Breast Conserving Therapy vs Mastectomy in Treatment of Early Breast Cancer Patients. Does BRCA1/BRCA2 Status Change Treatment Recommendations?
Date of Award
Master of Physician Assistant Studies (MPAS)
Physician Assistant Studies
BRCA mutations; Breast Cancer; Mastectomy; Breast Conserving Therapy; Surgical management; Early-Stage Breast Cancer
In the United States, breast cancer is the second most common cancer, represents 30% of total cancer cases and 14% of deaths in the United States in 2019. BRCA1 and BRCA2 are genetic mutations that increase the likelihood of developing breast cancer by 57% and 49%, respectfully. Several surgical options are available for those with newly diagnosed early-stage breast cancer. The purpose of this systemic literature review is to evaluation the safety and efficacy of breast conserving therapy versus mastectomy for surgical intervention of early-stage breast cancer patients and evaluate if possessing a BRCA positive mutation changes the recommendation for surgical interventions. In this review, PubMed was searched with a variety of key terms used. 22 sources were selected for literary review that were published after 2001, peer reviewed, and included randomized control trials, systematic reviews, and meta-analyses. The data concludes to breast conserving therapy and mastectomy being effective treatments for those with early-stage breast cancers, although research is conflicted. There were no studies suggesting either treatment was harmful to the patient, although surgical risks are involved. When evaluating for BRCA positive status, both breast conserving therapy and mastectomy appear to be effective treatments. BRCA positive patients who undergo breast conserving therapy carry a significant risk for ipsilateral and contralateral breast cancer years after diagnosis. More research needs to be done to come to a more concise conclusion on whether breast conserving therapy or mastectomy is the preferred surgical treatment and if recommendations change based on BRCA status.
Engebretson, Kylie, "Breast Conserving Therapy vs Mastectomy in Treatment of Early Breast Cancer Patients. Does BRCA1/BRCA2 Status Change Treatment Recommendations?" (2022). Physician Assistant Scholarly Project Papers. 140.