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J R Soc Med 1989;82:12-14
© 1989 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 82, Issue 1 12-14, Copyright © 1989 by Royal Society of Medicine

ORIGINAL ARTICLES

Changes in the surgical management of early breast cancer in England

J Morris, GT Royle and I Taylor
Department of Psychology, University, Southampton.

A questionnaire survey of consultant surgeons in England indicates that there has been a considerable change in opinion over the past few years concerning the management of early breast cancer; only 39.1% would now perform mastectomy, whereas 64.4% would perform conservative surgery. The most common forms of management are simple mastectomy and axillary clearance (21.9%); wide excision, axillary clearance plus radiotherapy (20.1%); and wide excision plus radiotherapy alone (16.9%). The majority of the surgeons would offer patients a choice of surgery, but only 52% had access to a breast care nurse.
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