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Surgical Treatment of Breast CancerBY: Ritu Choudhary | Category: Cancer Surgery | Submitted: 2010-08-08 17:39:23
The treatment of breast cancer appears to be a multidisciplinary process where the surgery is only part, though essential, of the therapeutic that must integrate with other professionals as part of a team dedicated specifically to pathology. It is now accepted that the treatment of cancer patients in dedicated units or areas that can provide integrated multidisciplinary breast paths can offer a better outcome in terms of commitment of resources, cost savings and reduction of waiting times for ' intervention. As with other neoplastic and non-achievement of the performance depends directly on the quality of treatment. In addition to the indispensable training process is necessary to have specific skills whose acquisition is due to the maintenance of an adequate level of performance (number of cases per year). Literature data show that in fact the survival of patients is influenced by the surgeon performing the operation on the basis of its experience and number of operated cases in one year.
Of course, the proposed model can not ignore the creation of a monitoring and verification of quality of place. Necessary to define objective criteria to be used as indicators of treatment efficacy and quality of service provided. Many associations dealing with the treatment of breast cancer have already done to define these indicators and to determine the values of the reference standard. Therefore, these parameters can be used as references for quality control both in diagnostic and therapeutic use to define improvement plans. To facilitate quality control procedures and enable the analysis of criticality, the European Commission has funded the program QT (Software to control the quality of treatment of breast cancer), which is a thorough and complete archiving system management of all cases of breast cancer.
Recently, at regional level were outlined the indications for surgical treatment, under the "Protocol of medical treatment, screening for early detection of breast cancer in Emilia-Romagna, which is currently being reviewed, which address both lesions Screen be-detected cancers diagnosed outside of screening.
The data of the national multi-center study called IMPACT, in which geographical areas with Italian mammography screening enabled and the presence of a cancer registry population or disease, that, when compared with other national realities in our region is a share to take into account the characteristics of the lesion diagnosed. These data were reported in the annual report produced in the mammography screening program for early detection of breast cancer. In particular, during the observation period there has been a gradual but steady increase in conservative surgery compared with a simultaneous reduction mastectomy. A definite fall of the conservative mode, not motivated by the characteristics of the treated tumors, it has instead highlighted in the age group above 70 years. The analysis of data on populations observed yields comparable to some clinical characteristics of patients and organization of the center operating, there has been a statistically significant difference in the treatment of patients screened compared to the remaining regional population.
In general, the IMPACT study data show that, the observed patient, has gradually reduced over the years considered the possibility of a woman suffering from breast cancer at an early stage of being subjected to total mastectomy procedure (RR = 0.41) and suggest that this result has contributed significantly to the anticipation and decisive diagnosis achieved through screening mammography program.
There is no denying of fact that breast cancer occurrence is increasingly growing all parts of the world. A careful and calculated treatment of breast cancer can actually reduce the chances of malignancy.
Article Source: http://www.cancer-surgery.com/
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I am not a cancer doctor. Always consult your doctor before taking any action or conclusion regarding your medical condition.
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