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In this paper, we present the case of a 48-year-old woman diagnosed with early breast cancer. As candidate for mastectomy, she refused immediate reconstruction. She was referred to a psycho-oncologist for further evaluation and support. Psychological sessions helped reveal a history of intimate partner violence and helped clarify the reason for her refusal to undergo immediate reconstruction. Experience with this case highlights the importance of a multidisciplinary practice in which collaboration between surgeons, oncologists, and mental health professionals leads to a more in-depth understanding of the apparently paradoxical behaviors of patients, and to better care for their needs. [ABSTRACT FROM AUTHOR]

The article looks at a study regarding the risk of prophylactic surgery in BRCA1/BRCA2 mutation carriers and reasons for risk-reducing surgery which avoid living distressing events experienced within the family in the past. It mentions risk-reducing mastectomy and salpingo-oophorectomy and decision regarding the procedure and that they would repeat it to reduce their cancer risk. It also mentions negative emotional and psychosocial implications linked to self-perceived discouraging attempts.