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Completeness of Recording of Neoadjuvant Chemotherapy and Endocrine Therapy on the Pathology Form by Rebecca Swan; Emma MacVicar; Talha Saleem is a Medicine article available to read on EtoBox.

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Introduction: Vacuum Assisted Excision (VAE) has made a significant difference in the diagnosis of early breast cancer by allowing larger tissue samples for histology and replacing diagnostic surgical biopsy, thus reducing surgical risks, general anaesthesia, healthcare costs and patient anxiety. The use of a radiological intervention rather than surgical affects radiology workflow however could assist in the maintenance of the 28-day faster diagnosis standard (FDS). Methods: A retrospective audit of all patients undergoing VAE from 1st July 2021 to 30th June 2022, specifically looking at the upgrade to preinvasive or invasive malignancy, and the needle size for VAB / VAE. Results: 60 patients underwent VAE following biopsy (core or vacuum). No patients underwent diagnostic surgical excision for B3 lesions. Conclusion: The use of VAE enabled 53 patients (88.3%) to avoid surgery. The unit B3 with atypia upgrade rate was equivalent to the national rate, supporting the unit best practice (7 gauge for VAE). Surprisingly, the B3 without atypia rate was 0%, well below the national rate (13.3%) although comparable to screening, and the total upgrade rate of 11.7% (national 16.5%). In our

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Author

Rebecca Swan; Emma MacVicar; Talha Saleem

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)