No abstract

Breast-conserving surgery is the treatment of choice for all benign lesions. For borderline and malignant lesions, excision with a wide margin reduces the rate of recurrence. If a diagnostic local excision biopsy or enucleation is performed, it should be followed by a definitive wider excision.

Intraoperative assessment of SLNs in breast cancer using a molecular assay is a safe, acceptable and accurate technique that allows a reduction in the frequency of delayed axillary clearance surgery. Take-up of this method may be hampered by perverse incentives operating within healthcare funding.

SHORT REPORTSPeritonitis associated with vaginal leakage of dialysis fluid in continuous ambulatory peritoneal dialysisAs the use of continuous ambulatory peritoneal dialysis for the treatment of end-stage renal failure increases so rarer complications of this treatment are being recognised.' We report a case of peritonitis with leakage of dialysis fluid from the peritoneum by way of the Fallopian tubes and uterus into the vagina.