Miss America contestant to undergo double mastectomy

LAS VEGAS (AP) - Win or lose Saturday, Miss America contestant Allyn Rose will have conveyed a message about breast cancer prevention using her primary tool as a beauty queen: her body.
The 24-year-old Miss DC plans to undergo a double mastectomy after she struts in a bikini and flaunts her roller skating talent. She is removing both breasts as a preventative measure to reduce her chances of developing the disease that killed her mother, grandmother and great aunt.
"My mom would have given up every part of her body to be here for me, to watch me in the pageant," she said between dress rehearsals and preliminary competitions at Planet Hollywood on the Las Vegas Strip Wednesday. "If there's something that I can do to be proactive, it might hurt my body, it might hurt my physical beauty, but I'm going to be alive."
If crowned, the University of Maryland, College Park politics major could become the first Miss America not endowed with the Barbie silhouette associated with beauty queens.
Rose said it was her father who first broached the subject, during her freshman year of college, two years after the death of her mother
"I said, 'Dad I'm not going to do that. I like the body I have.' He got serious and said, 'Well then you're going to end up dead like your mom.' "
She has pondered that conversation for the past three years, during which she has worked as a model and won several pageants, including Miss Maryland USA, Miss Sinergy and the Miss District of Columbia competition, which put her in the running for Saturday's bonanza.
With her angular face, pale blonde hair and watchful blue eyes, Rose is unusually reserved. She acknowledged that she comes off as more of an ice-queen than a girl next door
"You have to block out everything and I think sometimes that makes me appear a little cold," she said. "But it's because I had to be my own mentor, I had to be my own best friend."
She measures her age by the time of her mother, Judy Rose's, first diagnosis, at age 27.
"Right now, I'm three years away," she said.
Judy had one breast removed in her 20s, but waited until she was 47 to remove the other one, which Rose's father had called a ticking time bomb.
"That's when they found she had a stage three tumor in her breast," Rose said. "And that's why for me, I'm not going to wait."
She plans to have reconstructive surgery, but said the procedure has complications and there is no guarantee that she will regain her pageant-approved bust.
Preventive surgery is a "very reasonable" choice for someone with Rose's family history and a genetic predisposition, said Patricia Greenberg, Director of Cancer Prevention at the Jonsson Comprehensive Cancer Center in Los Angeles.
"I've seen young women have it done, and they have great peace of mind," she said, adding that the alternative is repeated mammograms and physical exams, which detect but do not prevent cancer from developing.
The number of women opting for preventive mastectomies increased 10-fold between 1998 and 2007, as genetic testing and reconstructive surgery options improved, according to a 2010 study published last year in Annals of Surgical Oncology.
Art McMaster, CEO of the Miss America Organization, called Rose an "incredible example" of strength and courage.
The Newburg, Md. native said she has received letters from supporters all over the country, including from fellow "previvors" who say they have been inspired to undergo their own preventive surgeries. The Wynn sports book gives her 25 to 1 odds of winning the Miss America crown, making her a moderate favorite.
But her decision is drawing criticism as well as praise in the staged-managed world of pageants, where contestants regularly go under the knife for a very different reason.
She also receives hate mail from beauty circuit die-hards who write to insist that she continue filling out her bikini.
"You have people who say, 'Don't have the surgery. This is mutilating your body. You don't have cancer.' They want to pick apart every little thing," she said. Some have even accused her of faking the make herself a more media-friendly candidate.
This kind of pre-emptive surgery has divided the medical community as well. For someone in her early 20s to have the procedure is "very unusual," said Todd Tuttle, chief of surgical oncology at the University of Minnesota.
Sandra Swain, medical director of Washington Cancer Institute in Washington, DC, fears that women who have lost family members to breast cancer could take Rose's example too literally.
"We're seen a rise in prophylactic mastectomies and a lot of it is not for a medical reason; it is because of fear and anxiety," she said.
Rose does not carry the "breast cancer genes" BRCA1 and BRCA2, but she did inherit a rare genetic mutation which might predispose her to the disease.
Her brother, who works for an oncology association, said he sees the irony in a beauty queen choosing to give up her breasts but supports his sister's choice.
"For me what trumps everything is her living, hopefully to a ripe old age, as opposed to any ancillary things that she might lose from potentially winning Miss America," said Dane Rose, 31.
Rose initially said that if she won the crown, she would postpone her surgery until after her year as a title-holder. But while shopping for earrings to match her black velvet pageant gown Wednesday, she said she was now considering having the surgery during her reign as a way of inscribing her platform of breast cancer prevention on her body.
"I've been thinking how powerful that might be to have a Miss America say, 'I might be Miss America but I'm still going to have surgery. I'm going to take control of my own life, my own health care,' " she said. "So I guess it's up to what happens on Saturday night."
The 24-year-old Miss DC plans to undergo a double mastectomy after she struts in a bikini and flaunts her roller skating talent. She is removing both breasts as a preventative measure to reduce her chances of developing the disease that killed her mother, grandmother and great aunt.
"My mom would have given up every part of her body to be here for me, to watch me in the pageant," she said between dress rehearsals and preliminary competitions at Planet Hollywood on the Las Vegas Strip Wednesday. "If there's something that I can do to be proactive, it might hurt my body, it might hurt my physical beauty, but I'm going to be alive."
If crowned, the University of Maryland, College Park politics major could become the first Miss America not endowed with the Barbie silhouette associated with beauty queens.
Rose said it was her father who first broached the subject, during her freshman year of college, two years after the death of her mother
"I said, 'Dad I'm not going to do that. I like the body I have.' He got serious and said, 'Well then you're going to end up dead like your mom.' "
She has pondered that conversation for the past three years, during which she has worked as a model and won several pageants, including Miss Maryland USA, Miss Sinergy and the Miss District of Columbia competition, which put her in the running for Saturday's bonanza.
With her angular face, pale blonde hair and watchful blue eyes, Rose is unusually reserved. She acknowledged that she comes off as more of an ice-queen than a girl next door
"You have to block out everything and I think sometimes that makes me appear a little cold," she said. "But it's because I had to be my own mentor, I had to be my own best friend."
She measures her age by the time of her mother, Judy Rose's, first diagnosis, at age 27.
"Right now, I'm three years away," she said.
Judy had one breast removed in her 20s, but waited until she was 47 to remove the other one, which Rose's father had called a ticking time bomb.
"That's when they found she had a stage three tumor in her breast," Rose said. "And that's why for me, I'm not going to wait."
She plans to have reconstructive surgery, but said the procedure has complications and there is no guarantee that she will regain her pageant-approved bust.
Preventive surgery is a "very reasonable" choice for someone with Rose's family history and a genetic predisposition, said Patricia Greenberg, Director of Cancer Prevention at the Jonsson Comprehensive Cancer Center in Los Angeles.
"I've seen young women have it done, and they have great peace of mind," she said, adding that the alternative is repeated mammograms and physical exams, which detect but do not prevent cancer from developing.
The number of women opting for preventive mastectomies increased 10-fold between 1998 and 2007, as genetic testing and reconstructive surgery options improved, according to a 2010 study published last year in Annals of Surgical Oncology.
Art McMaster, CEO of the Miss America Organization, called Rose an "incredible example" of strength and courage.
The Newburg, Md. native said she has received letters from supporters all over the country, including from fellow "previvors" who say they have been inspired to undergo their own preventive surgeries. The Wynn sports book gives her 25 to 1 odds of winning the Miss America crown, making her a moderate favorite.
But her decision is drawing criticism as well as praise in the staged-managed world of pageants, where contestants regularly go under the knife for a very different reason.
She also receives hate mail from beauty circuit die-hards who write to insist that she continue filling out her bikini.
"You have people who say, 'Don't have the surgery. This is mutilating your body. You don't have cancer.' They want to pick apart every little thing," she said. Some have even accused her of faking the make herself a more media-friendly candidate.
This kind of pre-emptive surgery has divided the medical community as well. For someone in her early 20s to have the procedure is "very unusual," said Todd Tuttle, chief of surgical oncology at the University of Minnesota.
Sandra Swain, medical director of Washington Cancer Institute in Washington, DC, fears that women who have lost family members to breast cancer could take Rose's example too literally.
"We're seen a rise in prophylactic mastectomies and a lot of it is not for a medical reason; it is because of fear and anxiety," she said.
Rose does not carry the "breast cancer genes" BRCA1 and BRCA2, but she did inherit a rare genetic mutation which might predispose her to the disease.
Her brother, who works for an oncology association, said he sees the irony in a beauty queen choosing to give up her breasts but supports his sister's choice.
"For me what trumps everything is her living, hopefully to a ripe old age, as opposed to any ancillary things that she might lose from potentially winning Miss America," said Dane Rose, 31.
Rose initially said that if she won the crown, she would postpone her surgery until after her year as a title-holder. But while shopping for earrings to match her black velvet pageant gown Wednesday, she said she was now considering having the surgery during her reign as a way of inscribing her platform of breast cancer prevention on her body.
"I've been thinking how powerful that might be to have a Miss America say, 'I might be Miss America but I'm still going to have surgery. I'm going to take control of my own life, my own health care,' " she said. "So I guess it's up to what happens on Saturday night."
I think before undergoing such radical surgery, that I would want to know there was actually something wrong. Yes, she may be predisposed to breast cancer, but that's NOT a guarantee she'll get it.
My family has a history of skin cancer. Should I remove my skin as a preventative measure? There's also a history of osteoarthritis. Should I have all my joins replaced with artificial ones?
Then there's testicular cancer...Nuticles, anyone?
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based on the fact that her mother, grandmother and Aunt all had it, the chances are very likely that she will have it. what is that phrase? Oh yeah! "An ounce of Prevention is worth more than a pound of cure!' and by the way My grandmother had a double  mastectomy! the question I ask you: your body or your life? which is more important?
That means she should remove her brain, her stomach, her lungs, her colon....you cant treat something that you dont have already.
Oh my god, that's extreme. How can you amputate parts of your body when there is nothing wrong with them? Can't she just do a stepped up screening schedule and catch anything that might appear early? There's no way I would agree with this.
I think it is a poor decision, but she has every right to do it, if it will make her happy! OUr society values life in some ways, like this, but they we allow and encourage abortion, which is murder; and the unborn have no say in the matter!! What is wrong with us??? We have totally lost our way! And largely because we reject God's ways, and insist on taking our own. With the treatment options that are available right now, there is no reason why she should do this!
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Stuff them and mount them on the wall? Yep, I like that idea!
 @musiclover Is it just me or is the crowd around here getting mighty thin-skinned lately?
 @Festivus  @musiclover Depends on how much liposuction they've had...
This is a very wise decision. I have to say Miss Rose is brave and VERY smart. She chose her health over physical attributes that probably help her career a lot. Although she will have them reconstructed, it could change a lot for her. (I don't intend to sound shallow, but she is a model)
Good luck, Ms. Rose and thank you for being willing to be public with your decision. It will no doubt raise this topic in other families who need to discuss it.
This is a very tough decision for women to make in today's culture where big boobs are valued ad nauseum. My wife was diagnosed with breast cancer 3 years ago and even they it hadn't spread anywhere, was completely removed and was 100% sensitive to estrogen therapy, she decided on a double mastectomy with my full blessing. She eventually got reconstructive surgery which was almost as much of an invasive procedure as the mastectomy. Good for this gal. She's send a message that boobs aren't the most important part of a woman - her life and continued happiness is.
To have breast-cancer so prevalent in one's family, this is a courageous preventative step to make. Good luck to her!
What incredible courage, blessings and luck, keep your light shining.