Breast Disease Management

Breast cancer affects 1 in 10 women and the majority of UK women will attend a breast clinic at least once during their lives. The patient's journey through assessment and management is one that involves a huge range of healthcare professionals, in which the truly multidisciplinary management style required has previously been only sparsely addressed. This book provides a practical guide on how to investigate and manage common breast problems for all members of the breast disease team, whether surgeons, nurses, pathologists or support workers. Its focus is on providing easy access to the most up-to-date evidence, allowing healthcare workers to make the best decisions possible and encouraging a team approach to patient support.

26 chapters cover the whole of the patient journey from assessment through to surgery and adjuvant treatments, giving a practical overview of the whole process of care. The coverage guides the reader from clinical examination and investigation of the breast patient to pre-operative workup and post-operative complication guidance. To enable swift and effective decision-making, clear management plans are provided for common breast problems. The book also includes the latest evidence, guidance and references on breast disease, together with discussions on current controversies in the field including the management of margins, management of the axilla and the evidence surrounding the NHS Breast Screening Programme. To give practical advice on the realities of being part of a breast care team, the book also has several chapters devoted to leadership and management including MDT requirements, audit and research, avoiding complaints and the organisation of a breast unit.

Enabling every healthcare professional to respond to patients' needs accurately and knowledgeably, Breast Disease Management is a practical guide for the whole team in providing truly patient-centred, effective care.

About the Author:
James Harvey, Consultant Oncoplastic Breast Surgeon, Nightingale Centre, UHSM, Sue Down, Consultant Breast Surgeon, James Paget Hospital, Great Yarmouth, Rachel Bright-Thomas, Consultant Breast and Reconstructive Surgeon, Worcestershire Royal Hospital, John Winstanley, Consultant Surgeon Emeritus, The Royal Bolton Hospital, Hugh Bishop, Consultant Surgeon Emeritus, The Royal Bolton Hospital

Mr James Harvey completed a PhD on Novel Immune Therapies in Breast Cancer and completed his surgical training with a National Oncoplastic Fellowship in Sheffield, England. He has an ongoing interest in education and has recently completed a Certificate in Clinical Education. Currently working as a Consultant Oncoplastic Breast Surgeon in a purpose-built breast unit called the Nightingale Centre at the University Hospital of South Manchester. Research interests include Breast Cancer Immunology, Breast Reconstruction and investigating the Cultural Differences in delivering breast services. Mr Harvey sits on the Medical Advisory board for the "Genesis Breast Cancer Prevention" charity which supports clinical research in breast cancer prevention www.genesisuk.org

Sue Down is a Consultant Breast Surgeon at James Paget Hospital in Great Yarmouth.

Rachel Bright-Thomas qualified from Oxford University Medical School (BM BCh) in 1993 and has pursued a career in General and Breast Surgery ever since. She gained an MD from London University in 2001 and obtained her CCST in June 2005. Having spent a year as a National Oncoplastic Breast Fellow she was appointed to a Consultant Breast and General Surgeon post in November 2006. Her main interests are in Breast and Reconstructive Surgery and in training.

John Winstanley is currently Consultant Surgeon Emeritus at the Royal Bolton Hospital and an Honorary Research Fellow of the University of Liverpool. He has formerly held Consultancies at the Royal Liverpool Hospital, North Manchester General and South Manchester University Hospitals, having trained in Liverpool, Manchester and Atlanta. He has taught on the Intermediate Breast Disease and Breast Reconstruction Courses at the Royal College of Surgeons as well as being on the Court of Examiners for MRCS and FRCS. He is Breast screening QA Surgeon for the North West. His clinical interests have focused on breast reconstruction. He has contributed chapters to various textbooks on cancer management and follow-up.

Hugh Bishop is a Consultant Surgeon Emeritus at the Royal Bolton Hospital. In 1996 he started the National Audit of Screen Detected Breast Cancer. He was one of the writing group that published the first set of ABS Guidelines in Breast Disease as well as the Guidelines for the Management of Metastatic Breast Cancer in Bone. He founded The Sloane Project, a National Audit on non invasive screen detected breast cancer which is now the largest such audit in the world. He was secretary of the B.A.S.O. breast surgeons group for 13 years until it evolved into its own society, The Association of Breast Surgery, when he was elected its first President.