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This profile was last updated on 4/25/16  and contains information from public web pages.

Dr. Shelley Hwang

Wrong Dr. Shelley Hwang?

Chief of Breast Surgery

Phone: (919) ***-****  HQ Phone
Duke Cancer Institute
710 W Main Street, Suite 200
Durham , North Carolina 27701
United States

Company Description: The Duke Cancer Institute (DCI) is a single entity -- the first of its kind at Duke -- that brings cancer care and research even closer together. By uniting...   more
Background

Employment History

Education

  • M.D.
  • M.P.H.
60 Total References
Web References
Faculty - Duke Cancer Institute
www.dukecancerinstitute.org [cached]
Shelley Hwang, MD, MPH
"We found that the quality of ...
www.angellstreetpsychiatry.com [cached]
"We found that the quality of life for women who chose to remove their healthy breast in addition to the other breast that had cancer was not that different from those who didn't," said Dr. Shelley Hwang. She's a breast surgeon and chief of breast surgery at Duke Cancer Institute at Duke University in Durham, N.C.
While those who had a prophylactic mastectomy and reconstruction surgery reported slightly higher satisfaction in how their breasts looked and felt, and somewhat higher measures of psychosocial well-being (such as feeling confident), the differences between the groups were small, Hwang said.
Hwang's team surveyed nearly 4,000 women who had a mastectomy, including about 1,600 who had a prophylactic mastectomy.
...
However, having breast reconstruction had a greater impact on quality-of-life scores than prophylactic mastectomy alone, Hwang found. About 80 percent of those who had prophylactic mastectomy had breast reconstruction surgery -- either immediate or delayed, the researchers said.
Women who had breast reconstruction reported greater sexual well-being. They also had higher psychosocial well-being and higher satisfaction with their breasts' appearance than prophylactic mastectomy alone provided, the study found.
Over time, the differences between the two groups diminished even more, Hwang found. Both groups had increases in the psychosocial well-being measures, even 10 years or more after treatment, the research showed.
For years, experts have known that having prophylactic mastectomy has little impact on reducing deaths among women diagnosed with cancer in only one breast, Hwang said.
...
For the general population, Hwang said, the risk of getting cancer in the opposite breast is less than 5 percent. The general population excludes those with genetic mutations that significantly increase their breast cancer risk, such as the BRCA 1 or 2 mutations, Hwang explained.
"In our analysis, women who had ...
www.news-line.com [cached]
"In our analysis, women who had CPM also reported marginally higher psychosocial wellbeing - feeling confident, emotionally healthy, accepting of their bodies," said senior author Shelley Hwang, MD, chief of breast surgery at the Duke Cancer Institute. "But the differences between women who did and did not get CPM were very small and diminished over time. Psychosocial well-being continued to increase in both groups, even beyond 10 years after treatment."
Hwang and colleagues surveyed nearly 4,000 women who participated in the Army of Women, an organization committed to promoting patient engagement in breast cancer research. All the women had undergone either single or double mastectomies.
...
"Even though women imagine they will be much happier after CPM, we found that these patients' experiences are not greatly different from those of patients undergoing a single mastectomy," Hwang said. "CPM does not appear to translate into a much better quality of life in the way that breast reconstruction can."
Hwang said the findings provide additional insights that should help guide clinical decisions at a time when CPM is increasingly a choice women make, often out of fear that their cancer will return, but also for cosmetic reasons.
"The rate of CPM in women undergoing mastectomy for unilateral breast cancer has increased almost six-fold from 1998 to 2011 and now approaches 11% nationally," Hwang said.
She said the trend is predominantly driven by younger women with early-stage, unilateral breast cancer and no genetic risk factors. Many of these women might actually be eligible for breast-conserving surgeries instead of full mastectomies.
"This study supports what has concerned many of us -- that women are not benefiting as greatly from CPM as they expect they will," Hwang said. "Unless a woman has a gene mutation that places her at significantly increased risk of a new cancer in the other breast, CPM doesn't prolong life and our study shows that it doesn't make for a notably better quality of life."
Hwang said it's important for women to have a clearer understanding of the risks and benefits of the choices they are facing.
"The key to having long term satisfaction with treatment decisions is to review all the options and recognize the tradeoffs," Hwang said. "We need to continue to work hard to communicate these tradeoffs accurately and effectively with our patients."
In addition to Hwang, study authors from Duke include Tracie D. Locklear, Christel N. Rushing, Greg Samsa, Amy P. Abernethy and Terry Hyslop, along with Dunya M. Atisha of the University of South Florida.
"We found that the quality of ...
www.hudsonvalleycancer.org [cached]
"We found that the quality of life for women who chose to remove their healthy breast in addition to the other breast that had cancer was not that different from those who didn't," said Dr. Shelley Hwang. She's a breast surgeon and chief of breast surgery at Duke Cancer Institute at Duke University in Durham, N.C.
While those who had a prophylactic mastectomy and reconstruction surgery reported slightly higher satisfaction in how their breasts looked and felt, and somewhat higher measures of psychosocial well-being (such as feeling confident), the differences between the groups were small, Hwang said.
Hwang's team surveyed nearly 4,000 women who had a mastectomy, including about 1,600 who had a prophylactic mastectomy.
...
However, having breast reconstruction had a greater impact on quality-of-life scores than prophylactic mastectomy alone, Hwang found. About 80 percent of those who had prophylactic mastectomy had breast reconstruction surgery -- either immediate or delayed, the researchers said.
Women who had breast reconstruction reported greater sexual well-being. They also had higher psychosocial well-being and higher satisfaction with their breasts' appearance than prophylactic mastectomy alone provided, the study found.
Over time, the differences between the two groups diminished even more, Hwang found. Both groups had increases in the psychosocial well-being measures, even 10 years or more after treatment, the research showed.
For years, experts have known that having prophylactic mastectomy has little impact on reducing deaths among women diagnosed with cancer in only one breast, Hwang said.
...
For the general population, Hwang said, the risk of getting cancer in the opposite breast is less than 5 percent. The general population excludes those with genetic mutations that significantly increase their breast cancer risk, such as the BRCA 1 or 2 mutations, Hwang explained.
...
SOURCES: Shelley Hwang, M.D., M.P.H., chief of breast surgery, Duke Cancer Institute, Duke University, Durham, N.C.; Veronica Jones, M.D., clinical assistant professor of surgery, breast surgical oncologist, City of Hope Cancer Center, Duarte, Calif.; March 7, 2016, Journal of Clinical Oncology, online
"In our analysis, women who had ...
www.eurekalert.org [cached]
"In our analysis, women who had CPM also reported marginally higher psychosocial wellbeing - feeling confident, emotionally healthy, accepting of their bodies," said senior author Shelley Hwang, M.D., chief of breast surgery at the Duke Cancer Institute. "But the differences between women who did and did not get CPM were very small and diminished over time. Psychosocial well-being continued to increase in both groups, even beyond 10 years after treatment."
Hwang and colleagues surveyed nearly 4,000 women who participated in the Army of Women, an organization committed to promoting patient engagement in breast cancer research. All the women had undergone either single or double mastectomies.
...
"Even though women imagine they will be much happier after CPM, we found that these patients' experiences are not greatly different from those of patients undergoing a single mastectomy," Hwang said. "CPM does not appear to translate into a much better quality of life in the way that breast reconstruction can."
Hwang said the findings provide additional insights that should help guide clinical decisions at a time when CPM is increasingly a choice women make, often out of fear that their cancer will return, but also for cosmetic reasons.
"The rate of CPM in women undergoing mastectomy for unilateral breast cancer has increased almost six-fold from 1998 to 2011 and now approaches 11 percent nationally," Hwang said.
She said the trend is predominantly driven by younger women with early-stage, unilateral breast cancer and no genetic risk factors. Many of these women might actually be eligible for breast-conserving surgeries instead of full mastectomies.
"This study supports what has concerned many of us -- that women are not benefiting as greatly from CPM as they expect they will," Hwang said. "Unless a woman has a gene mutation that places her at significantly increased risk of a new cancer in the other breast, CPM doesn't prolong life and our study shows that it doesn't make for a notably better quality of life."
Hwang said it's important for women to have a clearer understanding of the risks and benefits of the choices they are facing.
"The key to having long term satisfaction with treatment decisions is to review all the options and recognize the tradeoffs," Hwang said. "We need to continue to work hard to communicate these tradeoffs accurately and effectively with our patients."
###
In addition to Hwang, study authors from Duke include Tracie D. Locklear, Christel N. Rushing, Greg Samsa, Amy P. Abernethy and Terry Hyslop, along with Dunya M. Atisha of the University of South Florida.
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