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  • Singapore Breast Clinic and Surgery Press Release
    cancer cells have begun to spread Before a surgeon can embark on this technique he or she should first demonstrate an identification rate that is sufficiently high and that false negative rate is sufficiently low Identification rate is calculated by dividing the number of times that the surgeon is able to identify the sentinel node over the total number of procedures that he or she does This is expressed as a percentage The false negative rate is the number of times the sentinel node identified shows no cancer but the remaining lymph nodes are found to have cancer spread This may lead to undertreatment of the cancer According to experts in the field an acceptable identification rate for sentinel node biopsy should be at least 85 at the minimum 2 3 better if it is more than 95 4 and false negative rates should be less than 5 2 4 Dr Tan has already published her personal results on sentinel lymph node biopsy 5 Her identification rates and false negative rates are well within the recommended guidelines Her data was collected from as early on as from November 2002 It may be of interest to know about one other publication on sentinel node biopsy for breast cancer from Singapore These may be found at http www ncbi nlm nih gov In this study by another set of surgeons the authors false negative rates were listed as 16 7 Dr Malycha s comments were that this rate was higher than what is regarded as acceptable As of 21 March 2008 there are no other publications in Singapore providing identification rates and false negative rates for sentinel node biopsy for breast cancer in any other local facility or by any other local surgeon There have been a few other write ups but

    Original URL path: http://www.mammocare.com.sg/press_release.php (2013-01-30)
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  • Breast Conservation Surgery for Breast Cancer - Mammo Care
    conservation treatment or wide excision because lumpectomy tends to give the impression that a complete removal with a rim of normal tissue has NOT been performed Clinical trials with more than 20 years of follow up have documented that breast conservation surgery followed by whole breast irradiation has an outcome equivalent to mastectomy Surgeons skilled in oncoplastic techniques can extend the scope of breast conservation to include patients with tumours 3 5 cm in diameter Theoretically there is no size limitation for breast conservation as long as local excision with clear margins can be achieved with an acceptable cosmetic result Schwartz 2003 In other words the majority of breast cancers can be effectively treated with breast conservation surgery It is known that 30 or more of women who have undergone breast conservation develop a deformity if no special measures are taken during surgery to prevent it Baildum BJS 2002 Dr Tan has published two articles on how to prevent these deformities and is the only surgeon in Singapore to have written on such special techniques Now larger or more complex cancers can be treated with breast conservation without the resultant deformities using these techniques If there is such a situation

    Original URL path: http://www.mammocare.com.sg/breast_conservation.php (2013-01-30)
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  • Site Map - Singapore Breast Clinic and Surgery
    Mount Elizabeth Novena Hospital 38 Irrawaddy Road 06 21 Mount Elizabeth Novena Hospital Singapore 329563 Working Hours Mon Fri 8 30 am to 5 30 pm Sat Strictly by Appointment Site Map Home MammoCare Events MammoCare Announcements MammoCare Press Release Breast Conservation Profile About Us Bouquets Bill Estimates FAQ Contact Us Prepare For Your First Visit How to Get Here Make an Appointment Early Detection Screening Mammography Breast Familiarity Self

    Original URL path: http://www.mammocare.com.sg/site_map.php (2013-01-30)
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  • Terms of Use of MammoCare | Singapore Breast Clinic and Surgery
    of the contents of this Website for personal non commercial use Trademark The trademarks and logo the Trademark used in this Website are registered Trademarks of MammoCare You may not in any form whatsoever use the Trademarks displayed on this Website without prior written consent of MammoCare 2 Limitations on Liability Though MammoCare does its best to safeguard your personal information there is no guarantee that transmission on the Internet is absolutely secured and you are providing the information at your own risk The contents of this Website are purely meant for educational purposes If you have or suspect to have a health problem you should consult qualified healthcare personnel To the same extent MammoCare its staff affiliates and or the writers of the articles bear no responsibility for any action or decision taken as a result of the information in this Website MammoCare bears no responsibility for the contents of third party websites accessed through links on this Website Information relating to third party websites or advertisements is provided as reference tools only Information could include inaccuracies or typographical errors Changes are periodically added to the information herein MammoCare may make changes and or updates the information at any time without notice to you While MammoCare has no reason to believe that there are inaccuracies or errors in any of the information published on this Website it makes no representations warranties of any kind including all implied warranties and conditions about the suitability of the information for any purpose whatsoever MammoCare shall in no event be liable for any special direct or consequential damages loss or expense caused including but not limited to loss of profits loss of savings and arising from computer viruses data corruption delay in transmission connection failure error or interruption access use or inability to

    Original URL path: http://www.mammocare.com.sg/terms_of_use.php (2013-01-30)
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  • Privacy Policy | Singapore Breast Clinic and Surgery
    of the Website after any revised Policy has been posted on the Website constitutes your consent to be bound by such revised Policy Collection of Personal Information If you choose to communicate with MammoCare and or any of its doctors or staff via the Website the information collected about you when you complete the contact form on our Website includes your name telephone number e mail address subject of enquiry and message We also may automatically collect general anonymous information related to your use of the Website such as the date and time you visited the Website the pages you visited on the Website and the type of browser used In addition we collect cookie information from your browser to identify your computer and provide us with a record of your visits to our Website The technology used to gather cookie information is provided by the Internet browser you use and may be turned off by using your browser preference buttons This statistical information helps us to understand how our Website is used e g which pages or sections are most popular and when are the peak activity times and assists us in planning for future improvements to the Website to better meet our visitors needs Use of Personal Information We use your personal information for one or more of the following purposes Identifying who you are Contacting you in response to your email enquiry Developing a statistical record of the nature of enquiries generated by our Website Quality control of responses from MammoCare to your enquiries and Improving the design and content of the Website Disclosure of Personal Information Except as set out below we will not otherwise sell transfer or disclose any of your personal information to any third party without your knowledge and consent We must provide

    Original URL path: http://www.mammocare.com.sg/privacy_policy.php (2013-01-30)
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  • Mastectomy - MammoCare - Removal of the Breast
    been recommended for you Please note that a mastectomy does NOT guarantee a cure for breast cancer In the Guidelines for the Treatment of Breast Cancer published by the Ministry of Health Singapore in 2004 it is stated the local recurrence rate after a mastectomy is 6 2 and the local recurrence rate for breast conservation treatment is 5 9 This is the reason why where possible Dr Tan usually recommends breast conservation treatment If mastectomy is necessary one may choose to have reconstruction There are however issues with reconstruction which you may wish to discuss with Dr Tan From anecdotal experiences related to her through her patients one patient was unable to rejoin her church choir following reconstruction because the tissue from the abdominal wall weakened her muscular control for singing For this reason also Dr Tan makes every attempt to avoid removing the entire breast mastectomy and tries very hard to preserve the breast when treating breast cancer so that the patients can return to their lives before discovering the cancer and perhaps take up new endeavours One example is this other patient of hers who took up Cantonese opera a year after breast conservation treatment performing in a bare back gown on stage picture This patient chose Dr Tan s offer of breast conservation despite being advised by others to have breast removal As such she did not have to undergo breast reconstruction using tissue from the abdominal wall or from her side and back latissimus dorsi muscle If she had singing would have been a challenge as in the case of the former instance and in the latter the scar would have been visible at the back Needless to say if she had chosen to do a mastectomy without reconstruction it would be unlikely she would

    Original URL path: http://www.mammocare.com.sg/treatment/mastectomy.php (2013-01-30)
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  • Screening Mammography in Singapore - MammoCare - Imaging
    symptoms and in women who have breast symptoms such as lump pain or nipple discharge For a mammogram the breast is positioned between 2 plastic plates attached to the mammogram machine This squeezing or compression ensures that there will be very little movement so that the image is sharper and a lower x ray dose is needed Although this compression may be uncomfortable it only lasts for a few seconds and is necessary to produce a good mammogram Mammography produces a black and white image of the breast tissue on a large sheet of film which is interpreted by a radiologist It is very important for the radiologist to have the x ray films from previous mammograms for comparison This will help the doctor find small changes and detect a cancer as early as possible Tips for having a mammogram The following are useful suggestions for ensuring that you will receive a good quality mammogram If you have had mammograms at another facility you may wish to obtain these so that they can be compared to the new ones On the day of the exam please avoid deodorant use some deodorants contain substances that can interfere with the reading of

    Original URL path: http://www.mammocare.com.sg/early_detection/imaging.php (2013-01-30)
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  • Breast Self Examination Singapore - MammoCare - Breast Examination
    tissue Nipple discharge Skin changes such as dimpling or retraction of the nipple The above process may also be referred to as Breast Self Examination BSE When to perform breast self exams It is not unusual for women to experience changes in their breast tissue every month This tissue responds to the changes in hormone levels that occur during the menstrual cycle These changes in hormone levels may cause your

    Original URL path: http://www.mammocare.com.sg/early_detection/self_exam.php (2013-01-30)
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