Chris Flowers - Image Guided Core Biopsy of the Breast: A Practical Approach
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Image Guided Core Biopsy of the Breast: A Practical Approach
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Image Guided Core Biopsy of the Breast is the first book to truly reflect this multidisciplinary approach and to describe, in a practical and clinically relevant way, the principles and practices of core biopsy techniques. It shows this type of biopsy can be used to improve preoperative diagnostic rates in a cost-effective manner and, whilst discussing all currently used protocols in detail, it focuses on the simpler, low-tech lateral stereotactic needle guide. core bio
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Edited by Dr Chris Flowers Consultant Radiologist Breast Test Wales Neath and Morriston Hospitals, Swansea, South Wales, United Kingdom
Page iv
1998
GREENWICH MEDICAL MEDIA 219 The Linen Hall 162-168 Regent Street London W1R 5TB
ISBN 1 900151 480
First Published 1998
Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the UK Copyright Designs and Patents Act, 1988, this publication may not be reproduced, stored, or transmitted, in any form or by any means, without the prior permission in writing of the publishers, or in the case of reprographic reproduction only in accordance with the terms of the licences issued by the Copyright Licensing Agency in the UK, or in accordance with the terms of the licences issued by the appropriate Reproduction Rights Organization outside the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publishers at the London address printed above.
The right of Dr C. Flowers to be identified as author of this Work has been asserted by him in accordance with the Copyright, Designs and Patents Act 1988.
The publisher makes no representation, express or implied, with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that may be made.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Distributed worldwide by Oxford University Press
Project Manager Gavin Smith
Designed and Produced by Derek Virtue, DataNet
Printed in Great Britain
Page v
CONTRIBUTORS
EDITOR
Dr Chris Flowers CONSULTANT RADIOLOGIST Breast Test Wales, Neath and Morriston Hospitals Swansea. South Wales, UK.
CONTRIBUTORS
Mr Mike Chare CONSULTANT SURGEON Breast Test Wales, Neath and Morriston Hospitals Swansea. South Wales, UK.
Dr Ciaran O'Brien CONSULTANT PATHOLOGIST Breast Test Wales, Neath and Morriston Hospitals Swansea. South Wales, UK.
Dr Mike Michell CONSULTANT RADIOLOGIST King's Healthcare South East London Breast Screening London, UK.
Anna Burch MEDICAL PHYSICIST Breast Test Wales Cardiff. South Wales, UK.
Dinah Winstone OBE ALL WALES SUPERINTENDENT RADIOGRAPHER (BTW) Breast Test Wales Cardiff. South Wales, UK.
Carole Doble SUPERINTENDENT RADIOGRAPHER Breast Test Wales Swansea. South Wales, UK.
Anne Wood BREAST CARE NURSE Breast Test Wales Swansea. South Wales, UK.
Jayne Evans BREAST CARE NURSE Breast Test Wales Swansea. South Wales, UK.
Page vii
FOREWORD
As Director of Breast Test Wales for the past seven years I have been impressed with developments in screening and related services for women with breast problems. I am delighted to have been asked to write a foreword to this book on a technique which is of increasing importance in the diagnosis of breast cancer. A practical guide to the use of image guided biopsy of the breast is certainly timely when there is so much focus on quality in breast cancer care. The sections of this book have been written by experts in breast care. The contributions are from colleagues in a number of disciplines all of whom have been closely involved in developing screening services locally and nationally. The contributors are almost entirely Breast Test Wales colleagues, and I congratulate them on their work.
Breast cancer affects the lives of many thousands of women and their families in Britain. It is the commonest form of cancer in women, responsible for about 15,000 deaths and 30,000 new cases diagnosed each year in the UK. Despite better understanding of at least some of the risk factors and mechanisms that lead to the development of the disease, a strategy for primary prevention remains elusive. The strategy over the past decade has focused on effective population screening and the introduction of a more specialist approach to the diagnosis and treatment of breast cancer.
The national screening programme for the early detection of breast cancer was introduced by the four UK Health Departments from 1987, based on the recommendations of the `Forrest Report'. From the outset it was recognised that, to achieve the target of a 25% reduction in breast cancer mortality by the end of the century, the screening services should be staffed by specially trained and experienced specialists working in multidisciplinary teams to ensure satisfactory performance against national standards. In addition, appropriate quality assurance systems were deemed essential to monitor performance accurately.
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