This op is not right for every woman

I ADMIRE Kirstie’s stand, not just as a GP but also as a woman in the same situation. I, too, come from a family where breast cancer is rife – earlier this year a third close relative was diagnosed. We have been told that our family history is not genetic but ‘spontaneous’, as we do not carry the faulty genes. However, it is difficult to accept it all as merely coincidence.

Opting against having a mastectomy should not be thought of as doing nothing. As Kirstie says, it is a valid treatment approach. Known as active surveillance, women will instead have regular consultations and scans.

This is done in conjunction with patients themselves being very conscientious about breast awareness. A preventative mastectomy is a significant operation – and one not without risks – and this has to be weighed against the chances of contracting the disease.

I share Kirstie’s approach that a mastectomy may not be the right treatment for all women facing this situation, and this is certainly recognised by the medical profession.

It is also a decision that can be readdressed at a later date. A further valid part of the prevention is looking at lifestyle factors such as alcohol and exercise, as we know they can affect our risks, along with our family history.