Breast Ca RCOG 2011 PDF

Summary

This document is a 2011 RCOG breast cancer guideline. It details factors, including clearance, reconstruction, staging, and fertility issues in patients with breast cancer, and includes considerations for treatment and risks.

Full Transcript

gynaepedia Breast Ca RCOG 2011 9.1. Clearance – Anytime 9.2. Reconstruction – Delay 1. 5YSR 80% 9.3. Sentinel node – Scinti , not 2. 2 wks after prognosis Chemo...

gynaepedia Breast Ca RCOG 2011 9.1. Clearance – Anytime 9.2. Reconstruction – Delay 1. 5YSR 80% 9.3. Sentinel node – Scinti , not 2. 2 wks after prognosis Chemo 4.4. BRCA+ = PIGD 11.4. Monitor marrow, white 4.5. Subfertility ref if needed cells 4.5.1. POF 12. Perinatal care 4.5.2. Surrogacy 12.1. Echo for HOCM 4.5.3. Adoption 12.2. BF + from unaffected 4.5.4. Not enough evid for breast 4.5.4.1. GNRH 12.2.1. Stop during 4.5.4.2. Cryo Chemo 5. Lump 12.3. 5.1. Breast Spec 13. Risks 5.1.1. MDT 13.1. Misc 5.1.1.1. USS + 13.2. No increase in CMF Mammo 5.1.1.1.1. Bx 5.1.1.1.2. Histo Not Cyto 5.1.1.1.3. Get Grade 5.1.1.1.4. Get receptor 6. Staging 6.1. Rarely undertaken in preg 6.2. USS liver 6.3. CXR 6.4. ?MRI 7. No 7.1. Tumour markers 7.2. XRay pelvis 7.3. CT scan 7.4. Bone scan 7.5. ?Plain film 8. TOP Factors to consider 8.1. Prognosis 8.2. Rx 8.3. Fertility 8.4. MDT 9. Sx

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