Table 3 Patient outcomes following ‘unjustifiable’ alteration in surgical plans
Original MDT decision | Actual treatment received | Comments |
|---|---|---|
WLE | Mx | 38 mm cancer (possibly borderline for WLE) |
WLE | Mx | 32 mm cancer (possibly borderline for WLE) |
Duct clearance | Mx | Single stage therapeutic breast surgery |
Mx | WLE | 27 mm cancer with clear margins |
Mx | WLE then cavity shave | 2 operations to achieve clear margins |
Mxa | Primary endocrine | Not reassessed for surgery |
ALNDa | Primary endocrine | Not reassessed for surgery |
ALND | SLNB then ALND | 2-stage axillary surgery (positive SLNB) |
SLNB | ALND | Positive ALND (4/20 nodes) |
SLNB | ALND | Positive ALND (1/14 nodes) |
SLNB | ALND | Negative ALND (0/8 nodes) |
SLNB | ALND | Negative ALND (0/8 nodes) |
SLNB | ALND | Negative ALND (0/40 nodes) |
SLNB | No axillary surgery | DCIS only with no invasive breast cancer |
