Long-term review of a breast conservation series and patterns of care over 18 years.

Background: Multiple randomized trials of breast conservation compared with mastectomy in early breast cancer have validated equivalence of survival. Overwhelmingly the standard management of breast conservation includes surgical removal of the tumour, axillary dissection, postoperative breast irradiation, and adjuvant systemic therapy as appropriate. The outcomes are reviewed of 832 women with early breast cancer treated by local resection and irradiation at Royal Prince Alfred Hospital over an 18 year period, with particular emphasis on the changing patterns of practice.

Cervico- Dorsal Sympathectomy in the Management of Essential Hyperhidrosis in the Upper Limb.

Unlabelled: Essential hyperhidrosis of the upper limb is readily corrected by cervico-dorsal sympathectomy. The clinical picture of this condition, the mechanisms of sweat production and the results of treatment are discussed.

Summary: Treatment of essential hyperhidrosis of the upper limb in five patients by bilateral cervical sympathectomy is reported.