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July 25, 1977

Subcutaneous Mastectomy in Selected Patients

Author Affiliations

Franciscan Friars Milwaukee

JAMA. 1977;238(4):306. doi:10.1001/jama.1977.03280040026013

To the Editor.—  The QUESTIONS AND ANSWERS section dealing with the danger of mammography radiation to high-risk patients (236:2446, 1976) surprisingly omits one important therapeutic alternative: subcutaneous mastectomy. Indeed, the woman with bilateral chronic cystic mastitis and a strong family history of breast carcinoma is an ideal candidate.1 Longterm experience reveals subcutaneous mastectomy to be feasible in at least 80% of selected patients.2 Some advocate this approach as the most effective prophylactic procedure to high-risk patients,3 to say nothing of obviating the diagnostic radiation hazards.