In the majority of cases, treatment involves surgery.4 This report reviews the surgical care of women with invasive breast cancer and those with a non-invasive cancer, ductal carcinoma in situ (DCIS).ii To date, there have been few published descriptions from a pan-Canadian perspective of the surgical care provided to women with breast cancer. [...] In the absence of special reasons for selecting mastectomy, the choice between breast-conserving surgery and mastectomy can be made according to the patient’s circumstances and personal preferences.”19 The type of breast cancer surgery performed is determined in large part by the interplay between the surgeon’s and other providers’ provision of information and counselling regarding treatment optio [...] Significant variation in mastectomy rates by province was observed in Canada in the period 1997 to 2000.32 In these analyses, as in the current analysis, women with unilateral invasive breast cancer in Quebec had much lower use of mastectomy than women in Newfoundland and Labrador (Quebec had half the rate of Newfoundland and Labrador). [...] Research conducted in Ontario in the mid-1980s and 1990s found breast reconstruction rates to be associated with the availability of resources and expertise;35 within Canada, the availability of immediate breast reconstruction surgery is extremely variable.36 As breast reconstruction surgery in Canada is still relatively uncommon, it is unlikely to account for large variations in mastectomy rates. [...] Re-Excision Following BCS Background Surgical re-excision, in the context of the present analysis, is surgery following the index breast cancer procedure that was performed on the same breast and occurred within 365 days of the index surgery.
- ISBN
- 9781771091114
- Pages
- 63
- Published in
- Canada
