Improving management of women at risk of breast cancer

How best to manage women with a moderate risk of breast cancer and a new trial looking at best practice treatment of DCIS generated much discussion and debate at the recent pan-London breast screening clinical forum held on Tuesday 16 December 2014.

Dr Will Teh, LCA breast pathway chair, explained there is a big variation in practice of monitoring women with a moderate risk of developing breast cancer and the NICE guidance from 2013 is yet to be implemented. A pan-London steering group chaired by Dr Teh will be charged with the implementation of a commissioned service which will align primary and secondary care services in order to deliver a consistent high quality risk assessment and surveillance service.

Guy’s and St Thomas’ NHS Foundation Trust is currently an active site for LORIS, a new study comparing surgery with active monitoring for women with low risk ductal carcinoma in situ (DCIS), to learn whether women with low risk DCIS can safely avoid having surgery, explained Ms Adele Francis, consultant surgeon at University Hospital in Birmingham, who is leading the study. The Royal Marsden, Imperial and King's sites should be open and active shortly.

Other presentations included  screening data for 2013/14, the development of a National Cancer Registration Service for England, optimising patient pathways and minimising 62 day screening breaches.

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