Abstract
Southern Derby Breast Screening Service began inviting women up to the age of 70 years at the beginning of January 2003, and completed the first full round of screening for women aged 65–70 years on schedule in December 2005. Data are presented for these women, in comparison with the 50–64 age group, and we describe briefly the simple but effective ways of working with administrative and radiographic teams to cope with the additional workload. For example, extending the skill mix, calling women numerically rather than alphabetically, introducing new mobile sites at central locations to encourage attendance, ensuring sufficient assessment slots and pre-allocating assessment appointments for smooth running clinics. The screening service has maintained all targets during this period. The statistics show that women aged 65–70 years in Southern Derbyshire attend as well as, or better than, women aged 50–64 years. There is a similar overall recall rate, but with a high specificity for cancer. An excess of invasive cancers were detected for what is in effect a prevalent round. We are also finding that women aged >70 years are self-referring in increasing numbers, from 264 in 1999 to 503 in 2005. Table 1
Highlights
Axillary lymph node dissection has been standard practice for staging invasive breast cancer
Best estimates for where to credit this dramatic drop in death rate place approximately 50% of the credit with improved adjuvant chemotherapy and 50% with mammography
Full field digital mammography (FFDM) had a higher detection rate for ductal carcinoma in situ (DCIS) but no difference was observed for invasive tumours
Summary
Axillary lymph node dissection has been standard practice for staging invasive breast cancer. Aim To assess the feasibility of surgeons performing breast US in symptomatic breast clinics either as an adjunct to triple assessment or on their own for diagnostic and therapeutic purposes. The performance of individual units is monitored to ensure all women have access to an excellent service Aim This project aims to demonstrate how the Liverpool Breast Unit addressed failure to meet the national quality standard for the benign. Method A retrospective review of the records of patients who had undergone benign biopsy (2001–2002) was conducted to establish reasons for surgical referral and suggest corrective measures to enable the unit to meet the standard in the future. Columnar cell change (CCC) is diagnosed on core biopsies performed for indeterminate microcalcification. Method Mammograms of 33 cases with established CCC on core biopsy were reviewed and the radiological features, follow-up imaging and surgical excision histology (if performed) were collated. The results were completed when all units were undergoing assimilation onto the new banding procedures
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
