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Breast surgery via Shutterstock

Experienced surgeons mean breast cancer patients need less surgery

Women who had their first surgery in a hospital treating a large number of breast cancer patients were less likely to have a second operation.

WOMEN WHO HAVE breast surgery in specialised hospitals and by specialised surgeons are less likely to need a second operation.

Research published today by the National Cancer Registry shows that almost one in five Irish women having breast-conserving surgery between 2002 and 2008 needed one or more operations. Almost two in every three of these went on to have a total removal of the breast, known as a mastectomy.

Although the research had very little comparable information from other countries, the number of women a mastectomy was high.

Older women, and those whose cancer was diagnosed through screening, were less likely to have a second operation.

The most important finding was that women who had their first surgery in a hospital treating a large number of breast cancer patients were less likely to have a second operation. Similarly, women treated by a surgeon with a high breast cancer caseload were less likely to have a second operation, or to have a mastectomy if they had a second operation.

Breast-conserving surgery is the preferred option for women with small breast lumps, but this option proves insufficient, and women must undergo the trauma of a second operation.

The study did not show why there was a lower rate of re-operation in larger hospitals; this may have been due to many factors, including better selection of women for breast-conserving surgery, greater surgical skill or closer adherence to treatment guidelines.

The centralisation of breast cancer surgery in public hospitals into eight designated cancer centres was completed by the National Cancer Control Progamme in 2009.

More: Longer use of breast cancer drug halves the risk of death>

Column: Cancer is a subject still cloaked in darkness – we’re trying to lighten the conversation>

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25 Comments
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    Mute Mad Gerald
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    Jun 16th 2011, 10:18 AM

    So we just roll over and accept generations of debt ?

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    Mute Brandon K
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    Jun 16th 2011, 10:34 AM

    Best to just take the pain now and get it over with.. quiet inevitable sadly.

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    Mute Neil Casey
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    Jun 16th 2011, 3:06 PM

    A unilateral default = slashing public sector wages and social welfare by a third overnight. There’d be riots on the streets with the likes of Eirigi taking their opportunity as the ‘blue flue’ strikes the Gardai.

    I kind of understand why no sensible politician is so quick to jump for that option.

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    Mute Sue Anthony
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    Jun 16th 2011, 11:07 AM

    think Ireland should still back out of undeerwriting the banks – yes this would set of another bust , but we are so bust now and for years to come overall it won’t make that much difference. Write off the banks and start again, with a new bank that the citizens can trust, is run transparently and with new employment contracts, no bonuses, limited higher limit earnings etc. – You know like any other job !

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    Mute Keith dunne
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    Jun 16th 2011, 12:39 PM

    Great idea of course but it’ll never happen.. The political leadership ofthis country are so frightened of l appearing to rock the European boat that they’ll do exactly what they are told like good little paddys..as for noonan saying senior bondholders are to receive a haircut this is either an attempt to bluff an interest rate cut from the troika or cynical attempt to garner some positive publicity for the hundred day milestone fg set for themselves..now they wouldn’t do that would they??

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    Mute Sue Anthony
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    Jun 16th 2011, 12:58 PM

    The power of money is imense and if the citizens remove thier own personal money – I know businesses can’t do this, but ordinary citizens can take thier money out of the accounts, this would make the government listen to its people – a run on the banks would be benefitical to citizens in closing these still banks and ensuring a new banking systems starts. The solution is not always in the sole hands of the government.

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