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Clinical Articles / BY: Colin Mar, MD, FRCPC January/February 2018
... treatment. •    There should be an acceptable test.[ 1 ] These principles have undergone multiple revisions over ... In 2010 the lifetime risk for developing breast cancer was 1 in 9 and the lifetime mortality risk was 1 in 30. Since 1986 there has been a steady decline in the ...
Clinical Articles / BY: Christine Wilson, MD, FRCPC January/February 2018
... in BC is the Provincial Breast Health Strategy (PBHS).[ 1 ] Provincial Breast Health Strategy In 2009 the Ministry of ... implementation of the Provincial Breast Health Strategy.[ 1 ] Objectives of the PBHS include developing a provincial ... physicians as they progress through the system ( Figure 1 ). The pathway was developed as part of the PBHS by a team ...
Clinical Articles / BY: Amie Padilla-Thornton, MD, FRCPC January/February 2018
... shown to correlate with the presence of breast cancer.[ 1 ] Breast pain that is persistent, noncyclical, unilateral, ... College of Radiology (ACR) and summarized in ( Table 1 ), provides standardized descriptions of findings that ... Patients with imaging studies categorized as BI-RADS 1 (negative) or BI-RADS 2 (conclusively benign) do not ...
Clinical Articles / BY: Katherine A. Blood, MD, PhD January/February 2018
Background   Women in the general population have a 1 in 9 lifetime risk of developing breast cancer—the number one cancer diagnosed in women in BC.[ 1 ] The majority of breast cancers are thought to occur ... and 13% to 23% for BRCA2 carriers,[ 3 ] compared with a 1% to 2% lifetime risk for ovarian cancer in the general ...
Clinical Articles / BY: Heather E. Cadenhead, BKin January/February 2018
... effect on quality of life in the developed world.[ 1 ] Trauma to the ocular structures is one of the most common ... 15% of these injuries occur during sporting activities.[ 1 ] The most common activities related to traumatic eye ... baseball, basketball, racquetball, football, and soccer.[ 1 ] Our clinical experience in Vancouver, BC, suggests that ...
BC Centre for Disease Control / BY: Emma Cumming, MSc January/February 2018
... emerged from California’s cannabis subculture.[ 1 ] Vancouver hosts a large 4/20 event, most recently held at ... among consumers of edible marijuana products (95% CI, 1.39–11.82). It was not surprising that 4/20 cannabis users ...
Clinical Articles / BY: Rebecca Warburton, MD, FRCSC March 2018
... has become less invasive in both the breast and axilla.[ 1-4 ] Surgical techniques have advanced to provide better ... prophylactic mastectomy are rising at more than 1% per year[ 26 ] and have been known to almost double the ... regional control but has no proven survival advantage.[ 1 ] Patients with node-positive breast cancer will often be ...
Clinical Articles / BY: John A. Taylor, MD, MPH, FRCPC March 2018
... hospital admissions and 3500 deaths per year in Canada.[ 1-3 ] Emergency department (ED) care for influenza consists ... benefits by reducing influenza symptoms by less than 1 day.[ 4 ] Vaccination is recommended for influenza ... emergency department at Vancouver General Hospital from 1 May to 31 August 2015 were approached to enroll in our ...
Clinical Articles / BY: F. Michelle Sutter, MD, FRCSC March 2018
... of recurrence by two-thirds and can improve survival.[ 1 ] The decision to recommend adjuvant radiation is ... one breast cancer death for every four local recurrences.[ 1 ] There is now evidence that older patients with small ... the radiation therapy recommended following BCS.[ 13 ] On 1 November 2012 the BC Cancer Centre for the North opened in ...
Clinical Articles / BY: Connie G. Chiu, MD, FRCSC March 2018
... compared with 5% for sentinel lymph node biopsy (SLNB).[ 1 ] However, a more clinically meaningful and relevant ... typically seen within 3 years of axillary intervention,[ 1,4 ] while the ongoing risk beyond 3 years is estimated at 1% per year to at least 20 years.[ 4 ] Prevention strategies ...