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Clinical Articles / BY: Colin Mar, MD, FRCPC January/February 2018
... overall benefits of screening should outweigh the harm.[ 2 ] Although breast cancer screening, treatment, and ... the work of Coldman and colleagues, who considered over 2 million women age 40 to 79 in 7 of 12 Canadian screening ... These included a weak recommendation for mammography every 2 to 3 years for women age 50 to 69, and the same for women ...
Clinical Articles / BY: Christine Wilson, MD, FRCPC January/February 2018
... image-guided biopsies was implemented with some success.[ 2 ] A business case was made for converting from analog to ... and additional communication do not cause delays ( Figure 2 ). This means a full-service diagnostic facility (hub) ... diagnosed with breast cancer after a mean wait time of 84.2 days to see the surgeon. Of these patients, 49% presenting ...
Clinical Articles / BY: Amie Padilla-Thornton, MD, FRCPC January/February 2018
... differentiation between normal and abnormal tissue.[ 2 ] Magnetic resonance imaging (MRI) may be used in limited ... studies categorized as BI-RADS 1 (negative) or BI-RADS 2 (conclusively benign) do not require further imaging ... BI-RADS 3 have an estimated malignancy risk of less than 2% and follow-up imaging is recommended at 6, 12, and 24 ...
Clinical Articles / BY: Katherine A. Blood, MD, PhD January/February 2018
... thought to be due to inherited susceptibility to cancer.[ 2 ] The most commonly mutated genes predisposing women to ... 13% to 23% for BRCA2 carriers,[ 3 ] compared with a 1% to 2% lifetime risk for ovarian cancer in the general ... for 98% of the study population, with the remaining 2% having a personal risk or familial presence of other gene ...
Clinical Articles / BY: Heather E. Cadenhead, BKin January/February 2018
... the home, the workplace, and sporting activity sites.[ 2 ] While Canada has a similar proportion of sport-related ... it is unclear which sports are primarily responible.[ 2 ] Reports of previous studies have not provided details ... used, if any, and attitudes toward eye protection.[ 2 ] Further research in this area could have important ...
BC Centre for Disease Control / BY: Emma Cumming, MSc January/February 2018
... from around 10 000 people in 2012 to 40 000 in 2017.[ 2,3 ] After noticing a high volume of cannabis-related calls ...
Clinical Articles / BY: Rebecca Warburton, MD, FRCSC March 2018
... in terms of survival in patients with early stage disease[ 2,11,12 ] and new studies suggest a potential survival ... when BCS and radiotherapy are compared to mastectomy.[ 2,11 ] Patients with positive margins should be evaluated for ... surgery as reoperation for close margins (less than 2 mm) does not significantly improve their outcome.[ 16 ] ...
Clinical Articles / BY: John A. Taylor, MD, MPH, FRCPC March 2018
... were the eighth leading cause of death in Canada.[ 2 ] Vaccination programs in the ED have been described ... immunization in the ED. For this estimated proportion of 0.2 and a desired precision of +/- .05 we calculated a required ... disease. Risk factors reported for influenza ( Table 2 ) and for pneumococcal disease ( Table 3 ) show that heart ...
Clinical Articles / BY: F. Michelle Sutter, MD, FRCSC March 2018
... and widely excised tumors, radiation may be omitted.[ 2 ] Consultation with a radiation oncologist is recommended ... in women older than 55 years of age with small (less than 2 cm) tumors and ER-positive, PR-positive, HER2-negative, ... risk are patient age younger than 50, tumor larger than 2 cm, medial primary tumor location,[ 9 ] lymphovascular ...
Clinical Articles / BY: Connie G. Chiu, MD, FRCSC March 2018
... estimated incidence of 3.0% for ALND and 0.5% for SLNB.[ 2 ] The use of axillary radiation is an independent and added ... and postoperative arm. Differences greater than 2 cm indicate clinical lymphedema, which is further classified as mild (2 to 3 cm), moderate (3 to 5 cm), or severe (more than 5 ...