- Poster presentation
- Open Access
An audit to assess the impact of introducing a protocol of bilateral whole breast and axillary ultrasound for assessment of screen-detected cancers
© Perera and Wilkinson; licensee BioMed Central Ltd. 2010
- Published: 25 October 2010
- Breast Cancer
- Axillary Node
- Invasive Disease
- Biopsy Result
- Repeat Operation
Our protocol for assessment of women with screen-detected malignancy was changed to include bilateral whole breast and axillary ultrasound (BBUS) following a prospective study that confirmed the benefit of this in 2002 . This audit assesses the impact of introducing this change.
Biopsy results for all women with screen-detected cancer diagnosed between April 2003 and March 2009 were reviewed to identify cases where multiple biopsies had been performed. The reason for additional biopsy and subsequent management were recorded. The data were compared with control data (2001) obtained prior to the introduction of the protocol, and with national outcome data for screen-detected cancer.
Audit (n = 1,700)
Control (n = 105)
Additional biopsy shows cancer
FNAC of axillary node
FNAC shows nodal metastases
Additional cancers and axillary node metastases were detected as a result of introducing a policy of proactive assessment of disease extent. The unit has a favourable rate of re-operations compared with national data.
- Wilkinson LS, Given-Wilson R, Hall T, Potts H, Sharma AK, Smith E: Increasing the diagnosis of multifocal primary breast cancer by the use of bilateral whole-breast ultrasound. Clin Radiol. 2005, 60: 573-578. 10.1016/j.crad.2004.10.015.View ArticlePubMedGoogle Scholar
- West Midlands Cancer Intelligence Unit: National NHSBSP and ABS at BASO Breast Screening Audit 2008/9 report. [http://www.wmpho.org.uk/wmciu/BQA9.htm]
This article is published under license to BioMed Central Ltd.