasizes risk reduction rather than prevention.
In Context
- "The patient elected contralateral risk-reducing mastectomy despite low calculated contralateral breast cancer risk." — Surgical consultation note
- "Genetic counseling was recommended before considering contralateral risk-reducing mastectomy." — Multidisciplinary care plan