A 5 Year Experience of Intraoperative Touch Imprint Cytology (TIC) for Assessment of Sentinel Lymph Nodes in Patients with Breast. Cancer. Y. Jauhari*, H.
ASGBI abstracts
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Methods: We retrospectively analysed the data of all patients diagnosed with a
Aims: Gaining empowerment through knowledge is a common theme among
malignancy of the thyroid at James Cook University Hospital in Middlesbrough from April 2008 to May 2013. We analysed the basic demographics, stage at presentation and the subsequent management. Results: 99 patients (mean age 50) were identified with thyroid malignancies between these dates. 95 underwent surgical treatment, of which 67 were Papillary, 20 Follicular, 2 Medullary and 6 Hurthle cell carcinomas. The group was made up of 72 females and 27 males. A family history was seen in only 3 subjects. 70 patients presented with a thyroid mass only and 15 presented with palpable cervical nodal disease. In the group aged ≤45, 25% presented with cervical lymph node involvement. Of which 54⋅5% were stage N1b. Of note the incidence of thyroid cancers increased exponentially on a yearly basis. The 5-year incidence being 33 per 100,000 Conclusions: Our data supports the trend of increasing incidence of thyroid cancer and shows a higher incidence than the national average. Our data does not support the theory that increasing incidence is mainly attributed to improved radiological sensitivity and incidental diagnoses as the majority presented with a symptomatic unilateral neck lump or swelling. The Teesside area has a long established heavy industry with a one of the world’s largest oil refinery and petrochemical plants. It could be hypothesized that the population is exposed to more potential thyroid carcinogens. More research is required to better understand potential risk factors to enable the introduction of preventative measures in the control of the continuous increase and aid appropriate service provision.
breast cancer patients. Information gathering can reduce feelings of uncertainty and produce feelings of hope and control. However 25% of adults have only basic literacy skills. We have developed a mobile application that is educational at all literacy levels as well as supporting early discharge and remote monitoring of post operative patients, independent of geographical location. Methods: Developed over 6 months, the app contains patient tailored content, including information on patient specific surgery as well as general breast cancer related information. Patients update drain output and pain scores daily; information which is directly relayed to the phone of the relevant breast care nurse and surgeon. Additionally patients can communicate anonymously with other study participants through a moderated ‘whiteboard’. Direct patient video/audio education is delivered on drain and wound care, along with physiotherapy and previous patients delivering frequently asked questions. Results: Adhering to eMedical developmental protocols and in partnership with NALA (National Adult Literacy Agency) the application is now available on iPads used by participating breast cancer patients. Data is collected on knowledge acquisition, anxiety and technology familiarity. In tandem, qualitative and quantitative assessment of use of the app is conducted. Conclusions: This project reflects the initial stages in the development of online patient pathways for breast cancer care. PATI will empower patients and primary care, shifting the care paradigm away from tertiary care centres and towards the community.
Breast/Endocrine/Other 0691 Breast/Endocrine/Other 0652 A Qualitative Content Analysis of Breast Cancer Narratives Hosted Through the Medium of Social Media N.M. Foley1 *, M. O’Mahony2 , E.A. Lehane2 , T. Cil3 , M.A. Corrigan1 1 Breast
Research Centre, Cork University Hospital, Cork, Ireland, 2 Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland, 3 Department of Breast Surgery, University of Toronto, Toronto, Ontario, Canada Aims: Social media (SM) hosts a significant amount of breast cancer related
information, with breast cancer accounting for the largest number of new internet cancer postings (24⋅6%). The objective of this study was to explore common themes expressed by women using SM during their cancer treatment. Methods: Data for analysis were extracted from YouTube. The search terms used were “breast cancer survivor” and “breast cancer stories”. All clips were transcribed in their entirety and coded by two readers independently. Data were analysed using qualitative content analysis. Results: The overarching theme apparent from transcript analysis was that of ‘The experience of fighting cancer’. Five categories, namely, (1) ‘First finding out’, (2) Coping Strategies: ‘Doing what you have to do’ (3) ‘Living with uncertainty’, (4) ‘Reaching out and giving back’ and (5) ‘Learning lessons’ were identified as key issues for breast cancer patients. Conclusions: Participating in blogs generates important peer and social support. Many patients partaking in these video blogs wanted to ‘reach out and give back’, an endeavour that contributes to satisfaction among breast cancer survivors participating in peer support programmes and an enormous resource to potential survivorship programmes. Identifying patterns of use in social media allows us to construct new paradigms of communication for the next generation of breast cancer patients.
Breast/Endocrine/Other 0655 PATI: Patient Accessed Tailored Information N.M. Foley*1 , G. Connolly2 , S. Tabirca2 , B. Maher3 , M.A. Corrigan1 1 Breast Research Centre, Cork University Hospital, Cork, Ireland, 2 School of Computer
Science and Information Technology, University College Cork, Cork, Ireland, 3 School of Medicine, University College Cork, Cork, Ireland, 4 Department of Breast Surgery, University of Toronto, Toronto, Ontario, Canada, 5 National Adult Literacy Agency, Dublin, Ireland, 6 Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland
© 2014 The Authors BJS © 2014 British Journal of Surgery Society Ltd
A 5 Year Experience of Intraoperative Touch Imprint Cytology (TIC) for Assessment of Sentinel Lymph Nodes in Patients with Breast Cancer Y. Jauhari*, H. Janebdar, D. Betal, R. Babu, R.J. Sainsbury St Marys Hospital, Isle of Wight, UK Aims: Intraoperative assessment of sentinel lymph node (SLN) in breast cancer
allows concurrent diagnosis and management of metastatic disease and reduces patient exposure to unnecessary axillary surgery. The SLN(s) is identified by patent blue V dye and radiocolloid injection. Once harvested, it is immediately analysed by touch imprint cytology (TIC) to guide the need for completion axillary node clearance. This study reports our experience of intraoperative SLN and TIC in a breast surgery unit without local nuclear medicine facilities. Methods: We conducted a retrospective case series (Sept 2007 – Dec 2013) on breast cancer resection patients who underwent intraoperative TIC for SLN assessment. Patients with pre-operatively diagnosed involved nodes were treated by axillary clearance Tc-99 M for SLN localisation is transported from the UK mainland on the morning of the procedure. TIC results were compared to definitive histopathology findings from subsequent haematoxylin and eosin-stained SLN sections. Results: 716 SLN biopsies were performed in patients undergoing mastectomy (34⋅9%), wide local excision (62⋅8%) or other operations (2⋅3%) for breast cancer. A median of 1 SLN was removed (range 1–5), with TIC sensitivity of 63⋅3% and specificity of 97⋅4%. 15 patients had concurrent axillary clearance for a false positive TIC. In patients with false negative TIC (n = 48), 14 were invasive lobular carcinoma and 20 had micro-metastasis (
