TY - JOUR AU - Sandelin, Kerstin AU - Gahm, Jessica AU - Schultz, Inkeri PY - 2019 TI - Twenty-five years of risk-reducing mastectomies and immediate breast reconstruction—lessons learned from a single institution JF - Annals of Breast Surgery; Vol 3 (December 2019): Annals of Breast Surgery Y2 - 2019 KW - N2 - Risk-reducing mastectomy is an established surgical option for patients with inherited high risk for breast cancer. At the Karolinska University Hospital, a structured care plan for this patient group has been developed over a 25-year period. This paper describes the gradual evolution of patient care and surgical technique at a single high-volume university hospital. The results presented are based upon multidisciplinary collaborative efforts, prospective and retrospective studies and the patients’ and their partners’ own experiences after approximately 700 risk-reducing mastectomies. For women at high risk for breast cancer, a multidisciplinary approach is considered crucial for both pre- and postoperative assessment. The importance of accurate and personalized preoperative counseling and patient participation in decision making is stressed, and different surgical techniques are described. UR - https://abs.amegroups.org/article/view/5536