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Although surgical decision making about breast-conserving surgery (BCS) versus mastectomy has been studied extensively, we know less about the nature of guidance provided by clinicians regarding breast reconstruction and how such counsel affects the choices of women with newly diagnosed breast cancer. Investigators surveyed women who had undergone surgery for ductal carcinoma in situ or invasive breast cancer and who were eligible at diagnosis to choose between BCS and mastectomy. Among approximately 1200 respondents (mean age, 59), 71% were white, 20% were black, and 65% had at least some college education.
One third of respondents reported that their general surgeons had discussed breast reconstruction with them. Women who had such discuss…