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In an article on Fox News, Dr. Manny Alverez talks about the high number of women with breast cancer who are choosing to have double mastectomies. MORE: Breast cancer survivor knits breasts for women who've have mastectomies. In many cases of breast cancer, a double mastectomy is considered the last option of treatment, but in the United States, more and more young women are choosing to have both breasts removed rather than opting for a lumpectomy in the affected breast and then radiation therapy. Unless there is a genetic link or the cancer is in both breasts, most women are advised against a double mastectomy. According to Dr. Alverez, there is no significant increase in the survival rate in patients who choose to remove both breasts. According to the article, the rate of unnecessary double mastectomies varies from state to state, with seven states standing out as having the highest number of procedures: Maine, Montana, Nebraska, South Dakota, Missouri, Iowa, and Colorado. MORE: Options for breast cancer surgery.