Women diagnosed with cancer in one breast who choose to have both removed may have no better survival rates than women who opt for breast-conserving surgery and radiation. In a study of nearly 190,000 women, the 10-year mortality rate was 18.8 percent for women who had double mastectomies, 20.1 for those who had single mastectomies and 16.8 percent for women who had lumpectomies plus radiation, researchers report in the Sept. 3 JAMA. The slightly lower survival rate among women who had only one breast removed may be influenced by socioeconomic status and race and ethnicity, the researchers say.