尽管保乳手术对生存率没有改善作用，还存在手术并发症风险增加以及对生活质量的负面影响，但逆侧预防性乳腺切除术（CPM）的比率持续上升。本研究探讨了接受CPM的女性伴侣的经历。本研究是对早期单侧乳腺癌且低遗传风险的女性选择进行逆侧预防性乳腺切除术（CPM）的动因进行调查的一部分。要求参与的女性征询其伴侣是否愿意参与访谈，并经得到许可后进行邀请。使用半结构化主题指南对伴侣进行了深入访谈。对数据进行了主题分析。结果：共有15名男性伴侣中有35名同意接受访谈。大多数伴侣认为自己的角色是坚强和理性的。有些希望妻子选择双侧乳腺切除。所有人都坚决认为最终决定应由他们的伴侣做出。伴侣们常常将进行CPM的决定视为生死攸关的决定。因此，与此相比，任何美学效果都不重要。男性伴侣很难理解与乳腺切除相关的身体和情感变化，这对夫妻们来说在性和亲密方面的沟通非常具有挑战性。在早期恢复期内，一些伴侣注意到了处理家庭生活的压力。男性伴侣的经历揭示了夫妻如何共同或单独处理复杂的治疗决策过程。在术前和术后的咨询中将伴侣纳入可能有益，以减少有关CPM相关预期肿瘤学和情感结果的误解。© 2023.外科肿瘤学会。

The rate of contralateral prophylactic mastectomy (CPM) continues to rise despite no improvement in survival, an increased risk of surgical complications, and negative effects on quality of life. This study explored the experiences of the partners of women who undergo CPM.This study was part of an investigation into the factors motivating women with early-stage unilateral breast cancer and low genetic risk to opt for contralateral prophylactic mastectomy (CPM). Participating women were asked for permission to invite their partners to take part in interviews. In-depth interviews with partners were conducted using a semi-structured topic guide. A thematic analysis of the data was performed RESULTS: Of 35 partners, all men, 15 agreed to be interviewed. Most perceived their role to be strong and logical. Some hoped their wives would choose a bilateral mastectomy. All felt strongly that the final decision was up to their partners. The partners often framed the decision for CPM as one of life or death. Thus, any aesthetic effects were unimportant by comparison. The male partners had difficulty grasping the physical and emotional changes inherent in mastectomy, which made communicating about sexuality and intimacy very challenging for the couples. In the early recovery period, some noted the stress of managing home life.The experiences of the male partners provide insight into how couples navigate complex treatment decision-making, both together and separately. There may be a benefit to including partners in pre- and post-surgical counseling to mitigate miscommunication regarding the expected oncologic and emotional outcomes related to CPM.© 2023. Society of Surgical Oncology.