RT Journal Article
SR Electronic
T1 A survey of Canadian breast health professionals’ recommendations for high-risk benign breast disease
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 258
OP 360
DO 10.1503/cjs.009018
VO 62
IS 5
A1 Coralea Kappel
A1 Jean Seely
A1 James Watters
A1 Angel Arnaout
A1 Erin Cordeiro
YR 2019
UL http://canjsurg.ca/content/62/5/258.abstract
AB The management of high-risk benign breast disease (BBD) is changing because of improvements in radiological and pathological analysis. We sought to determine the current practice recommendations of breast health professionals in managing patients with high-risk BBD. We surveyed members of the Canadian Society of Surgical Oncology, Canadian Association of General Surgeons and Canadian Association of Radiologists. The survey contained demographic and case-based questions concerning management of high-risk benign breast lesions. Participants were asked for their recommendations and opinions regarding future risk of breast cancer as well as the role of chemoprevention. There was no consistency among the 41 respondents in the treatment recommendations for any of the high-risk benign conditions, and the lifetime risk associated with classic lobular carcinoma in situ was vastly underestimated. Education and evidenced-based guidelines are urgently needed to ensure more uniform practice nationally.