Abstract
This poster presentation pictorially depicts the evolution of a local project that aims to enable women with learning disabilities equity of access to breast and cervical screening. It demonstrates that different National Health Service Trusts can work in partnership to promote access to screening services for women with learning disabilities and shows how networking and joint planning can result in the development of strategies to overcome possible barriers. The poster presentation focuses on the facilitation of an ongoing training programme for carers and highlights some individual projects that have been initiated by participants. The overall theme of the project is that women with a learning disability should receive a positive health message, regardless of whether or not they accept or decline screening.
Highlights
Neoplastic tissue contains elevated levels of choline-containing metabolites [1,2]
We examined the extent to which the lower mammographic sensitivity found in hormone replacement therapy (HRT) users could be explained by any association of HRT use with higher density and more difficult to detect cancers
The results suggest that applying compression does not ensure breast thickness reduction and observing physical changes does not guarantee that breast thickness has been minimised
Summary
Neoplastic tissue contains elevated levels of choline-containing metabolites (tCho) [1,2]. The presence of spiculation arising from a mass detected at mammography makes malignancy a probable diagnosis This is confirmed by this review of the first 8 years of screening in East Sussex where only 3.6% of masses with spiculation were benign at excision (24 out of 668), compared with 33.3% of masses without spiculation (102 out of 306). When breast core biopsy reveals lobular neoplasia (lobular carcinoma in situ [LCIS] or atypical lobular hyperplasia [ALH]) a management dilemma follows, as uncertainty regarding the significance of LCIS/ALH exists. Is this an indicator of increased risk of breast cancer or should it be considered a marker for more serious local pathology? Is this an indicator of increased risk of breast cancer or should it be considered a marker for more serious local pathology? Should surgical excision be undertaken in these cases?
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