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Evolution of breast cancer management in Ireland: a decade of change.
Heneghan, Helen M Prichard, Ruth S Devaney, Amanda Sweeney, Karl J Malone, C McLaughlin, Ray Kerin, Michael J
Heneghan, Helen M
Prichard, Ruth S
Devaney, Amanda
Sweeney, Karl J
Malone, C
McLaughlin, Ray
Kerin, Michael J
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Advisors
Editors
Other Contributors
Date
2009
Date Submitted
Keywords
Other Subjects
Subject Mesh
Adult
Aged
Aged, 80 and over
Breast Neoplasms
Carcinoma in Situ
Carcinoma, Ductal, Breast
Combined Modality Therapy
Early Diagnosis
Female
Humans
Ireland
Mastectomy
Middle Aged
Neoplasm Staging
Physician's Practice Patterns
Practice Guidelines as Topic
Sentinel Lymph Node Biopsy
Aged
Aged, 80 and over
Breast Neoplasms
Carcinoma in Situ
Carcinoma, Ductal, Breast
Combined Modality Therapy
Early Diagnosis
Female
Humans
Ireland
Mastectomy
Middle Aged
Neoplasm Staging
Physician's Practice Patterns
Practice Guidelines as Topic
Sentinel Lymph Node Biopsy
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
Abstract
BACKGROUND: Over the last decade there has been a paradigm shift in the management of breast cancer, subsequent to revised surgical oncology guidelines and consensus statements which were derived in light of landmark breast cancer clinical trials conducted throughout the latter part of the 20th century. However the sheer impact of this paradigm shift upon all modalities of treatment, and the current trends in management of the disease, are largely unknown. We aimed to assess the changing practices of breast cancer management over the last decade within a specialist tertiary referral Breast Cancer Centre. METHODS: Comparative analysis of all aspects of the management of breast cancer patients, who presented to a tertiary referral Breast Cancer Centre in 1995/1996 and 2005/2006, was undertaken and measured against The European Society for Surgical Oncology guidelines for the surgical management of mammographically detected lesions [1998]. RESULTS: 613 patients' case profiles were analysed. Over the last decade we observed a dramatic increase in incidence of breast cancer [>100%], a move to less invasive diagnostic and surgical therapeutic techniques, as well as increased use of adjuvant therapies. We also witnessed the introduction of immediate breast reconstruction as part of routine practice CONCLUSION: We demonstrate that radical changes have occurred in the management of breast cancer in the last decade, in keeping with international guidelines. It remains incumbent upon us to continue to adapt our practice patterns in light of emerging knowledge and best evidence.
Language
en
ISSN
1471-2482
eISSN
ISBN
DOI
10.1186/1471-2482-9-15
PMID
19765289