[ XXXX after preventive subcutaneous mastectomy].

@entity1 @entity0 @entity5345 @entity5 @entity2674 @entity420
Because of a family history of @entity0 , a 51-year-old @entity1 underwent bilateral subcutaneous mammectomy in 1988. In February 1994 she presented with a nodule in the supramedial quadrant on the left. Needle biopsy suggested @entity420 which was confirmed histologically. A 1.5 cm @entity5 was removed together with a 3 cm reliquat of glandular tissue. Twelve axillary nodes were dissected and were found to be free of @entity5 . Hormone receptors were positive. Post-operative radiotherapy was performed. The outcome is unchanged at 6 months. Bilateral subcutaneous mammectomy can be proposed as a preventive measure in @entity1 at risk, but as demonstrated by this case, exeresis is usually incomplete. The level of protection actually achieved is thus questionable. Clinicians should be aware of the risk of @entity0 developing after such elective operations since early screening programmes and the development of genetic methods based on the search for @entity5345 and @entity2674 genes will undoubtedly increase the number of @entity1 requesting preventive measures.
