Do all GP referrals really need to be seen within 2 weeks in the breast clinic?

2014 ◽  
Vol 40 (5) ◽  
pp. 649
Author(s):  
Maria Lim ◽  
Shahla Al-Naib ◽  
Maisam Fazel
Keyword(s):  
Breast Clinic

Sensitivity and missed cancer rate in the symptomatic breast clinic—A retrospective cohort study of 40 323 patients

2020 ◽  
Author(s):  
Jeremy Batt ◽  
Rachel Ainsworth ◽  
Zenon Rayter ◽  
James Nickells ◽  
Alexandra Valencia
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Breast Clinic ◽  
Cancer Rate ◽  
Symptomatic Breast

scholarly journals Duct Excision is Still Necessary to Rule out Breast Cancer in Patients Presenting with Spontaneous Bloodstained Nipple Discharge

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
R. E. Foulkes ◽  
G. Heard ◽  
T. Boyce ◽  
R. Skyrme ◽  
P. A. Holland ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Malignant Disease ◽  
Nonoperative Management ◽  
Nipple Discharge ◽  
Breast Clinic ◽  
Exact Test ◽  
Malignant Lesions ◽  
Duct Excision ◽  
Symptomatic Breast ◽  
Rule Out

Introduction. Spontaneous nipple discharge is the third most common reason for presentation to a symptomatic breast clinic. Benign and malignant causes of spontaneous nipple discharge continue to be difficult to distinguish. We analyse our experience of duct excisions for spontaneous nipple discharge to try to identify features that raise suspicion of breast cancer and to identify features indicative of benign disease that would be suitable for nonoperative management.Methods. Details of one hundred and ninety-four patients who underwent duct excision for spontaneous nipple discharge between 1995 and 2005 were analysed.Results. Malignant disease was identified in 11 (5.7%) patients, 4 invasive and 7 insitu, which was 10.2% of those presenting with bloodstained discharge. All patients with malignant disease had bloodstained discharge. Discharge due to malignant disease was more likely to be bloodstained than that due to benign causes (Fisher's exact test, 2-tailedPvalue = 0.00134).Conclusion. Our findings do not support a policy of conservative management of spontaneous bloodstained nipple discharge. Cases of demonstrable spontaneous bloodstained nipple discharge should undergo duct excision to prevent malignant lesions being missed.

Subtle signs of breast cancer as an important pitfall in mammographic interpretation. Establishing an accurate diagnosis in an equivocal case

2021 ◽  
pp. 1-6
Author(s):  
Nikolaos S. Salemis ◽  
Eleni Mourtzoukou ◽  
Michail Angelopoulos
Keyword(s):  
Breast Cancer ◽  
Imaging Modality ◽  
Benign Lesion ◽  
Imaging Features ◽  
Breast Cancers ◽  
Breast Clinic ◽  
Delay In Diagnosis ◽  
Delay Of Treatment ◽  
Equivocal Case ◽  
Related Mortality

Mammogram is the standard imaging modality for the early detection of breast cancer, and it has been shown to reduce disease-related mortality by up to 30%. Mammogram, however, has its limitations. It is reported that 10–30% of breast cancers may be missed on a mammogram. Delay in the diagnosis and treatment may adversely affect the prognosis of patients with breast cancer. We present a case of multifocal invasive early breast carcinoma, which was misinterpreted twice as intramammary lymph nodes, thus resulting in a delay in diagnosis for eighteen months. The tumors were detected incidentally after the patient presented to our Breast clinic for symptoms related to a concomitant benign lesion involving the same breast. We describe the tumors’ imaging features and discuss the possible reasons that likely led to repeated misinterpretation. Awareness of possible causes for missed breast cancer is necessary to avoid delay of treatment initiation that may adversely affect prognosis.

111 Is Triple Assessment Necessary in All Young Patients Referred to a Rapid Diagnosis Breast Clinic?

2012 ◽  
Vol 48 ◽  
pp. S73
Author(s):  
F. Rashid ◽  
D. Yue ◽  
A. Austin ◽  
D. Ravichandran
Keyword(s):  
Young Patients ◽  
Rapid Diagnosis ◽  
Breast Clinic ◽  
Triple Assessment

scholarly journals Commentary on: Incidental Breast Cancers Identified in a One-Stop Symptomatic Breast Clinic

2011 ◽  
Vol 14 (2) ◽  
pp. 165
Author(s):  
Jeong Eon Lee ◽  
Jung-Hyun Yang ◽  
Seok Jin Nam
Keyword(s):  
Breast Cancers ◽  
Breast Clinic ◽  
One Stop ◽  
Symptomatic Breast

Received and perceived support subscales of the Berlin Social Support Scales in women diagnosed with breast cancer attending the breast clinic at Tygerberg hospital: structure and correlates

2019 ◽  
Vol 50 (1) ◽  
pp. 54-66
Author(s):  
Rizwana Roomaney ◽  
Ashraf Kagee ◽  
Nina Knoll
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
South Africa ◽  
Cancer Patients ◽  
Care Facility ◽  
Public Health Care ◽  
Perceived Support ◽  
Breast Cancer Patients ◽  
Validity And Reliability ◽  
Breast Clinic

Research in the field of psycho-oncology in South Africa is increasing, and there is a need for validated measures that assess factors associated with cancer, such as social support. The Berlin Social Support Scales are a battery of instruments that measure various types and functions of social support. The measure was originally developed for use among adult cancer patients, and their partners but has also been used among other clinical populations and healthy adults. We investigated the psychometric properties of the English version of the perceived and received sub-scales, Berlin Social Support Scales. Our sample included South African women ( N = 201) who were diagnosed with breast cancer and receiving treatment at a public health care facility. We administered several measures, including a demographic questionnaire, the Berlin Social Support subscales, the Duke-UNC Functional Social Support Questionnaire, and The Functional Assessment of Cancer Therapy to participants. Validity and reliability analyses were conducted. Factor analysis resulted in the retention of 17 items that clustered on two factors, namely received support and perceived support. The 17-item version of the Berlin Social Support Scale demonstrated strong reliability and validity in the sample. The two subscales are quick to administer, easy to interpret, and are a reliable measure of social support among breast cancer patients in South Africa.

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